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These are the user uploaded subtitles that are being translated: 1 00:00:13,200 --> 00:00:18,200 Hi, I am jordan greenbaum and I would like to speak today about online child sexual abuse 2 00:00:18,200 --> 00:00:21,030 and exploitation from a child's perspective. 3 00:00:21,500 --> 00:00:27,500 And I'm hoping at the end of this presentation, you'll recall the risk factors for online sexual victimization 4 00:00:27,500 --> 00:00:30,989 and be familiar with some potential indicators of exploitation. 5 00:00:31,700 --> 00:00:36,600 And that you recall the health impact of both physical and mental health associated 6 00:00:36,600 --> 00:00:41,100 with online exploitation, and be able to describe the trauma-informed approach 7 00:00:41,100 --> 00:00:44,200 to interact with children who've been traumatized in this way. 8 00:00:45,500 --> 00:00:49,500 Let's begin with some examples of online child sexual exploitation 9 00:00:49,500 --> 00:00:55,139 starting with online solicitation, which is, you know, occurs when somebody identifies 10 00:00:55,400 --> 00:01:00,500 or grooms a child online with the intent to exploit them sexually, 11 00:01:00,500 --> 00:01:02,520 either online or offline or both. 12 00:01:04,000 --> 00:01:09,120 Delily, a 13-year-old female explores the Internet. To find out more about chatrooms. 13 00:01:09,600 --> 00:01:14,849 She finds one and meets a 25-year-old man who singles her out and wants to make friends. 14 00:01:15,500 --> 00:01:18,810 She tells him her parents fight all the time and she's bullied at school. 15 00:01:19,200 --> 00:01:21,689 He listens and encourages her to confide in him. 16 00:01:22,300 --> 00:01:26,549 The relationship gets closer and eventually, he asks her for a picture of her breasts. 17 00:01:27,200 --> 00:01:31,980 She's embarrassed, but she doesn't want him to be hurt. She says no, so she sends the photo. 18 00:01:32,300 --> 00:01:34,980 He loves the photo. He encourages more friends. 19 00:01:35,100 --> 00:01:36,060 And she replies. 20 00:01:36,720 --> 00:01:39,150 Eventually, he suggests that they meet in person. 21 00:01:39,700 --> 00:01:43,560 He picked her up from her house and takes her to a motel where they have sex. 22 00:01:45,200 --> 00:01:50,200 Now let's look at an example of the production of online child sexual exploitation materials 23 00:01:50,200 --> 00:01:52,640 or what used to be called child pornography. 24 00:01:53,900 --> 00:01:57,980 Four-year-old Andrew is sexually abused by a man who works with his mother. 25 00:01:58,700 --> 00:02:02,800 The man spends time at the child's home and offers to watch him 26 00:02:02,800 --> 00:02:05,690 when the mother is busy while at the man's home. 27 00:02:05,800 --> 00:02:11,539 He plays sexual games with the boy and takes photographs of the child without its clothes on. 28 00:02:12,300 --> 00:02:18,469 He video records the child masturbating and shares the photographs and videos of other sex offenders online. 29 00:02:20,100 --> 00:02:22,940 And finally, the third type of online exploitation 30 00:02:23,200 --> 00:02:29,479 involves live online child sexual exploitation or sometimes called webcam child sex tourism. 31 00:02:30,900 --> 00:02:33,319 Here's an example. 32 00:02:33,400 --> 00:02:37,969 Fizaha,An eight-year-old female told by her mother that she needs to help the family earn money. 33 00:02:38,700 --> 00:02:44,200 The mother tells her to sit on the bed in front of the computer's webcam and do what the man tells you. 34 00:02:44,200 --> 00:02:48,650 The child does this. She sees a man she doesn't know. 35 00:02:49,100 --> 00:02:52,219 She hears him tell her to take off her shirt and her skirt. 36 00:02:53,100 --> 00:02:57,259 She looks at her mother who says, Come on, it's only for 10 minutes. 