In addition, gay boys may fear that their orientation derives from their sexual abuse history. Both straight and gay boys may consider that the abuse is a sign that they are unmanly and weak.
In the outpouring of books and papers on childhood sexual abuse that have appeared since 1980, the emphasis has primarily been on sexually abused girls and their reactions to the abuse as women. While most writers acknowledge that boys are also subject to sexual abuse, the focus on women has misleadingly implied that the occurrence of sexual abuse among boys is rare. But, as Holmes and Slap (1998) conclude, 'the sexual abuse of boys is common, underreported, underrecognized, and undertreated' (p. 1860) approximately one in six boys experiences direct sexual contact with an adult or older child by age sixteen (Urquiza and Keating, 1990 Lisak, Hopper, and Song, 1996). Often abusers are parents or other adults who violated positions of power and trust.