I remember having one completely rough class where all got just worked, and during a break sitting in literally a pile of other students leaning back to back, helping each other rub out bruises, tape fingers etc and thinking "is this weird? this is a lot of intimacy, I barely know some of these people." There aren't many social contexts that have that level of physical interaction at all.
It can be strengthening or healing for sure. Martial arts schools are also a major venue for interpersonal abuses of all kinds. The required intimacy and the culture of deference to authority are perfect for it. Everywhere I've trained you have people who left other schools but you only hear ominous rumors of why.
The abuse thing is certainly an issue, unfortunately. The "coach waiting until student turns 18" scenario is apparently so common in BJJ that it's practically a meme at this point, though I've been fortunate enough to go to a school where it hasn't happened, as far as I'm aware.