Allegations of multi-perpetrator and multi-victim sexual abuse emerged to public awareness in the early 1980s contemporaneously with the denials of the accused and their supporters. Multi-perpetrator sexual offences are typically more sadistic than solo offences and organised sexual abuse is no exception. Adults and children with histories of organised abuse have described lives marked by torturous and sometimes ritualistic sexual abuse arranged by family members and other care-givers and authority figures. It is widely acknowledged, at least in theory, that sexual abuse can take severe forms, but when disclosures of such abuse occur, they are routinely subject to contestation and challenge. People accused of organised, sadistic or ritualistic abuse have protested that their accusers are liars and fantasists, or else innocents led astray by overly zealous investigators. This was an argument that many journalists and academics have found more convincing than the testimony of alleged victims.

When basic human needs are ignored, rejected, or invalidated by those in roles and positions to appropriately meet them; when the means by which these needs have been previously met are no longer available: and when prior abuse has already left one vulnerable for being exploited further, the stage is set for the possibility these needs will be prostituted. This situation places a survivor who has unmet needs in an incredible dilemma. She can either do without or seek the satisfaction of mobilized needs through some "illegitimate" source that leaves her increasingly divided from herself and ostracized from others.While meeting needs in this way resolves the immediate existential experience of deprivation and abandonment. it produces numerous other difficulties. These include experiencing oneself as “bad” or "weak" for having such strong needs; experiencing shame and guilt for relying on “illegitimate” sources of satisfaction: experiencing a loss of self-respect for indulging in activities contrary to personal moral standards of conduct; risking the displeasure and misunderstanding of others important to her; and opening oneself to the continued abuse and victimization of perpetrators who are all too willing to selfishly use others for their own pleasure and purposes under the guise of being 'helpful.

In 2011 in Swansea, Wales, Colin Batley was found guilty of 35 charges relating to his role as the leader of a 'satanic cult' that sexually abused children and women, manufactured child abuse images and forced children and women into prostitution (de Bruxelles 2011).His partner and two other women were also convicted on related charges, with one man convicted of paying to abuse a victim of the group. The groups' ritualistic activities were based on the doctrine of Aleister Crowley, an occult figure whose writing includes references to ritual sex with children. Crowley's literature has been widely linked to the practice of ritualistic abuse by survivors and their advocates, who in turn have been accused by occult groups of religious persecution. During Batley's trial, the prosecution claimed that Crowley's writings formed the basis of Batley's organisation and he read from a copy of it during sexually abusive incidents. It seems that alternative as well as mainstream religious traditions can be misused by sexually abusive groups. p38