This dissertation is an analysis of interdisciplinary literature, to develop themes that relate to the research topic of the use of art therapy in the therapeutic work with adult survivors of childhood sexual abuse trauma. This research aims to enquire "What have scholars and practitioners across disciplines written about the use of art therapy, in therapeutic work with adult survivors of childhood sexual abuse trauma?” A thematic analysis within the interpretative framework has been employed. Three main themes were identified, which constitute three parts of the gradual process of art therapy in work with adult survivors of childhood sexual abuse trauma: The art therapy qualities, symbolic and verbal communication of the sexual abuse, and recovery- healing, change and growth. A discussion of the research findings in relation to existing attachment theory, are outlined. Additionally, this dissertation examines contributions to research, implications for clinical practice, limitations, recommendations for further research, and conclusions.