This book is about the experience of individuals who have been abused or who have abused others, but it also traces the way an abusive experience can organize a family or professional system so that changes are difficult to achieve. The author has been in the forefront of the child abuse field for many years, and he discusses in this volume the way his thinking has changed to incorporate the ideas from the feminist movement and the constructionist family therapists. He looks at the way victimizing actions and the traumatic effects of abuse combine to create a trauma-organized system, which includes the individual, the family, the professional helpers, the community, and the cultural values. The author describes the characteristics of these systems and a diagnostic procedure to help the workers plan the treatment.