We can understand the impact of sibling abuse on survivors quite well through a psychodynamic lens. When we develop our knowledge of the ways in which the abusive experience affects perceptions of self and others, we can also learn about styles of attachment and the ways in which challenges are manifested in interpersonal relationships. Sibling abuse preys on one’s ability to trust and rely on others; an active desire to please others; defenses are employed to self-protect while also keeping others at a distance. We all crave connection, but for survivors of sibling abuse that desire comes with a huge price.