In the growing professional literature on child sexual abuse, few books focus specifically on the experience of victimized boys and men. Interweaving vital elements of psychodynamic and trauma-oriented clinical practice, this much-needed volume examines how sexual betrayal affects boys, the ways they carry this hurt into adulthood, and how therapists can address the unique needs of men with sexual abuse histories. Exploring the impact of abuse on men's emotional development, gender and sexual identity, and relationships, the book provides in-depth consideration of individual and group treatment issues. Numerous case examples draw readers into the direct experience of these clients and the clinicians who work with them and illuminate their continually shifting relational world.