According to a 2018 study of "child porn" victims, survivors reported that the images of their abuse caused different problems than the sexual abuse itself, including distress over being recognized from the images.
- Gewirtz-Meydan, A., Walsh, W., Wolak, J., & Finkelhor, D. (2018). The complex experience of child pornography survivors. Child abuse & neglect, 80, 238–248. https://doi.org/10.1016/j.chiabu.2018.03.031