Tom Rastrelli is a survivor of clergy-perpetrated sexual abuse who then became a priest in the early days of the Catholic Church's ongoing scandals. Confessions of a Gay Priest divulges the clandestine inner workings of the seminary, providing an intimate and unapologetic look into the psychosexual and spiritual dynamics of celibacy and lays bare the 'formation' system that perpetuates the cycle of abuse and cover-up that continues today.Under the guidance of a charismatic college campus minister, Rastrelli sought to reconcile his homosexuality and childhood sexual abuse. When he felt called to the priesthood, Rastrelli began the process of 'priestly discernment.' Priests welcomed him into a confusing clerical culture where public displays of piety, celibacy, and homophobia masked a closeted underworld in which elder priests preyed upon young recruits.

From there he ventured deeper into the seminary system seeking healing, hoping to help others, and striving not to live a double life. Trained to treat sexuality like an addiction, he and his brother seminarians lived in a world of cliques, competition, self-loathing, alcohol, hidden crushes, and closeted sex. Ultimately, the formation intended to make Rastrelli a compliant priest helped to liberate him.