One of the most common feelings among her sample was self-blame. The majority of those interviewed never experienced violence or remembered feeling pain, rather it was mainly confusion at the time. But the psychological damage begins when they realize that their trust and innocence had been betrayed. It is this feeling of participation from the victim that causes the greatest distress later in life. Clancy says that ninety-five percent of childhood sexual abuse victims never seek treatment because of their false beliefs about what abuse should look like: