If people automatically equate all incest with child rape, it says more about the current obsession of pædophilia than the actual proportions of incestuous relationships. Neither same-generation nor cross-generation incest comes more to mind than the other, although I only know people who have partaken in the former.
You’re using the most extreme cases to denounce an act generally. These cases are by their nature more notable and likely to be reported. If you went searching for case examples through more objective means, you’d probably come up with counter examples, where people have grown up into perfectly healthy adults. And even if they regret their former actions, that’s come about because of a society that shuns incest, not necessarily because anything intrinsically wrong came from their experience.
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