The 1980s heralded the beginning of an awareness of sexual exploitation of clients by health care professionals and clergy. The focus then was on raising consciousness about the problem. This volume reflects the concerns of the 1990s: it explores the subject in greater depth, develops theoretical ties to other areas and proposes sophisticated solutions. Following an introductory overview, Breach of Trust focuses on victims. Contributions include victims' first-hand accounts and discussions of support and recovery groups and individual therapy for both male and female victims and their families. The contributors then examine perpetrators: they describe innovative work being undertaken to understand the characteristics of health care and clergy perpetrators and examine what rehabilitation measures might be effective. The concluding section explores responses to the problem and includes discussions of legal matters, prevention training and boundary awareness development.