This text explores key areas of working with adult survivors of childhood abuse that - in the author's experience as a practitioner, trainer and supervisor - are frequent concerns of those working in this field. Areas covered include: an exploration of theoretical approaches and their relevance; definitions of abuse; ethical issues and questions; the impact of abuse on the child and on the adult survivor; and the effects of working in this field on the worker and how to respond to these. Some of the specific areas covered relate to self harm, the recovery of memories, dissociative responses, the dynamics of the therapeutic realtionship and more. Throughout the book it is recognized that the questions covered are frequently contentious and arouse strong feelings. Every attempt is made to provide measured, careful and thorough responses based on many years of experience in this area.