The authors lay the foundation for their discussion by defining paradigms of trauma and sexual abuse including symptom formation, ruptured trust, and mutilation of self- esteem. General principles in the analysis of projective drawings are laid out: the reliability and validity of drawings as a projective tool, developmental aspects of drawing skills, and the application of projective drawings with sexually abused children. Three specific areas of developmental problems are investigated in depth: projections of ego functions of sexually abused children, aberrations in the superego of sexually molested youngsters, and the incestuous family's influence on the development of object relations during latency. The final chapter explores the long-term effects of childhood sexual abuse on adult survivors. 6 tables, 152 figures, and 167 references