INTRODUCTION: SEXUAL TRAUMA Sexual Trauma within the Context of Traumatic and Inescapable Stress, Neglect and Poisonous Pedagogy - Mark F Schwartz, Lori D Galperin and William H Masters PART ONE: HELPING ADULT SURVIVORS WITH SEXUAL PROBLEMS Treating Sexual Dysfunction in Survivors of Sexual Abuse and Assault - Jeff Brown Dissociation and Treatment of Compulsive Re-enactment of Trauma - Mark F Schwartz, Lori D Galperin and William H Masters Sexual Compulsivity Uncovering the Relationships between a Client's Adult Compulsive Sexual Behavior and Childhood Sexual Abuse - Mic Hunter PART TWO: HELPING ADULT SURVIVORS WITH SPECIAL NEEDS Treatment of the Very Difficult Sexual Abuse Survivor - Robert Mayer Stages of Recovery and Relapse Prevention for the Chemically Dependent Adult Sexual Trauma Survivor - Caryl Trotter Strengthening the Heartline - Betty Button and Allen Dietz Working Partners and Allies of Adult Survivors of Childhood Sexual Abuse The Need for a Multidimensional Approach to the Treatment of the Male Sexual Abuse Survivor - Larry A Morris