Clinical Social Work Journal

, Volume 41, Issue 4, pp 344–355 | Cite as

Disclosure of Child Sexual Abuse Among Adult Male Survivors

  • Scott D. EastonEmail author
Original Paper


Men who were sexually abused during childhood are a stigmatized, under-studied, and marginalized population that is at risk for long-term mental health problems. However, many mental health practitioners feel under-prepared and ill-equipped to effectively treat male survivors of child sexual abuse. Furthermore, little is known about factors that may impact the mental health of male survivors such as disclosure of the sexual abuse. The purpose of this study was to (a) describe the disclosure process of male survivors using a lifespan approach, (b) identify disclosure differences based on age and type of abuser, and (c) explore relationships between disclosure attributes and current mental health. Using a large, purposive sample of male survivors (N = 487), the study found that, on average, men delayed telling (M = 21.38 years) and discussing the abuse (M = 28.23 years) for many years. Older age and being abused by a family member (i.e., incest) were both related to delays in disclosure. Most participants who told someone during childhood did not receive emotionally supportive or protective responses and the helpfulness of responses across the lifespan was mixed. Several variables (e.g., timing of disclosure, discussing with a spouse, response to disclosure) were related to current mental health problems. These findings are helpful for clinical social workers who practice with clients from this population. Specific suggestions for improving clinical practice (e.g., assessment, treatment, professional training) are discussed.


Child sexual abuse Disclosure Male survivors Clergy abuse Treatment Mental health 


