The first chapter discusses the facilitation of emotional regulation and impulse control in children who have been sexually abused and provides clinicians with practical treatment recommendations. Another chapter describes the specialized treatment of adolescent survivors of abuse within the hospital setting and provides criteria for determining when inpatient treatment is appropriate. The final chapter in this section deals with ritual abuse, a controversial and emotionally charged topic. The most controversial topic within the field of sexual abuse is whether to define sexually aggressive children as victims or perpetrators. The definition chosen depends on the type of treatment provided. The chapters here present a cultural background for addressing this issue, a model for identifying sexually aggressive children, a treatment model for working with such youngsters that allow young offenders to assume responsibility for their emotions and behaviors without assuming the shame of a negative label, and a treatment model for working with the parents of these children. Chapter references