Clergy-perpetrated sexual abuse rose to public attention in 2002 through the disclosure of abuse by Catholic priests within the Archdiocese of Boston and a simultaneous cover-up by church hierarchy. Similar patterns have since been described in other Catholic dioceses and in other faith denominations. While recent studies have examined the impact of such abuse on adult survivors, little is known about the impact on their families of origin. Using the Trauma Transmission and Empowerment models and the Family Adjustment and Adaptation Response model, this paper examines the impact of such abuse on families from male survivors' perspectives. A five-phased approach to reconciliation within families and dialogue with the church community is discussed to highlight communication as a core theme to healing.