  1. Alaggia, R. (2002). Balancing acts: Re-conceptualizing support in maternal response to intra-familial child sexual abuse. Clinical Social Work Journal, 30(1), 41–56.CrossRefGoogle Scholar
  2. Alaggia, R. (2005). Disclosing the trauma of child sexual abuse: A gender analysis. Journal of Loss and Trauma, 10, 453–470. doi: 10.1080/15325020500193895.CrossRefGoogle Scholar
  3. Alaggia, R., & Kirshenbaum, S. (2005). Speaking the unspeakable: Examining the impact of family dynamics on child sexual abuse disclosure. Families in Society, 86(2), 227–234. doi: 10.1606/1044-3894.2457.CrossRefGoogle Scholar
  4. Araji, S. K., Fenton, R., & Straugh, T. (1995). Child sexual abuse: Description and evaluation of a K-6 prevention curriculum. The Journal of Primary Prevention, 16(2), 149–164.CrossRefGoogle Scholar
  5. Arata, C. M. (1998). To tell or not to tell: Current functioning of child sexual abuse survivors who disclosed their victimization. Child Maltreatment, 3(1), 63–71. doi: 10.1177/1077559598003001006.CrossRefGoogle Scholar
  6. Berliner, L., & Conte, J. R. (1995). The effects of disclosure and intervention on sexually abused children. Child Abuse and Neglect, 19, 371–384.PubMedCrossRefGoogle Scholar
  7. Boudewyn, A., & Liem, J. (1995). Childhood sexual abuse as a precursor to depression and self-destructive behavior in adulthood. Journal of Traumatic Stress, 8(3), 445–459.PubMedCrossRefGoogle Scholar
  8. Briere, J., & Elliot, D. M. (2003). Prevalence and psychological sequelae of self-reported childhood physical and sexual abuse in a general population sample of men and women. Child Abuse and Neglect, 27, 1205–1222.PubMedCrossRefGoogle Scholar
  9. Broman-Fulks, J. J., Ruggiero, K. J., Hanson, R. F., Smith, D. W., Resnick, H. S., Kilpatrick, D. G., et al. (2007). Sexual assault disclosure in relation to adolescent mental health: Results from the National Survey of Adolescents. Journal of Clinical Child and Adolescent Psychology, 36(2), 260–266. doi: 10.1080/15374410701279701.PubMedCrossRefGoogle Scholar
  10. Chan, Y. F., Dennis, M. L., & Funk, R. R. (2008). Prevalence and comorbidity co-occurrence of major internalizing and externalizing disorders among adolescents and adults presenting to substance abuse treatment. Journal of Substance Abuse Treatment, 34(1), 14–24.PubMedCrossRefGoogle Scholar
  11. Conrad, K. J., Conrad, K. M., Dennis, M. L., Riley, B. B., & Funk (2009). Validation of the internal mental distress scale (IMDS) to the Rasch measurement model, GAIN methods report 1.1. Chicago, IL: Chestnut Health Systems. Retrieved February 1, 2012, from
  12. Coohey, C. (2006). How child protective services investigators decide to substantiate mothers for failure-to-protect in sexual abuse cases. Journal of Child Sexual Abuse, 15, 61–82.PubMedCrossRefGoogle Scholar
  13. De Francis, V. (1969). Protecting child victims from sex crimes committed by adults. Denver, CO: American Humane Association.Google Scholar
  14. Dennis, M. L., White, M. K., Titus, J. C., & Unsicker, J. I. (2007). Global appraisal of individual needs (GAIN): Administration guide for the GAIN and related measures (Version 5). Bloomington, IL: Chestnut Health Systems. Retrieved February 2, 2012, from
  15. Dhaliwal, G. K., Gauzas, L., Antonowicz, D. H., & Ross, R. R. (1996). Adult male survivors of childhood sexual abuse: Prevalence, sexual abuse characteristics, and long-term effects. Clinical Psychology Review, 16, 619–639.CrossRefGoogle Scholar
  16. Dube, S. R., Anda, R. F., Whitfield, C. L., Brown, D. W., Felitti, V. J., Dong, M., et al. (2005). Long-term consequences of childhood sexual abuse by gender of victim. American Journal of Preventive Medicine, 28, 430–438.PubMedCrossRefGoogle Scholar
  17. Easton, S. D. (2011). Men who were sexually abused during childhood: An examination of factors that influence long-term mental health (Doctoral dissertation). Retrieved from ProQuest Dissertations and Theses (Order No. 3461121).Google Scholar
  18. Elliott, A. N., & Carnes, C. N. (2001). Reactions of non-offending parents to the sexual abuse of their child: A review of the literature. Child Maltreatment, 6, 314–331.PubMedCrossRefGoogle Scholar
  19. Fater, K., & Mullaney, J. (2000). The lived experience of adult male survivors who allege childhood sexual abuse by clergy. Issues in Mental Health Nursing, 21(3), 281–295.PubMedCrossRefGoogle Scholar
  20. Feiring, C., Taska, L., & Lewis, M. (2002). Adjustment following sexual abuse discovery: The role of shame and attributional style. Developmental Psychology, 38(1), 79–92.PubMedCrossRefGoogle Scholar
