While the Spotlight investigation catalyzed global attention to clergy abuse of minors, the Catholic Church's institutional response has largely overlooked adult victims. This paper examines how church policies, First Amendment defenses, and institutional structures perpetuate this blind spot, impeding comprehensive healing. Analysis of diocesan websites reveals a troubling pattern: policies frequently restrict abuse acknowledgment to minors and narrowly-defined "vulnerable adults," denying the inherent power imbalance in clergy-congregant relationships. Unlike other professional contexts that explicitly prohibit sexual contact regardless of consent, Catholic institutions have failed to establish similar boundaries for clergy. The paper suggests essential reforms: comprehensive policies recognizing adult vulnerability, transparent reporting mechanisms, cooperation with accountability legislation, and education about power dynamics in pastoral relationships. The Church's healing journey remains incomplete as long as adult victims continue to be marginalized in institutional responses, undermining efforts to rebuild trust and establish meaningful accountability.