Even decades after their childhood incest and sexual trauma have ended, adult women often bring into treatment a host of issues stemming from their early abuse—self-blame and self-hatred, intrusive memories and dissociative symptoms, sexual dysfunction and eating disorders, as well as alcohol and drug abuse. While it's important to focus on the individual and family issues associated with their childhood histories, it can be much more healing and empowering to help clients understand the wider social context of power and gender that both contributed to their victimization and kept them thinking of themselves as victims even as adults. In this workshop, the presenter will describe a model of working with adult survivors that integrates feminist and social perspectives into individual, group, family, and family-of-origin work.