Asked how difficult the meeting was for him personally, O'Malley paused for a long moment and appeared to tear up.
"Just seeing the book makes a great impact," he said, referring to a handmade document he gave the pontiff listing the names of nearly 1,500 alleged victims of clergy sexual abuse in the Archdiocese of Boston.
As the pope slowly turned the pages, the cardinal mentioned that some of the victims died from suicide or drug abuse.
"I know the Holy Father was touched by it as well," he said at a news conference April 19 at Boston College's Silvio O. Conte Forum.
O'Malley, who has met with hundreds of Boston-area abuse victims, quietly brokered the historic meeting, writing three times to the Vatican to request the audience in the months after Benedict decided not to visit Boston during his recent trip to the United States.
"I was anxious to dispel the idea that the Holy Father was avoiding coming to Boston because of the sex-abuse crisis," O'Malley said.
"I also wanted him to appreciate that this is such a serious issue and we needed to hear from him about this," he said.
While a defining moment of Benedict's trip to the United States, it remains to be seen whether the meeting marks a turning point in the church's posture toward the abuse crisis. Asked what lies ahead for the Boston Archdiocese, O'Malley said he hopes that people who are concerned about the safety of children will "see us as allies."
"The sexual abuse problem is not something that's just a Catholic problem or a church problem, it's a human problem," O'Malley said. "Certainly the fact that the church dealt with it so poorly in the past was the scandal. But I'd like to think that our Catholic people now are sensitized and working very hard to try and bring about reconciliation and to make our church just the safest place possible."
The clergy sex abuse scandal was a near-constant theme during Benedict's six-day visit to the United States. Before his plane had even touched down on American soil, the pontiff set a contrite tone, telling reporters aboard his plane that the Catholic Church is "deeply ashamed" by the abuse crisis that has roiled American Catholicism.
While in Washington, the pope met for a half-hour with representatives from the Boston Archdiocese and the victims at the Apostolic Nunciature, the residence of the pope's ambassador to the United States, on Embassy Row.
"I was very, very moved by the whole experience," O'Malley said. "The Holy Father spoke about the pain he felt and the shame. He said that for so long he's been praying by those who have been damaged, touched and hurt by the whole experience. ... It was a very moving and a very reassuring experience. The Holy Father feels very deeply what these survivors have gone through."
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