The sex abuse crisis was surely a body blow. But the fallen-aways I know here in the West cite the Church's attitude toward women, birth control, and LGBT issues. And many of them have married non-Catholics and gone with that person's church. Even though they were raised in the Church, I am sure whether many can be called ex-Catholics. Did they ever really experience a conversion in faith as a Catholic? Have they ever taken personal responsibility for an honest and ongoing relationship with God as a Catholic? Or are they just drifting, deliberately, because life is so complicated and they have other priorities.