@jme: You're welcome. Thanks for your kind feedback. My goal as a Puritan is always to help my brothers and sisters who have suffered, in one way or another, as I have done (and, sadly, as I still do today).
In my limited-experience with power-exchange, and in my lifelong experience in and with diapers, I have discovered nearly universally that persons like me who were sexually or physically or emotionally abused as children (or as adults) by those in power and dominion over them, and who feel compelled to explore fetish-play and roleplay, including age-play, by way of compensation, try with all their might (and often successfully, too) to retake control over their terrible experiences and to reverse past abuses of power by exploring and by reliving them erotically, voluntarily, safely, under controlled conditions (instead of involuntarily, over and over, in suffering serial PTSD attacks; tragically ironic for me and others that PTSD doesn't discriminate -- it induces involuntary reexperiencing of that which anandamide should eliminate but doesn't: the memories of abuse -- leading to the exact opposite of what we need, namely more involuntary suffering, this time generated from within, which feels just awful, leading to negative-feedback cycles and self-medication and self-destruction without interventive treatment, which for me includes safe emotional and erotic self-exploration and engaging here in frank, open, searching, revelatory, good-faith discussion and informal analysis and learning and mutual support with kindred spirits). I do that, and I gather many, many others here do too. For me, this site is not only a place where I can share eroticism and fetishistic talk and play (which I love, and which is healthy for me and others), but also a place where I can share my experiences intellectually and help others and not feel so alone. And I hope that is O.K.
Those who abuse in this way include not only parents (my experience -- about as bad as can be), but extended family members (my experience -- complicated, because my predatory Aunt imprinted me with my Pampers fetish, which I view as a blessing, not a curse, despite her illegitimate actions), teachers and principals (my experience -- very unhealthy), priests (not my experience, but my heart bleeds for those torn to pieces by this blasphemous use of the inverted collar to commit mortal sin upon those most trusting and vulnerable -- leveraging faith to prey upon the meek), physicians (our experience -- and I'm sorry for yours; compared to the other abuse I've suffered, this was but a mildly disturbing episode for me; there were so many others of such enormity that their combined effect upon my psyche was the infliction of permanent, irreparable harm and lifelong suffering and emotional distress), coaches and community leaders (not my experience, but just terrible), and even bullies (my experience -- could not have been worse). These persons are endowed, either inherently or societally, with power and status, including, in some cases (parents, caregivers, babysitters, physicians, and nurses), the power to make us undress and to subject us to, to make us submit to, highly charged treatments, actions, or punishments that we cannot control or stop. When that power is abused (a terrible sin), the sinister, perverse behavior of the abuser extends beyond simple imprinting with mild to moderate humilation into the realm of damage, much of which is irrefragable (organic) and can never be undone.
I am not a medical professional, but I postulate that iatrogenic (physician-inflicted) abuse (which I pray is rare) is especially hard for a juvenile (or even an adult) patient to spot and to address because doctors are licensed, have superior knowledge, are known to have sworn an oath to do no harm, and are regarded (quite understandably) as powerful, potent guardians of our well-being. Parents demand that we submit to pediatricians (who of course act in loco parentis, furthering and deeping and complicating our guilt after we suffer abuse) lest we be punished when we get home from the doctor's office for allegedly having been refractory, recalcitrant, or just plain "bad." Just like parents, pediatricians are presumed to know best, and they examine us and touch us and subject us to invasions of privacy and dignity and to all sorts of invasive tests and procedures under the wholesome rubric of doing to us what we need done, because it is best for us. The abused juvenile patient rarely speaks up (I did, because I have always been outspoken and because I was precocious and prodigious) for fear of punishment or ridicule or attack. And so the silence (to your point about prelate abuses) becomes endemic, and can allow these abusers to abuse serially, either vertically, within a single relationship, or horizontally, across-the-board.
So the last shall be first, and the first last, and the meek shall inherit the earth. Best to all.