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I would imagine that one difference between playing doctor and molestation is if one of the children felt embarrassed when it was happening and felt victimized as a result.
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I think when there's a power differential, such as an age difference (as with the 10-year-old girl and the OP's girl), that is definitely molestation, regardless of how the younger child reacts. Think about when a 45-year-old man goes after a 14-year-old girl. It's rape no matter how the 14-year-old girl feels because the power differential makes her easily manipulated and confused. But with this girl and the boy who is the same age, I don't think so, although I don't doubt the specific thing she chose to do was influenced by this earlier incident.
The OP seems to be very responsive and responsible about what happened with the 10-year-old, so my guess is she's had her daughter (or was it step-daughter?) in counseling. I still think that the kids need to be looked in on if things get quiet, and that the door should stay open, but I don't think this newer incident is anything to freak out about. Though I understand the OP's high level of concern given the earlier problem.














