Despite the growing recognition of the prevalence of incest which is challenging traditional views about the family as a safe haven for children, there is a serious paucity of scientific research on incest in South Africa in the new field of family violence. Almost a century after Sigmund Freud dismissed most women's reports of incest victimization as wishful fantasy, the extent of the damage done by this form of abuse remains controversial in South Africa, with some researchers maintaining that incest victims often suffer no severe effects. This report presents the findings of a qualitative study designed to explore the short- and long-term effects of incestuous abuse experienced by 20 adult women incest survivors. Although all but one of the in-depth interviews were conducted with women who at the time were residing in Cape Town, the places in which the incestuous abuse had occurred are dispersed throughout South Africa. The purpose of this study is to inform policy discussions on incestuous abuse, violence in South Africa, and violence against women in general. Includes information on prevalence of incestuous abuse, study methodology, characteristics of incestuous abuse, initial effects abuse; and long-terms effects. The document provides extensive tables and three appendices. (JBJ)