This book examines the effects of childhood trauma--including sexual abuse--on sexual orientation and behavior. It is directed at helping counselors expand their sensitivity and expertise in a critically important way: by providing a nonjudgmental look at the profound effects of long-standing early abuse on the sexual identities, orientation, behaviors, and fantasies of clients. Chapters include: (1) "Trauma and Sexuality: The Effects of Childhood Sexual, Physical, and Emotional Abuse on Sexual Identity and Behavior" (James A. Chu and Elizabeth S. Bowman); (2) "'Good Girls,' Sexy 'Bad Girls,' and Warriors: The Role of Trauma and Dissociation in the Creation and Reproduction of Gender" (Elizabeth F. Howell); (3) "Informed and Supportive Treatment for Lesbian, Gay, Bisexual, and Transgendered Trauma Survivors" (Margo Rivera); (4) "Dissociation and Sexual Addiction/Compulsivity: A Contextual Approach to Conceptualization and Treatment" (Steven N. Gold and Robert E. Seifer); (5) "Some Considerations About Sexual Abuse and Children with Sexual Behavior Problems" (Toni Cavanaugh Johnson); (6) "Hyposexuality and Hypersexuality Secondary to Childhood Trauma and Dissociation" (Mark F. Schwartz and Lori Galperin); (7) "Traumatic Experiences: Harbinger of Risk Behavior Among HIV-Positive Adults" (Cheryl Gore-Felton and Cheryl Koopman); and (8) "Sexual Orientation Conflict in the Dissociative Disorders" (Colin A. Ross). Each chapter contains references. (GCP)