  21. Fergusson, D. M., & Mullen, P. E. (1999). Childhood sexual abuse: An evidence based perspective. Thousand Oaks, CA: Sage Publications.Google Scholar
  22. Finkelhor, D. (1984). Child sexual abuse: New theory and research. New York, NY: Free Press.Google Scholar
  23. Finkelhor, D., & Browne, A. (1988). Assessing the long-term impact of child sexual abuse: A review and conceptualization. In L. E. Walker (Ed.), Handbook on sexual abuse of children: Assessment and treatment issues (pp. 55–71). New York, NY: Springer.Google Scholar
  24. Finkelhor, D., & Dziuba-Leatherman, J. (1995). Victimization prevention programs: A national survey of children’s exposure and reactions. Child Abuse and Neglect, 19(2), 129–139.PubMedCrossRefGoogle Scholar
  25. Finkelhor, D., Hotaling, G., Lewis, I. A., & Smith, C. (1990). Sexual abuse in a national survey of adult men and women: Prevalence, characteristics, and risk factors. Child Abuse and Neglect, 14, 19–28.PubMedCrossRefGoogle Scholar
  26. Hanson, R. F., Resnick, H. S., Saunders, B. E., Kilpatrick, D. G., & Best, C. (1999). Factors related to the reporting of child sexual abuse. Child Abuse and Neglect, 23(6), 559–569.PubMedCrossRefGoogle Scholar
  27. Harvey, J. H., Orbuch, T. L., Chwalisz, K. D., & Garwood, G. (1991). Coping with sexual assault: The roles of account-making and confiding. Journal of Traumatic Stress, 4(4), 515–531. doi: 10.1007/BF00974587.CrossRefGoogle Scholar
  28. Hershkowitz, I., Horowitz, D., & Lamb, M. E. (2005). Trends in children’s disclosure of abuse in Israel: A national study. Child Abuse and Neglect, 29, 1203–1214. doi: 10.1016/j.chiabu.2005.04.008.PubMedCrossRefGoogle Scholar
  29. Hershkowitz, I., Lanes, O., & Lamb, M. E. (2007). Exploring the disclosure of child sexual abuse with alleged victims and their parents. Child Abuse and Neglect, 31, 111–123. doi: 10.1016/j.chiabu.2006.09.004.PubMedCrossRefGoogle Scholar
  30. Hoffman, D. L., Novak, T. P., & Schlosser, A. E. (2000). The evolution of the digital divide: How gaps in internet access may impact electronic commerce. Journal of Computer Mediated Communication [Online], 5(3). Retrieved January 2, 2009, from
  31. Holmes, G., & Offen, L. (1996). Clinicians’ hypotheses regarding clients’ problems: Are they less likely to hypothesize sexual abuse in male compared to female clients? Child Abuse and Neglect, 20(6), 493–501.PubMedCrossRefGoogle Scholar
  32. Holmes, G. R., Offen, L., & Waller, G. (1997). See no evil, hear no evil, speak no evil: Why do relatively few male victims of childhood sexual abuse receive help for abuse-related issues in adulthood? Clinical Psychology Review, 17, 69–88.PubMedCrossRefGoogle Scholar
  33. Holmes, W. C., & Slap, G. B. (1998). Sexual abuse of boys: Definition, prevalence, correlates, sequelae, and management. Journal of the American Medical Association, 280, 1855–1862.PubMedCrossRefGoogle Scholar
  34. Hooper, C. A., & Warwick, I. (2006). Gender and the politics of service provision for adults with a history of childhood sexual abuse. Critical Social Policy, 26, 467–479. doi: 10.1177/0261018306062596.CrossRefGoogle Scholar
  35. John Jay College of Criminal Justice. (2004). The nature and scope of sexual abuse of minors by Catholic priests and deacons in the United States, 1950–2002. Washington, DC: United States Conference of Catholic Bishops.Google Scholar
  36. Jonzon, E., & Lindblad, F. (2004). Disclosure, reactions, and social support: Findings from a sample of adult victims of child sexual abuse. Child Maltreatment, 9, 190–200. doi: 10.1177/1077559504264263.PubMedCrossRefGoogle Scholar
  37. Kendall-Tackett, K. A., Williams, L. M., & Finkelhor, D. (1993). Impact of sexual abuse on children: A review and synthesis of recent empirical studies. Psychological Bulletin, 113(1), 164–180.PubMedCrossRefGoogle Scholar
  38. Lab, D., Feigenbaum, J., & De Silva, P. (2000). Mental health professionals’ attitudes and practices towards male childhood sexual abuse. Child Abuse and Neglect, 24, 391–409.PubMedCrossRefGoogle Scholar
  39. Lamb, S., & Edgar-Smith, S. (1994). Aspects of disclosure: Mediators of outcome of childhood sexual abuse. Journal of Interpersonal Violence, 9, 307–326. doi: 10.1177/088626094009003002.CrossRefGoogle Scholar
  40. Lovett, B. B. (2004). Child sexual abuse disclosure: Maternal response and other variables impacting the victim. Child and Adolescent Social Work Journal, 21(4), 355–371. doi: 10.1023/B:CASW.0000035221.78729.d6.CrossRefGoogle Scholar
