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eaches for me and pulls me down. I dream that I run for help, enter a phone booth,<br />

hear a dial <strong>to</strong>ne. When I reach up I see the phone has been <strong>to</strong>rn from the wall. I dream<br />

of animals skinned alive while I scream.<br />

Sometimes when I sleep I s<strong>to</strong>p breathing and can't make myself start until I wake<br />

gasping, my fingers blue.<br />

<strong>What</strong> <strong>is</strong> Incest?<br />

Incest can happen <strong>to</strong> anyone: <strong>to</strong> rich and <strong>to</strong> poor; <strong>to</strong> wh<strong>it</strong>es, blacks, Asians, Native<br />

Americans, Jews, Chr<strong>is</strong>tians, and Buddh<strong>is</strong>ts. It happens <strong>to</strong> girls and <strong>to</strong> boys, <strong>to</strong> the<br />

gifted and <strong>to</strong> the d<strong>is</strong>abled. It happens <strong>to</strong> children whose parents neglect them, and<br />

those—like me—whose parents love and care for them.<br />

<strong>What</strong> exactly <strong>is</strong> <strong>incest</strong>? The defin<strong>it</strong>ion that I use in th<strong>is</strong> article <strong>is</strong>: any sexual abuse of a<br />

child by a relative or other person in a pos<strong>it</strong>ion of trust and author<strong>it</strong>y over the child. It <strong>is</strong><br />

the violation of the child where he or she lives—l<strong>it</strong>erally and metaphorically. A child<br />

molested by a stranger can run home for help and comfort. A victim of <strong>incest</strong> cannot.<br />

Versions of th<strong>is</strong> defin<strong>it</strong>ion are widely used outside the courtroom by therap<strong>is</strong>ts and<br />

researchers. In court, <strong>incest</strong> defin<strong>it</strong>ions vary from state <strong>to</strong> state. In many states, the law<br />

requires that for <strong>incest</strong> <strong>to</strong> have taken place, vaginal penetration must be proved. So if a<br />

father rapes h<strong>is</strong> child anally or orally he may be guilty of child sexual abuse but may not,<br />

legally, be guilty of <strong>incest</strong>.<br />

I believe that if <strong>incest</strong> <strong>is</strong> <strong>to</strong> be unders<strong>to</strong>od and fought effectively, <strong>it</strong> <strong>is</strong> imperative that the<br />

defin<strong>it</strong>ion commonly held among therap<strong>is</strong>ts and researchers (the defin<strong>it</strong>ion I have given<br />

here) be generally accepted by the courts and public. I am not alone in th<strong>is</strong> belief. As<br />

therap<strong>is</strong>t E. Sue Bloom, for one, wr<strong>it</strong>es in Secret Survivors: Uncovering Incest and Its<br />

Aftereffects in Women: "If we are <strong>to</strong> understand <strong>incest</strong>, we must look not at the blood<br />

bond, but at the emotional bond between the victim and the perpetra<strong>to</strong>r. . . . The<br />

important cr<strong>it</strong>erion <strong>is</strong> whether there <strong>is</strong> a real relationship in the experience of the child."<br />

"The crucial psychosocial dynamic <strong>is</strong> the familial relationship between the <strong>incest</strong><br />

participants," adds Suzanne M. Sgroi, M.D., direc<strong>to</strong>r of the Saint Joseph College's<br />

Inst<strong>it</strong>ute for Child Sexual Abuse Intervention in West Hartford, Connecticut, wr<strong>it</strong>ing in the<br />

Hand-book of Clinical Intervention in Child Sexual Abuse. "The presence or absence of<br />

a blood relationship between <strong>incest</strong> participants <strong>is</strong> of far less significance than the<br />

kinship roles they occupy."<br />

Incest happens between father and daughter, father and son, mother and daughter,<br />

mother and son. It also happens between stepparents and stepchildren, between<br />

grandparents and grandchildren, between aunts and uncles and their nieces and<br />

nephews. It can also happen by proxy, when live-in help abuses or a parent's lover <strong>is</strong><br />

the abuser; though there <strong>is</strong> no blood or legal relationship, the child <strong>is</strong> betrayed and<br />

violated w<strong>it</strong>hin the context of family.<br />

<strong>No</strong> one <strong>know</strong>s how many <strong>incest</strong> victims there are. <strong>No</strong> defin<strong>it</strong>ive random studies on<br />

<strong>incest</strong> involving a cross section of respondents have been undertaken. <strong>No</strong> accurate<br />

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