An introduction describes the writer's 20 years of working with sex offenders and the impacts on him professionally and personally. Additional papers present the results of a descriptive survey of the personal characteristics, employment conditions, and burnout symptoms of professionals involved in sex offender treatment; explore the impact of work with juvenile sex offenders on the individual practitioner; and stressors associated with clinical practice in general and sex offender treatment in particular. Further papers present the results of a qualitative and quantitative study of persons who attended the 1993 conference of the international Association for the Treatment of Sexual Abusers, the concept of vicarious traumatization, and approaches to increasing effectiveness and eliminating burnout in sex offender treatment. Tables, figures, survey instruments, and reference lists