Children are not aware of what sexual abuse is. As in a majority of cases the perpetrators are known and people with whom the child interacts on a regular basis, like family members, it becomes difficult to disassociate the pain that was inflicted during sexual abuse and the feelings that are exchanged normally.
In a majority of cases children do not reveal sexual abuse due to threats of violence and a change in relationship status by the perpetrators. Children may also refrain from telling others to save the family and the reputation of the perpetrator. To handle the sexual abuse it becomes essential for them to alter the experience they had in their minds to other things. This in a way also helps them deal with their suffering and the pain they suffer during sexual abuse.