I was watching Scrub clips on YouTube and one of them is when Eliot showed a Make-A-Wish kid her boobs. This brought up a couple clips from various medical shows with this same scenario. It's played up as harmless and even a good thing. But it's always a female doctor and a boy, never a male doctor and a girl patient. Why the double standard?
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Everything else aside this claim is such a reduction that I'm not sure it's even generally true. Why must there be a "primary" victim? If the teacher is cheating then the spouse is a victim, period. As for whether the student is a victim, surely other factors besides the student's sex are just as important in that determination? You didn't mention the age of the hypothetical students, but hell even how good looking the teacher is could make a difference. When I see an ugly female teacher arrested for sex with boys, I always assume it was rape or coercive and consider the student a victim, unless proven otherwise. It happens a lot too.
That said I don't get OP why is calling this trope a double standard - not only are men and women different, boobs and penises are totally different levels of nudity too.