Extrafamilial child molestation refers to child sexual abuse that takes place outside the family dynamic. Extrafamilial child molestation or child sexual abuse involves a child being exposed by an adult outside of his or her family to sexual behaviors, such as fondling, intercourse, and oral sex, or other sexual activities, such as viewing pornography. Extrafamilial abusers may be babysitters, neighbors, or family friends. The impact of child sexual abuse can lead to devastating outcomes, such as higher rates of psychological and social distress, cognitive difficulties, emotional imbalances, and suicide. Children often do not understand what is happening and experience high levels of psychological distress, guilt, poor self-esteem, and self-doubt after being molested. For these reasons, child sexual abuse is one of the most unreported sexual ...