37 00:02:59,900 --> 00:03:04,400 Well, what are the risk factors for online child sexual exploitation? 38 00:03:04,400 --> 00:03:12,679 It appears as children who are more vulnerable to sexual abuse offline are also more vulnerable to exploitation online. 39 00:03:13,300 --> 00:03:19,500 And there are several behaviors online that have been associated with an increased risk of exploitation 40 00:03:19,500 --> 00:03:23,700 particularly if you have three or more risky behaviors 41 00:03:23,700 --> 00:03:27,100 such as talking about sex online with strangers 42 00:03:27,100 --> 00:03:33,739 such as what you're really doing intentionally embarrassing others online frequently. 43 00:03:35,100 --> 00:03:40,600 Having multiple strangers on a buddy list who you've only met online and intentionally 44 00:03:40,600 --> 00:03:42,449 visiting X-rated websites. 45 00:03:42,800 --> 00:03:45,300 We don't know what to believe about these online behaviors 46 00:03:45,300 --> 00:03:48,270 Other than that she's talking to a stranger about sex. 47 00:03:48,900 --> 00:03:53,500 There are also risk factors associated with child sexual abuse in general 48 00:03:53,500 --> 00:03:59,189 that are associated with the child victim and with the interpersonal relationships that the child may have. 49 00:03:59,700 --> 00:04:03,400 So you can see that at the individual level being female 50 00:04:03,400 --> 00:04:08,500 being out of school, living on the street, or in a marginalized group 51 00:04:08,500 --> 00:04:12,300 all render a child vulnerable to exploitation 52 00:04:12,300 --> 00:04:19,050 as do relationships within a family or with peers that involve an absent or unavailable parent. 53 00:04:19,500 --> 00:04:20,400 Like Delily has. 54 00:04:20,400 --> 00:04:22,770 Her parents are fighting all the time. They're not available to her. 55 00:04:23,800 --> 00:04:28,019 Poverty in the family, bullying from others. These are all risk factors. 56 00:04:30,000 --> 00:04:33,200 Well, how would you suspect a child is being exploited online? 57 00:04:33,200 --> 00:04:39,389 There are no definitive signs, and many of these possible signs of online abuse are wrong. 58 00:04:40,000 --> 00:04:44,670 They may be seen with a lot of other different circumstances that have nothing to do with exploitation. 59 00:04:45,200 --> 00:04:50,279 On the other hand, children who have been exploited may or may not have any of these signs of abuse. 60 00:04:50,800 --> 00:04:53,610 But think about these and think about the children you work with. 61 00:04:54,000 --> 00:04:58,700 So you might find that a child who's being exploited starts to use their computer 62 00:04:58,700 --> 00:05:03,700 or use their phone much more frequently at night and becomes very anxious about being online. 63 00:05:04,000 --> 00:05:06,200 They may be secretive about having their online adult friend 64 00:05:06,200 --> 00:05:08,970 but you can never overlook their shoulder to see who they're talking to. 65 00:05:09,300 --> 00:05:15,800 They may be angry or withdrawn when online and their academic performance in school may decline. 66 00:05:15,800 --> 00:05:18,509 They may start pulling away from friends or family. 67 00:05:18,800 --> 00:05:22,649 Again, these are nonspecific signs. 68 00:05:23,400 --> 00:05:28,300 You may also be made to be concerned about potential online abuse 69 00:05:28,300 --> 00:05:31,229 by finding signs of traumatic stress in a child. 70 00:05:31,800 --> 00:05:34,500 When a child receives any sort of trauma 71 00:05:34,500 --> 00:05:39,600 they may react in a number of different ways by becoming depressed and withdrawn 72 00:05:39,600 --> 00:05:42,700 having anxiety attacks or panic attacks 73 00:05:42,700 --> 00:05:48,900 becoming numb or seeming to dissociate, becoming aggressive, bullying others, for example 74 00:05:48,900 --> 00:05:53,900 or as we see so often with kids, that they stop being able to pay attention in school. 