Ritualistic sexual abuse is a term used to describe sexual abuse linke
d to symbolic or group clandestine activities with overtones of religi
ous, magical, or satanic intent. Reports such as these have increased
dramatically in the United States over the last two decades, as have r
eports of group child sexual abuse in general. This literature review
is designed to elucidate terminology used and to describe common featu
res of these accounts, probe the dilemmas surrounding credibility and
verifiability in these cases, and provide recommendations for improved
evaluation and appropriate action when similar situations arise in th
e future. Supreme attention must be paid to the victims and their fami
lies, as more traumatic types of abuse may present a far more difficul
t path to recovery for both generations.