The dictionary commonly defines incest as “Sexual relations between people who are related through the bond of family and/or marriage.” In SIA, we define incest broadly, incorporating abuse from adults outside the family. We focus on the emotional impact of this abuse of power between a child and an adult caregiver or family friend/acquaintance. What matters is that an adult betrayed the innocent child’s trust and this traumatic betrayal carried a sexual aspect to it. In fact, the damaging effects of incest can manifest in the child, or later in the adult abused as a child, even if the child is never touched. This is referred to as covert incest.