Male survivors of childhood sexual abuse face challenges resolving sexual victimization experiences with the ideals of masculinity, often experiencing intimacy problems, emotional discomfort, alienation, and anger. Little attention has been paid to how male survivors learn to develop long-term connections, disclose emotions in relationship contexts, and negotiate intimacy. The current qualitative study of 16 adult male survivors of childhood sexual abuse, examined the relational challenges and the processes by which these survivors improved their capacity for seeking and participating in supportive relationships over time. Several mechanisms associated with positive adaptation were identified in their narratives, including engaging in safe relationships; gaining a sense of belonging by locating a community of others with shared experiences; learning healthy ways to manage relationships through setting boundaries, controlling anger, building trust, and developing intimacy; and achieving acceptance. Clinical implications and future directions for research and intervention are presented.