  41. Malloy, L. C., Lyon, T. D., & Quas, J. A. (2007). Filial dependency and recantation of child sexual abuse allegations. Journal of the American Academy of Child and Adolescent Psychiatry, 46, 162–170. doi: 10.1097/01.chi.0000246067.77953.f7.PubMedCrossRefGoogle Scholar
  42. Merrill, L. L., Thomsen, C. J., Sinclair, B. B., Gold, S. R., & Milner, J. S. (2001). Predicting the impact of child sexual abuse on women: The role of abuse severity, parental support, and coping strategies. Journal of Counseling and Clinical Psychology, 6, 992–1006.CrossRefGoogle Scholar
  43. National Telecommunications and Information Administration (NTIA). (1999). Falling through the net: Defining the digital divide. Retrieved January 2, 2009, from
  44. O’Leary, P. J., & Barber, J. G. (2008). Gender differences in silencing following childhood sexual Abuse. Journal of Child Sexual Abuse, 17(1), 133–143. doi: 10.1080/10538710801916416.PubMedCrossRefGoogle Scholar
  45. O’Leary, P. J., Coohey, C., & Easton, S. D. (2010). The effect of severe child sexual abuse and disclosure on mental health during adulthood. The Journal of Child Sexual Abuse, 19(3), 275–289.CrossRefGoogle Scholar
  46. Orbuch, T. L., Harvey, J. H., Davis, S. H., & Merbach, N. J. (1994). Account-making and confiding as acts of meaning in response to sexual assault. Journal of Family Violence, 9(3), 249–264. doi: 10.1007/BF01531950.CrossRefGoogle Scholar
  47. Paine, M. L., & Hansen, D. J. (2002). Factors influencing children to self-disclose sexual abuse. Clinical Psychology Review, 22(2), 271–295. doi: 10.1016/S0272-7358(01)00091-5.PubMedCrossRefGoogle Scholar
  48. Roesler, T., & McKenzie, N. (1994). Effects of childhood trauma on psychological functioning in adults sexually abused as children. The Journal of Nervous and Mental Disease, 182(3), 145–150.PubMedCrossRefGoogle Scholar
  49. Roman Catholic Church Sexual Abuse Cases. (2011, November 16). New York Times. Retrieved January 11, 2012, from
  50. Ruggiero, K. J., Smith, D. W., Hanson, R. F., Resnick, H. S., Saunders, B. E., Kilpatrick, D. G., et al. (2004). Is childhood rape associated with mental health outcome? Results from the National Women’s Study. Child Maltreatment, 9(1), 62–77.PubMedCrossRefGoogle Scholar
  51. Sas, L. D., & Cunningham, A. H. (1995). Tipping the balance to tell the secret: The public discovery of child sexual abuse. London, ON, Canada: London Family Court Clinic.Google Scholar
  52. Sigmon, S., Greene, M., Rohan, K., & Nichols, J. (1996). Coping and adjustment in male and female survivors of childhood sexual abuse. Journal of Child Sexual Abuse, 5(3), 57–75.CrossRefGoogle Scholar
  53. Smith, D. W., Letourneau, E. J., Saunders, B. E., Kilpatrick, D. G., Resnick, H. S., & Best, C. L. (2000). Delay in disclosure of childhood rape: Results from a national survey. Child Abuse and Neglect, 24(2), 273–287. doi: 10.1016/S0145-2134(99)00130-1.PubMedCrossRefGoogle Scholar
  54. Smith, M. L., Rengifo, A. F., & Vollman, B. K. (2008). Trajectories of abuse and disclosure: Child sexual abuse by Catholic priests. Criminal Justice and Behavior, 35(5), 570–582.CrossRefGoogle Scholar
  55. Sorsoli, L., Kia-Keating, M., & Grossman, F. K. (2008). “I keep that hush–hush”: Male survivors of sexual abuse and the challenges of disclosure. Journal of Consulting Psychology, 55(3), 333–345. doi: 10.1037/0022-0167.55.3.333.Google Scholar
  56. Spaccarelli, S. (1994). Stress, appraisal, and coping in child sexual abuse: A theoretical and empirical review. Psychological Bulletin, 116, 340–362.PubMedCrossRefGoogle Scholar
  57. Spataro, J., Moss, S. A., & Wells, D. L. (2001). Child sexual abuse: A reality for both sexes. Australian Psychologist, 36(3), 177–183.CrossRefGoogle Scholar
  58. Ullman, S. E. (2003). Social reactions to child sexual abuse disclosures: A critical review. Journal of Child Sexual Abuse, 12, 89–121. doi: 10.1300/J070v12n01_05.PubMedCrossRefGoogle Scholar
  59. Ullman, S. E. (2007). Relationship to perpetrator, disclosure, social reactions, and PTSD symptoms in child sexual abuse survivors. Journal of Child Sexual Abuse, 16(1), 19–35.PubMedCrossRefGoogle Scholar
  60. Ullman, S. E., & Filipas, H. H. (2005). Gender differences in social reactions to abuse disclosures, post-abuse coping, and PTSD of child sexual abuse survivors. Child Abuse and Neglect, 29, 767–782. doi: 10.1016/j.chiabu.2005.01.005.PubMedCrossRefGoogle Scholar

Copyright information

© Springer Science+Business Media New York 2012

Authors and Affiliations

  1. 1.Department of Health and Mental HealthGraduate School of Social Work, Boston CollegeChestnut HillUSA

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