75 00:05:53,900 --> 00:05:55,300 They're very hyperactive. 76 00:05:55,300 --> 00:06:00,480 They can't pay attention or are sometimes diagnosed with attention deficit hyperactivity disorder 77 00:06:00,800 --> 00:06:05,279 because they're internally so anxious they just can't pay attention or sit still. 78 00:06:05,800 --> 00:06:11,400 So these potential signs, behavior, and emotional changes may be a clue 79 00:06:11,400 --> 00:06:15,299 to online sexual exploitation or some other source of traumatic stress. 80 00:06:17,460 --> 00:06:20,000 Well, what are the physical and mental health effects of 81 00:06:20,000 --> 00:06:23,500 online child sexual exploitation? 82 00:06:23,500 --> 00:06:26,370 In many cases, as we see in two of our examples, 83 00:06:26,800 --> 00:06:32,160 the exploitation involves contact, sexual abuse as well as online sexual abuse. 84 00:06:32,500 --> 00:06:36,300 And when that happens, you get all the physical and mental health effects 85 00:06:36,300 --> 00:06:41,850 associated with contact sexual abuse, specifically physical or sexual violence and injuries 86 00:06:42,300 --> 00:06:45,000 sexually transmitted infections, HIV AIDS 87 00:06:45,000 --> 00:06:51,449 which is particularly worrisome in countries where the baseline rates of HIV, they're very high. 88 00:06:52,400 --> 00:06:57,209 Girls, have unwanted pregnancies and complications associated with those pregnancies. 89 00:06:57,800 --> 00:07:03,200 In many cases, abused and exploited children will turn to drugs and alcohol 90 00:07:03,200 --> 00:07:07,760 as a way of self-medicating to treat their extreme anxiety and stress. 91 00:07:08,100 --> 00:07:11,159 And that can lead to substance misuse and dependence 92 00:07:11,400 --> 00:07:17,200 and assorted complications related to that over and above the physical effects 93 00:07:17,200 --> 00:07:19,800 associated with contact sexual abuse. 94 00:07:20,200 --> 00:07:22,800 The whole idea of this online sexual 95 00:07:22,800 --> 00:07:23,400 component 96 00:07:23,400 --> 00:07:27,629 introduces a whole other layer of adversity that I think is very important. 97 00:07:28,100 --> 00:07:29,010 Think about it. 98 00:07:29,500 --> 00:07:35,400 When children have images or videos put online that are sexual in nature 99 00:07:35,400 --> 00:07:40,319 those images can never be guaranteed to be completely removed from the Internet 100 00:07:40,900 --> 00:07:46,229 even if something like Facebook or some other organization pulls down those images. 101 00:07:46,800 --> 00:07:50,800 People who have saved those images or videos in their personal computer 102 00:07:50,800 --> 00:07:52,700 can upload them again at anytime 103 00:07:52,700 --> 00:07:55,890 so we can never be sure they're completely eliminated. 104 00:07:56,300 --> 00:08:00,600 Nor can we be sure when someone may be viewing those photos or videos. 105 00:08:00,600 --> 00:08:05,100 It can occur in thousands of places around the world at any time of day or night. 106 00:08:05,500 --> 00:08:09,059 Knowing this, the child will feel that their exploitation never stops. 107 00:08:09,200 --> 00:08:13,769 It's ongoing, it never ends. And that's tremendously stressful. 108 00:08:14,000 --> 00:08:17,200 It's hard to heal when something is ongoing. 109 00:08:18,100 --> 00:08:22,900 Many children fear that their images will become apparent 110 00:08:22,900 --> 00:08:25,300 to people who have power over them 111 00:08:25,300 --> 00:08:30,269 people who may decide whether they are accepted at school or university 112 00:08:30,400 --> 00:08:32,159 whether they get a job or not. 113 00:08:32,300 --> 00:08:36,000 So having those images seen by others can be very frightening 114 00:08:36,000 --> 00:08:39,330 and cause a lot of anxiety even in the distant future. 