Studies on child sexual abuse (CSA) have mostly focused on female survivors. However, men are not spared from this type of abuse, as one in 10 men report having experienced CSA before the age of 18. Some adult male victims of CSA, in trying to cope with their history of sexual abuse, overinvest in typically masculine behaviors, such as aggression and rule breaking, which are considered externalizing behaviors. This study aimed to (a) describe the range of externalizing behaviors in adult men who have experienced CSA and (b) explore the functions underlying these behaviors from the perspective of male survivors. Individual semistructured interviews were conducted with 26 Canadian male survivors, aged between 31 and 66, who were recruited via CSA community services. A qualitative-directed content analysis was performed, guided by Achenbach and Rescorla's taxonomy of externalizing behaviors. Three main categories of externalizing behaviors emerged from respondents' narratives: (a) aggressive behaviors to express anger and protect integrity; (b) rule-breaking behaviors to protest against an injustice; (c) alcohol and drug use to avoid suffering triggered by CSA. These findings highlight the diversity of behaviors in which male survivors report engaging in response to CSA. Even if they may express their suffering in an explosive way, it is important to support male victims appropriately while recognizing the functions underlying their externalizing behaviors. Approaches to supporting survivors' recovery should address their feelings of anger and sense of injustice, the use of avoidance-based coping mechanisms, and masculine norms.
Public Significance StatementMen who have experienced child sexual abuse may externalize their suffering through various behaviors that may be perceived as problematic, including aggressive behaviors, transgressive behaviors, and substance abuse. It is important to offer appropriate support to male survivors, even if their distress might be expressed in ways that are not typically associated with victimhood.