By and large the perpetrators of child sexual abuse are men, often men who are themselves survivors of csa, while women who have survived being abused in their childhood tend to turn their hatred inwards and perform acts of terrible damage on themselves. Child sexual abuse, according to Virani, is directed at girls and boys, not just girls. In fact, the boy child is increasingly at risk. Survivors of child sexual abuse - in an admission that must have taken great courage, Virani places herself among them - may take years to come to terms with the outfall of abuse, especially if they have received no help from their families or specialists.