وغالبا ما يصعب اكتشاف هذه المشاكل نظرا للظروف الخاصة، إذ أنها قد تحدث داخل بيئات مغلقة وتقترف أحيانا في حق المعوقين من الأطفال والكبار الذين يصعب عليهم وصف ما حدث.
Owing to the special circumstances, such problems are often difficult to discover, as they may occur in closed environments and are sometimes committed against children and adults who have difficulty explaining what has happened.