In narratives of 35 lesbians in alcohol recovery, 46% unexpectedly
disclosed having survived childhood sexual abuse (CSA), linking it
with addiction and recovery experiences. This subgroup described
unbounded difficulties that pervaded their lives well into
recovery. They reported multiple addictions, self-harm, isolation,
sexual problems, depression, self-loathing, physical illness, and
inability to work more often than did other participants. Those not
reporting CSA were more socially and occupationally stable,
self-satisfied, and physically well in recovery; their alcohol
problems seemed circumscribed and responsive to conventional
intervention. Conclusions indicate that CSA history may foster health
risks that complicate alcohol recovery, necessitating more
comprehensive clinical attention.