I am certain those comments were in reference to the entire spectrum of "adult-child relations," which would include the hormone-driven high school jock who has sex with his teacher (and sometimes later get married). While psychological distress is difficult to measure, I do think in many instances we may make things worse by suggest it must be the worst. Yes, many are horribly abused, but I think when it comes to "children," we like to pretend they have this "thin-glass fragile" innocence, and we think it will ruin them if they see an exposed female breast.