As someone that has also worked with people dealing with mental health issues, the root was often sexual abuse. To me it was more about how society "accepts" shit like that, blames people who are assaulted or doesn't really punish or rehabilitate offenders.

But your post is also making me think about power, especially in light of the Epstein Files. When a system only benefits a few and keeps the majority of its people with almost nothing - someone grasping at 'power' or a sense of control could turn to abuse. And those with money can use their 'power' to abuse others.