A difficult topic to discuss by any stretch of the imagination but a discussion which takes place regularly in the office, while I work with young men and not so young men who have carried a stressful, shameful secret for years, in some cases decades. As clinicians, many of us are trained in working with women and children victims of abuse but my experience has made it apparent that a different approach is necessary when addressing these issues in men. There are a number of factors for this including the way we socialize boys and men (big boys don't cry), the feelings of great shame that I wasn't able to defend myself, (I'm a loser and weak), the sexual identity confusion if the abuser was
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