It is acknowledged that father-daughter incest occurs on a large scale in the United States. Sexual abuse has now been included in child abuse legislation. A conservative estimate is that more than 1 million women have been sexually victimized by their fathers or other male relatives, but the true figure probably is much higher. Many victims still fear reporting incest, and families continued to collude to keep the situation secret. Issues of family privacy and autonomy remain troublesome even when incest is reported and must be resolved for treatment to be effective. " Mary de Chesnay J. Psychosoc. Nurs. Med. Health Sep. 22:9-16 Sept 1984 reprinted in Talbott's 1986 edition
Implicit [in the psychiatric literature] is a set of normative assumptions regarding the father's prerogatives and the mother's obligations within the family, The father, like the children, is presumed to be entitled to the mother's love, nurturance, and care. In fact, his dependent needs actually supersede those of the children, for if a mother falls to provide the accustomed intentions, it is taken for granted that some other female must be found to take her place. The oldest daughter is a frequent choice... The father's wish, indeed his right, to continue to receive female nurturance, whatever the circumstances, is accepted without question.