This book examines the representation of child sexual abuse in five American novels written from 1850 to the present. The historical range of the novels shows that child sexual abuse is not a new problem, although it has been called by other names in other eras. The introduction explains what literature and literary criticism bring to persistent questions that arise when children are sexually abused. Psychoanalytic concepts developed by Freud, Ferenczi, Kohut, and Lacan inform readings of the novels. Theories of trauma, shame, psychosis, and perversion provide insights into the characters represented in the stories. Each chapter is guided by a difficult question that has arisen from real-life situations of child sexual abuse. These are previewed in the “Personal Preface” and “Introduction” and succinctly reviewed in the “Afterword” that weaves the chapters together. Legal and therapeutic interventions respond with their disciplinary resources to the questions as they concern victims, perpetrators, and witnesses. Literary criticism offers another analytic framework that can significantly inform those responses.