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What is Accommodation Syndrome?

Understanding Accommodation Syndrome: Why Children Don't Always Disclose Abuse

Child sexual abuse is a devastating crime that can have long-lasting consequences for victims. One of the most challenging aspects of child sexual abuse is that children often don't disclose the abuse, making it difficult to hold perpetrators accountable and get help for victims.

What is Accommodation Syndrome?

Accommodation syndrome is a theory that helps explain why children may not disclose sexual abuse. It was developed by Dr. Roland Summit in the 1980s and is based on his observations of child victims.

The Five Stages of Accommodation Syndrome

Accommodation syndrome is not a formally recognized mental health diagnosis, but it can be a helpful framework for understanding the complex dynamics of child sexual abuse. The theory outlines five stages that children may go through after experiencing sexual abuse:
  1. Secrecy: Children are often threatened or intimidated by their abusers not to tell anyone about the abuse. They may also feel ashamed or embarrassed about what happened.
  2. Helplessness: Children may feel like they have no power to stop the abuse or that no one will believe them if they tell.
  3. Entrapment and Accommodation: As the abuse continues, children may start to believe that it is their fault or that they deserve it. They may also develop coping mechanisms to survive the abuse, such as dissociation or self-harm.
  4. Delayed and Unconvincing Disclosure: If a child does disclose the abuse, it may be delayed or they may not be able to provide all the details. This is because they may be afraid of the consequences of disclosure or they may not have the language to describe what happened.
  5. Retraction: Children may retract their disclosure, especially if they are met with disbelief or blame. This is because they may feel like they made a mistake or that they are being punished for telling the truth.

Criticisms of Accommodation Syndrome

Accommodation syndrome has been criticized for being too deterministic and for not taking into account the individual experiences of child victims. Some experts argue that the theory can lead to victim blaming, as it suggests that children are somehow responsible for not disclosing the abuse.

Despite the criticisms, accommodation syndrome can be a valuable tool for understanding why children may not disclose sexual abuse. It can help to:
  • Raise awareness of the challenges that child victims face.
  • Encourage professionals to be more supportive and understanding of child victims.
  • Help to create a climate where children feel safe to disclose abuse.
If you are concerned that a child may be being sexually abused, there are a number of things you can do:
  • Talk to the child in a safe and supportive environment.
  • Let them know that you believe them and that you are there to help.
  • Encourage them to seek professional help.
  • Report the abuse to the authorities.
It is important to remember that every child is different and will experience sexual abuse in their own way. There is no right or wrong way to react to abuse, and it is important to support child victims in whatever way they need.

Here are some additional resources that you may find helpful:
  • The National Sexual Assault Hotline: 1-800-656-HOPE
  • Childhelp USA: 1-800-422-4453
  • The Rape, Abuse & Incest National Network (RAINN): 1-800-656-HOPE You can also get help online at RAINN's website: https://www.rainn.org
I hope this blog post has been helpful. Please share it with others so that we can all work together to prevent child sexual abuse and support survivors.

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