Innocence Legal Team | Blog

The Myth of Child Sexual Abuse Accommodation Syndrome (CSAAS)

Written by David Cohn | Dec 5, 2025 4:42:57 PM

For decades, Child Sexual Abuse Accommodation Syndrome (CSAAS) has shaped how courts and therapists interpret children’s behavior in abuse cases. Originally introduced to help professionals understand why victims might delay or deny abuse, it was never meant to prove guilt. Yet, over time, it became a powerful—and dangerous—courtroom tool. Today, psychologists and legal experts increasingly view CSAAS as junk science, responsible for unfair prosecutions and wrongful convictions.

 
 

Understanding CSAAS and Its Original Purpose

CSAAS was first described in 1983 by Dr. Roland Summit, a California psychiatrist who observed patterns of behavior in children who had reportedly experienced sexual abuse. He proposed five behavioral stages—secrecy, helplessness, entrapment and accommodation, delayed disclosure, and recantation—to explain why victims might remain silent or contradict themselves.

 
 

Developed as a Tool for Understanding Behavior, Not Evidence

Dr. Summit designed CSAAS as a clinical observation model, not as a diagnostic or forensic tool. The five stages of child sexual abuse accommodation syndrome were intended to help therapists empathize with children’s emotional responses, not determine whether abuse actually occurred.

  • It was based on anecdotal cases, not controlled studies.

  • It was meant for therapy sessions, not trials.

  • It had no measurable criteria to verify its claims.

Unfortunately, these good intentions were soon distorted when prosecutors began citing CSAAS to explain any child behavior that didn’t fit expectations of “typical” victims.

 
 

How It Shifted into Courtroom Testimony

By the late 1980s, prosecutors and child advocates began calling CSAAS “scientific” proof that a child’s inconsistent statements still indicated abuse. Expert witnesses testified that denial, recantation, or delayed reporting were signs of trauma. The theory became self-reinforcing—no matter what a child did or said, it could be interpreted as evidence of guilt.

This shift allowed juries to convict even without physical evidence, trusting the expert’s psychological interpretation over the facts.

 
 

Why CSAAS Is Considered Junk Science Today

Modern psychology and legal research have exposed the fundamental flaws in CSAAS. It has failed to meet scientific standards and has repeatedly been shown to bias juries.

 
 

Lack of Empirical Validation

CSAAS was never supported by rigorous research. Dr. Summit’s original paper relied solely on personal observations—there were no control groups, testing procedures, or statistical data. Later studies found that:

  • Non-abused children can show the same behaviors CSAAS describes.

  • Suggestive questioning can create false disclosures.

  • “Delayed disclosure” is common in many stressful experiences, not unique to abuse.

Without empirical evidence, CSAAS became a theory of interpretation rather than investigation.

 
 

Criticism from Psychologists and Legal Experts

Prominent psychologists like Dr. Elizabeth Loftus and Dr. Lee Coleman have long challenged CSAAS for confusing explanation with evidence. They note that memory is flexible and suggestible, and that therapy techniques can unintentionally implant ideas rather than uncover truth.

Legal scholars also point out that CSAAS lets “experts” comment on credibility—something juries should decide. By framing doubt as denial, CSAAS testimony can unfairly push jurors toward conviction even when proof is lacking.

 
 

Courts Moving Away from Accepting CSAAS Testimony

In recent years, appellate courts have begun rejecting CSAAS testimony as unscientific. Judges now recognize that such evidence:

  • Cannot prove abuse occurred, only describe general behavior.

  • Prejudices juries by implying guilt where none may exist.

  • Fails to meet Daubert standards for scientific reliability.

This shift marks a growing awareness that legal decisions must rely on data, not psychological trends.

 
 

Groupthink and Confirmation Bias in CSAAS Cases

CSAAS spread rapidly during the child protection movement of the 1980s and 1990s, when society believed that children never lied about abuse. This mindset fostered groupthink—a culture where professionals reinforced each other’s beliefs rather than questioned them.

 
 

How Prosecutors and Therapists Reinforced Faulty Assumptions

  • Therapists were trained to interpret every denial as repression.

  • Investigators believed disbelief could “re-traumatize” a child.

  • Prosecutors used CSAAS to explain away inconsistencies.

Together, these roles created a closed loop of confirmation bias—where every detail fit the presumption of guilt. As Patrick Clancy of the Innocence Legal Team has argued, this mindset led investigators to “replace evidence with ideology.”

 
 

The Ripple Effect on Investigations and Trials

Because CSAAS was treated as fact, investigators often neglected objective evidence. Interviews became suggestive, steering children toward expected answers. Jurors, hearing expert testimony on CSAAS, assumed that hesitation or denial was itself proof of abuse. As a result, innocent people were convicted not on what happened—but on how psychology said a victim should behave.

 
 

Real-World Impact: Wrongful Convictions Based on CSAAS

The consequences of CSAAS misuse have been profound. Countless men and women were convicted based solely on behavioral “symptoms” that experts claimed aligned with the syndrome.

 
 

Overview of Landmark Appeal Cases

Appellate courts have overturned several convictions that relied heavily on CSAAS testimony. In People v. Acero and People v. Diaz, the California appellate courts found that expert testimony about CSAAS unfairly influenced juries, substituting speculation for evidence. These rulings established that CSAAS should never be used to prove abuse occurred, only to contextualize testimony if necessary.

 
 

How Appellate Lawyers Dismantled CSAAS-Based Prosecutions

Defense teams succeeded by:

  • Exposing the lack of scientific support for CSAAS.

  • Highlighting expert bias and circular reasoning.

  • Citing research on false memory and suggestibility.

  • Arguing due process violations when juries were misled by junk science.

Attorneys from the Innocence Legal Team continue to challenge CSAAS in appeals, advocating for defendants convicted on unverified psychology rather than factual proof.

 
 

Moving Toward Scientific Accountability

The decline of CSAAS marks progress toward evidence-based justice. It reminds us that compassion must never replace critical thinking in law or science.

 
 

Key Takeaways

  • CSAAS was never designed as courtroom evidence.

  • No empirical data supports its five-stage model.

  • Courts now reject CSAAS testimony as unreliable.

  • Appellate advocacy plays a vital role in restoring fairness.
 
 

Restoring Truth Through Scientific Integrity

The decline of CSAAS represents a critical turning point in how justice and psychology intersect. By demanding real evidence instead of relying on unproven theories, courts and experts are restoring fairness to a system once driven by fear and assumption. True progress means protecting both victims of abuse and those falsely accused—ensuring that compassion never replaces objectivity and that science, not speculation, guides every verdict.