This book takes a comprehensive look at the understanding and treatment of child sexual abuse in psychoanalytic theory and practice, and in society as a whole. This book demonstrates how prophetic Ferenczi’s ideas about sexual abuse and trauma were, and how relevant they are for contemporary psychoanalysis and society. Sexual abuse, its traumatic effect, and the harm caused to children, youth, and adults will be described in the neglect of confronting sexual abuse by psychoanalysis and society. This neglect will be discussed in chapters about the abuse of children by religious leaders, students by teachers, youth in sports by coaches, and aspiring actors by authorities in the entertainment industry. It covers key topics such as why there has been silence about abuse in psychoanalysis, psychoanalytic theories, and practices that can be counterproductive or even harmful, case studies of abuse in the wider community, and how psychoanalysis as a profession can do better in its understanding and treatment of child sexual abuse both in psychoanalytic treatment and in its interaction with other parts of society. This book appeals to all psychoanalysts and psychoanalytic psychotherapists, as well as scholars interested in the history of psychoanalysis.