Breaking Silence, Bearing Consequences: Male Patients' Retrospective Narratives of Clinician-Perpetrated Sexual Abuse
Petreca, Victor G ; Harding, Shari L ; Burgess, Ann W
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Abstract
Background: Sexual misconduct by health care clinicians is a type of sexual abuse with significant consequences for patients, although there is limited literature examining the experience of male survivors.
Aim: To examine the effects of sexual misconduct experienced by male patients during young adulthood by the same healthcare clinician.
Methods: Using BERTopic modeling, a machine learning-based topic modeling method, we analyzed the narratives from records in a class-action lawsuit involving men aged 18-22 at the time of the abuse, who provided narratives years later that included reflections on their experiences over time.
Results: Three themes were described by the men: "Violation of Trust in Clinical Settings," "Breaking Silence Through Public Disclosure," and "Long-term Psychological and Relational Consequences."
Conclusion: There is an enduring psychological impact of clinician sexual misconduct on male survivors, and a subsequent need for trauma-informed, gender-sensitive forensic nursing care in every patient encounter.
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Petreca VG, Harding SL, Burgess AW. Breaking Silence, Bearing Consequences: Male Patients' Retrospective Narratives of Clinician-Perpetrated Sexual Abuse. J Forensic Nurs. 2025 Nov 7. doi: 10.1097/JFN.0000000000000581. Epub ahead of print. PMID: 41201233.