This document provides a review of recent, state-of-the-art literature concerning the nature, extent, dynamics, and effects of child sexual abuse and examines America's preventive intervention and treatment efforts for child sexual abuse. After an extensive presentation of the problems of defining terms in sexual abuse, these topics are discussed: (1) scope of the problem, including incidence of abuse; (2) dynamics of sexual abuse, focusing on perpetrators, intrafamilial child sexual abuse, and sexual exploitation; (3) effects of sexual abuse on children and families; (4) prevention education for parents, efforts for professionals, efforts targeted at children, and an evaluation of prevention efforts; (5) intervention; (6) the legal response to child sexual abuse, including statutes and legal intervention; and (7) treatment for victims and offenders. A 226-item reference list and a 30-item selected bibliography are included. (ABL)