Abstract
<p>The innovation of the Internet and the proliferation of new digital technologies in everyday life have unfortunately created more opportunities for the sexual abuse of children and especially the global distribution of child sexual abuse images online (CSAIO). Most of the current therapeutic interventions being used were designed to treat ‘conventional’ sexual abuse trauma. Victims of CSAIO may experience ongoing trauma because the recordings of their abuse have the potential to be endlessly viewed and shared by those with a sexual interest in children some of whom may be known to them. However, little is known about the potential psychological harm to victims, the extent to which existing trauma treatment modalities are applicable to them, or what modifications of these treatments may be required for effective treatment. This paper explores current ways of understanding the harms done to the victims of CSAIO and presents cautions and recommendations for moving forward.</p>
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