Harvey Schwartz’s territory is the severe end of the child sexual abuse continuum, where victims’ experiences are so unthinkable and their adaptations so bizarre that the rest of us are tempted to pronounce them fictions-whereupon we become complicit by subverting the survivors’ struggles to heal. Schwartz synthesizes trauma theory and relational psychoanalysis to make sense of perpetrator, collaborator, and victim pathologies, and exposes the tortuous double-binds of therapy for and with dissociative patients. His office is the last stop on a kind of underground treatment railroad; his say-it-isn’t-so case material reverberates throughout.