Despite the wide body of literature about childhood sexual abuse (CSA), relatively little is known about how CSA impacts the expression of sexual addiction/compulsivity (SAC). After reviewing the literature and explaining the etiology of SAC, the authors argue that treatment which targets the dissociative elements of SAC helps clients to understand the nature of their behavior and, thereby reduce the desire to engage in SAC. Clinical observations of CSA clients revealed that they tend to display poor recall of SAC events, complaining of a truncated awareness or a feeling of being in a trance during the event. The authors assert that helping clients to remember SAC events enables the clients to become less dissociative when participating in future SAC events. Once the clients are able to build an understanding of the etiology behind the SAC behavior, which occurs through an awareness of the dissociative nature of the behavior, the desire to engage in future SAC will decrease. As such, the authors argue that treatment of SAC for CSA survivors should focus on the dissociative elements of the behavior in order to disrupt the behavior. References