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It is also under\u2010represented within the literature in comparison with other forms of intrafamilial sexual abuse. Understanding why this is may help to illuminate the potential barriers to effective professional responses. Two explanations which emerge strongly are the existence of a sibling incest taboo and a prevailing belief that sibling sexual behaviour is largely harmless.<\/jats:p><\/jats:sec><jats:sec><jats:title>Design<\/jats:title><jats:p>Discursive position paper.<\/jats:p><\/jats:sec><jats:sec><jats:title>Method<\/jats:title><jats:p>The paper examines the two hypotheses through exploration of the extant literature on sibling incest and sibling sexual abuse.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Sibling sexual abuse accounts for a significant minority of child sexual abuse and has the potential to be as harmful as sexual abuse by a parent. An abhorrence at the thought of sibling sexual activity and a prevailing view of its harmlessness may hinder nurses\u2019 detection of and appropriate responses to sibling sexual abuse, but do not provide convincing explanations for the dearth of literature. Instead, a deeply held perspective of sibling relationships as non\u2010abusive offers a more profound explanation.<\/jats:p><\/jats:sec><jats:sec><jats:title>Relevance to clinical practice<\/jats:title><jats:p>A knowledge of sibling sexual abuse and its consequences are important both for the effective protection of children and the sensitive and appropriate treatment of patients who present with a variety of physical and mental health concerns. A perspective that sibling relationships are non\u2010abusive provides a deeper level of understanding of the powerful obstacles to raising awareness of and responding appropriately to this form of abuse.<\/jats:p><\/jats:sec>","DOI":"10.1111\/jocn.13531","type":"journal-article","created":{"date-parts":[[2016,8,23]],"date-time":"2016-08-23T05:42:47Z","timestamp":1471930967000},"page":"2482-2494","source":"Crossref","is-referenced-by-count":53,"title":["Sibling sexual abuse: why don't we talk about it?"],"prefix":"10.1111","volume":"26","author":[{"given":"Peter","family":"Yates","sequence":"first","affiliation":[{"name":"School of Nursing, Midwifery and Social Care Edinburgh Napier University Edinburgh UK"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2016,11,24]]},"reference":[{"key":"e_1_2_9_2_1","doi-asserted-by":"publisher","DOI":"10.1525\/aa.1963.65.2.02a00020"},{"key":"e_1_2_9_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/0145-2134(95)00040-F"},{"key":"e_1_2_9_4_1","unstructured":"AllardyceS&YatesP(2009)The Risks of Young People Abusing Sexually at Home in the Community or Both: A Comparative Study of 34 Boys in Edinburgh with Harmful Sexual Behaviour. 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