In the present study, researchers utilized a systemic approach to examine the qualitative experiences of the spouses of religious leaders who engaged in sexual misconduct. Data was collected and analyzed through a process of narrative inquiry using in-depth, semi-structured interviews. Multiple rounds of consensus-based coding led to an eco-systemic framework for organizing and analyzing data. Participant descriptions of their experience were organized according to chronology and bio-psycho-social systemic level: intrapersonal, interpersonal, and contextual. These findings highlight the systemic risk factors for sexual misconduct and the need for interventions that extend beyond individuals to address marital, familial, and communal distress
