The problem of incest is beginning to receive a recognition and research attention long overdue. Becoming more evident is the prevalence and far reaching effects of incest. Currently, little distinction is made between the treatment approach for males and females, yet research indicates differences between the two sexes. This study explores possible differences between male and female incest victims in (1) their moral ethic, (2) their self-definition, (3) the basis from which they felt compelled to comply with the incestuous abuse, (4) the reasons they believed the sexual abuse was right or wrong, (5) the reasons for telling someone or keeping the incest a secret, (6) how they decided whether or not they made the right choice, (7) the manner in which they have changed since the abuse began, (8) the content and degree of their own guilt and/or lowered esteem, and (9) the ideas they have of changes which could have prevented the abuse.