Abstract

Child rape in Abidjan is increasingly mobilizing socio-judicial systems. But psychopathological disorders and associated psychosocial disturbances are sometimes neglected in the process of care. Studying the impact of these sexual crimes on the psychosocial environment of the victims led us to carry out a qualitative study from 2019 to 2020 in two Pediatric Surgery Departments in Abidjan. Based on a purposive sampling strategy, nine (09) victims were selected and their cases are presented under the form of monographs. They were girls aged from 15 months to 7 years. Almost all of them were victims of premeditated rape of proximity. The modus operandi of the rapes followed four phases: attract of the victim, sending to a predatory site, raping and finally release of the victim. The injuries diagnosis indicated tears and perineal damage, evidence of violent vaginal insertive intercourse and / or requiring a forced penetrative gesture. From 06 of the victims, psycho-traumatic disorders were observed and symptoms of vicarious trauma from 04 groups of helpers, associated with a disruption of family dynamics (relocation, conflicts and separation). However, conventional psychological follow-up has only been offered to 02 out of the 09 patients. Child rape is an archaic pathology of civilizations which must include psychosocial care for victims and their caregivers preceded by clinical clarification and rigorous psycho-criminological study.

Highlights

  • Rape refers to a contact of an attractive weak target victim with a rapist which will be subjected to a strategic analysis of the risks and profits, but rationally limited [1]

  • In African society for example, children are perceived as community heritage

  • The study related to Impact des violences sexuelles de l’enfance à l’âge adulte, carried out in France [2], has pointed out that 81% of the 1,214

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Summary

Introduction

Rape refers to a contact of an attractive weak target victim with a rapist which will be subjected to a strategic analysis of the risks and profits, but rationally limited [1]. As for children, the skills to resists and the power of judgement are weak, if not non-existent to escape from rape or resist any measure of coercion unlike adults. As such the following concern can be raised: are children regular targets for sexual abusers? In African society for example, children are perceived as community heritage. As such, they benefit from huge emotional investments that prevent them from sexual abuses from sensible adults. Many international studies have laid the emphasis upon children sexual abuses by adults. The study related to Impact des violences sexuelles de l’enfance à l’âge adulte, carried out in France [2], has pointed out that 81% of the 1,214

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