On the apparent invisibility of incest: a personal reflection on things known and forgotten. A review of the literature on the long-term effects of childhood sexual abuse. Applying to adult incest victims what we have learned from victimized children. Somatoform disorders in victims of incest and child abuse. Disturbances of "self" in victims of childhood sexual abuse. Secrets of adolescence: incest and developmental fixations. The cognitive sequelae of incest. Incest in the borderline patient. Symptoms of posttraumatic stress and dissociation in women victims of abuse. Dissociative disorders as sequelae to incest. Trauma, dissociation, and hypnosis. Incest and subsequent revictimization: the case of therapist-patient sexual exploitation, with a description of the sitting duck syndrome. Discussion.