ABSTRACT
This chapter focuses exclusively on the male survivor, including the typical dynamics in father/stepfather-son incest, older brotheryounger brother incest, and mother/stepmother-son incest. It covers issues that differentiate male survivors from female survivors and the implications these differences have for treatment. The chapter also includes a case study of a homosexual survivor who experienced extrafamilial abuse. The prevalence of the sexual abuse of males has not been well established. In our clinical experience, most perpetrators of same-sex incest, including fathers, stepfathers, uncles, and grandfathers, are not homosexuals. In the absence of empirical data on women perpetrators, we have only clinical descriptions and a few first-hand accounts from survivors of maternal incest. Male survivors differ from female victims in several key ways, including defensive denial around the initiation of the abuse, identity confusion with regard to sexual preference, and, in some cases, identifying with and becoming perpetrators.
