This qualitative study examined the characteristics of the mother-child relationship of adult survivors of childhood sexual abuse at the time of the abuse. The study consisted of data from the McMaster Family Assessment Device (FAD), the Family of Origin Scale (FOS), and a set of structured interview questions designed by the researcher. Autonomy/intimacy concepts from the FOS examined constructs of clarity of expression, responsibility, respect, openness, acceptance of loss and separation, expression of a wide range of feelings, conflict resolution, mood and tone, and empathy.