The many studies that have examined the long-term impact of child sexual abuse (CSA) on adult functioning have primarily focused on the personal distress of survivors, largely ignoring the impact of CSA on interpersonal relationships. This article first reviews current conceptualizations of the relationship between CSA and interpersonal relationships, with a focus on the theoretical models that appear to have implications for the long-term interpersonal sequelae associated with CSA. This is followed by a review of the research conducted on intimacy within the area of social psychology and a summary of the empirical findings related to intimacy functioning in CSA survivors. A hypothesized typology of intimacy functioning for survivors is suggested. The effects of CSA on three components of sexuality -- sexual dysfunctions, underlying psychological components of sexuality, and sexual orientation -- are discussed. Finally, the interpersonal issues believed to be most salient for CSA survivors in the therapeutic setting are discussed, along with implications for the client-therapist relationship. Methodological, assessment, and conceptual issues are discussed throughout the article. Recommendations for future research and clinical endeavors are suggested. 114 references