Журнал клинических случаев

The Sexually Abused Man’s Relationship with his Physician

Abstract

Frank Spinelli

Background: One in six men are survivors of childhood sexual abuse. There is mounting evidence that childhood sexual abuse can lead to greater susceptibility to lifelong physical and mental health problems. Methods: Consenting male patients were identified as having a history of sexual abuse while attempting to resolve medical issues involving oral, anal or genital care, and consulting with a urologist, a dentist or a gastroenterologist. Results: Childhood maltreatment poses a substantial risk for long-term health. The results show that nonabusive relationships with a healthcare provider fosters mutual trust and promotes long-term health success by allowing a survivor to feel taken care of in an adult relationship with his physician, based on that trust. Conclusion: Healthcare providers must learn to identify survivors of childhood sexual abuse, because most survivors will not divulge this information readily. Once a history of abuse has been established, it is imperative for physicians to alter their clinical practice to accommodate survivors so their patients feel safe, empowered, and heard.