This study is based on the Incest Survivors'After-Effects Checklist, a tool developed by the author for identifying a history of hidden incest and understanding its consequences, many of them overlooked by previous works on this topic. The book redefines incest in a broader way than has previously been done and offers detailed and insightful discussions of its consequences: fear, anger, confusion of boundaries, sexual dysfunction, addictive and self-destructive behavior and fear of intimacy. Viewing the resulting behavior of incest victims as survival tactics, the book discusses alternatives to enable patients to meet underlying needs.