I'm glad I saw this posted here, as the discussion yields a slightly different light on the situation than was given on the other thread.
I would still say that the guy needs radical intervention in his life. The problem as I see it is if he HAS abused vs. if he just fanticizes about it and revealed those thoughts.
Eigher way the suggestions given by SAR and Ken seem the most logical option as a first step.
Johnny, I really feel for you in this situation. It must be quite a burden to carry around.
Keep up your courage, will you?
"Life's journey is not to arrive at the grave safely in a well preserved body, but rather to skid in sideways, totally worn out, shouting 'Holy Shit! What a ride!'" ~Hunter S. Thompson