The Trauma Myth - Page 4

Again, I have found that the degree of guilt victims feel in the aftermath of sexual abuse is strongly related to the degree of trauma experienced during the abuse when it happened. Specifically, the less traumatic (forceful, frightening, threatening) the abuse was while it occurred, the more guilt and self-blame the victims report later on. Those victims whose abuse involved force or violence usually report the least guilt. In such cases, the victims know it was not their fault. One of the victims I spoke with summarized this quite well: "I was bleeding. I screamed when it was happening. He ran away. I got rushed to the hospital. It was pretty clear to me that he had done something wrong, that it was definitely not my
fault." Victims who report no trauma at all during the abuse (for example, those who loved the perpetrator, enjoyed the attention, or occasionally welcomed the contact) feel extremely guilty.

Today, most adult victims' knowledge about sexual abuse, about what it is like when it happens and how children react at the time, is a function of what they hear, read, and see in the media—the culturally available, standard scripts about this crime. Because of the trauma myth, according to these scripts, sexual abuse usually involves fear, force, and threat. The experience is portrayed as terrible for the victims. They are frightened when it happens. They try to resist the abuse. Whatever happens clearly happens against their will. Books, films, and websites repeatedly assure victims that they had no control, that they were utterly helpless. Words like "rape," "assault," and "violation" are commonly used to conceptualize the experience.

No professionals explicitly discuss with victims or highlight the real dynamics of sexual abuse—that victims rarely resist it, often care about the perpetrators, and often receive "benefits" for participation, like praise, attention, and gifts. In fact, this kind of information may actually be suppressed. It appears to be an article of faith among professionals that you should not talk about aspects of sexual abuse that run counter to the trauma model at all. A wildly popular book written for professionals by Judith Herman warns professionals not to talk about the issue of consent as doing so will likely make the victims "feel revictimaized again."

Because of the trauma myth, I am aware of no public information campaigns that say, "Kids don't know enough to say no." There are no books telling victims, "You let it happen, and it's okay. It's normal. You were too good to know bad." I know of no newspaper stories in which the victim comes forth after years to press charges and explicitly says, "I would have done it earlier, but I just didn't understand I was abused until now." Today, as a function of the mental health field's relentless emphasis on trauma, force, and violence and the subsequent embargo on any real-world, practical information about the reality of sexual abuse, most victims' experiences slip under the radar—their stories are ignored, dismissed, overlooked, or denied by the very people who purport to be trying to help them.

What is the consequence? For victims, it is significant. They naturally compare what happened to them with the depictions of abuse in cultural scripts. As James, a nurse, told me, "What happened to me was different from other kids. I . . . well . . . it's hard to say out loud, but basically I let it happen." There is something wrong with me. As Denise, a bathing-suit model, noted, "I wasn't afraid. Sometimes I liked it. Obviously something's screwed up with me." I am alone. Claudia explained, "My abuse did not involve such force and violence. I basically let it happen . . . so it wasn't classical abuse."

Given the degree of betrayal, guilt, and isolation victims feel, it is not surprising that they also commonly report shame.

Shame

Shame is an awful emotion, one in which the self is viewed as incompetent and as an object of ridicule, contempt, and disgust. Individuals feeling shame often view themselves as damaged and unworthy. Unfortunately, most victims use the word "shame" to describe how their abuse makes them feel as adults. As one victim summed it up, "I think the heart of the damage is shame. It eats away at me. It has eroded my sense of self-esteem and my confidence, my ability to love and feel loved. The abuse stopped when I was twelve; the shame remained my whole life."

Further support for the perspective that what damages most victims has little to do with any trauma they experience during the abuse and a lot to do with the shame, guilt, and isolation they feel later on in life comes from the fact that in the handful of studies that have specifically tested it, therapeutic techniques involving cognitive retraining—identifying victims' irrational beliefs (for example, that the abuse was their fault) and then helping them to modify these beliefs (for example, by providing convincing information about why it was not their fault)—have shown solid promise in improving the lives of victims in the aftermath of sexual abuse.

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SD1  - "The Trauma Myth" and terminology   |Registered |2010-07-13 06:33:13
Framing sexual abuse as either traumatic or not traumatic seems to simplify a
complex range of experiences. Nevertheless, the article's discussion is
fruitful. I do question the use of some terms, and suggest that more of a
distinction be made between how the adult survivor views his or her behavior and
what the nature of that behavior actually was. Specifically, the word
"participate," like "consent," may tend to misrepresent the
child's attitude and autonomy in relation to what is being done to him or
her--isn't the nature of the injury to the adult recalling the experience that
s/he "participated"?, which is a false construct. And I question the
characterization of the child's behavior as showing an “error” in judgment.
This suggests that a reasoned evaluation was followed by a faulty conclusion of
how to act--and that, had better, more adult, judgment been used, the child
might have been capa...
stopchildabuse  - reply to "The Trauma Myth" article   |Registered |2010-06-04 17:49:25
In reply to "The Trauma Myth - Understanding the true dynamics of sexual
abuse" by Susan Clancy, Clancy makes several large mistakes when she
discusses the trauma phenomenon. Child sexual abuse is indeed traumatic, when it
occurs as well as afterwards. The large ACE study (at:
http://www.cdc.gov/nccdphp/ACE/findings.htm and
http://www.cbwhit.com/ACEstudy.htm) clearly shows the strong detrimental effects
child sexual abuse has on its victims.

In her study with McNally (WHO NEEDS
REPRESSION? Normal Memory Processes Can Explain
Forgetting" of Childhood
Sexual Abuse) the average trauma rating was 7.5 out of 10, with 10 being
"extremely traumatic" for child sexual abuse crimes. In other words,
even her own study showed child sexual abuse to be traumatic. This study stated
"All 27 subjects (100%) reported multiple adverse effects from the
abuse."

In the book review "Susan Clancy discusses her co...

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