115 00:08:40,200 --> 00:08:45,720 Some children report being afraid that people will stop them after they've seen the photos on the Internet. 116 00:08:45,900 --> 00:08:49,100 They will decide they want to meet the child and try to pursue them 117 00:08:49,100 --> 00:08:51,570 and stop them, which is extremely anxiety-producing. 118 00:08:52,000 --> 00:08:54,270 And then there's the shame and humiliation. 119 00:08:54,500 --> 00:08:59,339 All of these things can have a tremendous impact on one's mental health. 120 00:08:59,600 --> 00:09:04,800 There's relatively little research about exactly what adverse effects 121 00:09:04,800 --> 00:09:10,000 emotionally and psychologically, the online component of exploitation has on children. 122 00:09:10,000 --> 00:09:12,600 But there are a couple of studies that are really important 123 00:09:12,600 --> 00:09:17,600 I think, in our early study of this. One of these took place in Turkey 124 00:09:17,600 --> 00:09:24,200 where they examined cases of child sexual abuse with children who had or had not experienced 125 00:09:24,200 --> 00:09:27,100 an online component to their sexual exploitation. 126 00:09:27,500 --> 00:09:29,700 So some of them had contact with sexual abuse. 127 00:09:30,000 --> 00:09:34,529 Some of them had contact with sexual abuse with an online exploitation component. 128 00:09:34,900 --> 00:09:40,200 And they compared the two groups and found that those who had been exploited online 129 00:09:40,200 --> 00:09:43,619 were at higher risk for any sort of psychopathology 130 00:09:44,000 --> 00:09:48,570 and at higher risk specifically for depression and post-traumatic stress disorder. 131 00:09:50,000 --> 00:09:54,100 Another study was done in the Philippines, and this was done with adolescents 132 00:09:54,100 --> 00:09:55,980 who lived in a dangerous neighborhood. 133 00:09:56,300 --> 00:09:58,900 Many of the adolescents engaged 134 00:09:58,900 --> 00:10:00,700 in transactional sex 135 00:10:00,700 --> 00:10:03,029 exchanging sex for things that they needed. 136 00:10:03,500 --> 00:10:12,100 A certain proportion of those adolescents also engaged in webcam Livestream sexual exploitation 137 00:10:12,100 --> 00:10:15,900 so they were subjected to that while other children were not. 138 00:10:15,900 --> 00:10:20,100 And again, they compared the two groups and they found that the children 139 00:10:20,100 --> 00:10:25,300 who had not only a high-risk neighborhood and potentially transactional sex 140 00:10:25,300 --> 00:10:31,559 but also had the exploitation online were at greater risk for having post-traumatic stress symptoms. 141 00:10:31,900 --> 00:10:38,640 Sexualized behavior and self-destructive behaviors such as running away using drugs or alcohol. 142 00:10:39,100 --> 00:10:41,340 And they had lower self-esteem. 143 00:10:43,600 --> 00:10:50,049 Another study of webcam sex tourism involved children reporting how they felt about their experiences. 144 00:10:50,400 --> 00:10:54,039 The children reported shame, feeling, quote, dirty. 145 00:10:54,700 --> 00:10:55,510 They felt guilt. 146 00:10:56,300 --> 00:10:59,919 They feel fear. Fear of what? Being discovered by others 147 00:11:00,100 --> 00:11:05,320 having others judge them and shame their family or harm their own reputation 148 00:11:05,800 --> 00:11:10,629 or be exposed on the internet to someone they knew who saw those photos or videos. 149 00:11:11,200 --> 00:11:15,519 One child said I'm fine on the outside, but inside I'm dirty. 150 00:11:16,300 --> 00:11:17,700 Another child said 151 00:11:17,700 --> 00:11:22,630 I try to think that it's just for a while and he's not here, not around. 152 00:11:22,800 --> 00:11:24,279 He's not touching my body. 15377

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