Mental Health Month “Dying in secret”

Body Dysmorphia / Anorexia / Bulimia / Dieting / Shame / Overweight / Underweight / Orthorexic

For many, dealing with ‘real world problems’ an eating disorder or unhealthy relationship with food or self-image, is going to seem vain, unnecessary, small-minded and petty. If you’re one of those people, reading this won’t be interesting.

For the rest of us who at some point or another have experienced one or more of the above and/or been close to someone who has, this has a real world relevance and to dismiss it as a ‘rich white girls disease’ is to ignore the many people who die indirectly or directly or get sicker, every year. What good is shaming someone if you perceive their ‘problem’ not to be worthy enough for inclusion?

Let’s assume for a moment, any eating disorder or body-image issue, IS taken seriously and isn’t derided, insulted, demeaned and made fun of. Let’s assume people feel they CAN talk about it without pretending they have no idea what it is, because of fear of being judged and told; ‘Get a REAL problem rather than a made-up one!’ Tell that to the kids who die in hospital EVERY DAY from issues related to body-image.

It’s easy isn’t it? To condemn someone and say they’re petty and vain for having any type of body image disorder. Do you imagine they chose that life? That they want to be held hostage by a strange madness that seizes their otherwise rational faculties and enslaves them?

I’m not going to say vanity cannot play a part, but the vast majority of kids and adults who experience this of both genders because it affects men and trans also, feel this way because of a build up of reasons not just self-consciousness about the way they physically look. We can prove this though we should not have to, by showing the relationship between parents with eating disorders and their off-spring and the increase in likelihood their off-spring will go on to develop some kind of eating disorder. Likewise this is true even when that off-spring is adopted away from their family. In other words, it’s not just socially learned – some of it is inherited/biological.

The most recent body-issue out there is Orthorexia, and it’s trending because it has formed around a phobic over-response to the ideals of health and the fears of ‘bad’ food that dominate our society. Orthorexics will literally fear eating certain types of food because of everything written about them. For example if we took the various guidance of health gurus we would not eat; Any gluten, any fried food, any sugar, any non-organic produce, any alcohol, any dairy. We’d be left with rice-crackers, seaweed, vegetables and apple puree. Yum.

It may seem absurd, or an over-reaction but if you take health seriously it is easy to develop without intending to, a phobia of eating most foods because of this. You feel everything you eat is bad for you, so why eat it? You only want to eat things that are good for you and if you cannot then you skip eating. You may not be able to afford to eat what you want to eat and that presents problems as well as finding it hard to socialize because of your restricted diet.

More people than ever before have ‘restricted’ diets. Maybe they are gluten-intolerant, allergic to dairy, celiac, have a peanut allergy, are on a diet, have diabetes etc. Many menus calorie count, some break down the fats and ingredients. It is easy to obsess more than ever, and social media fuels this. There are sites devoted to this and other extremes as well as an increase in hard-core fitness programs that exclude many foods.

When someone has a tendency toward obsessing over this, maybe due to a pre-existing condition like body-dysmorphia, it’s not hard to become Orthorexic and fear eating a lot of food. The hard part is because it’s based upon health, it’s hard to find a healthy way of quitting being Orthorexic. How can you tell someone, eat less healthy food sometimes! The jury is still out on the ‘cure’ for this, but usually it comes to a crisis point and the sufferer realizes they are being controlled and they either embrace that and continue or let it go a bit and become less fanatical about how and what they eat. But it is not easy.

Anorexia is the fear of eating and the equating of food with weight-gain and negative feelings/experiences. Anorexics may eat but they often avoid it and limit their intake. Some purge afterward. They usually lose weight sufficiently that people will begin to notice. At first they are praised for being so ‘beach body ready’ and later on when they begin to grow hair on their skin as an extreme response to starvation they are made fun of. Anorexics have the highest risk of dying due to the lower rates of a ‘cure’ and they are often hospitalized.

Bulimia is characterized by bingeing and purging or even simply throwing up after eating. Typically a bulimic has many of the attributes of an anorexic and may starve themselves also or be an anorexic who purges. Other times they may purge but not necessarily lose sufficient weight to be seen to be anorexic although health-wise they are at great risk because of the strain throwing up does to our heart. Combined with inadequate nutrition and the strain of throwing up typical side-effects include broken veins in the face and hands, digestive disease and scarring, tooth decay and stomach problems.

Many people with eating disorders are on a ‘spectrum’ that doesn’t fit the absolute diagnosis of one specific disease, they are considered to have an eating disorder and then it is characterized individually.

Over eaters / binge eaters – an eating disorder characterized by over-eating to cope with stress much like anorexia that is heightened by anxiety and stress. Over-eating can include periods of extreme denial and starvation, it can also include purging. Over-eating can cause fluctuations of weight that put pressure on vital organs, and also can be a very isolating disease with a higher risk for suicide for all types of eating disorders. Sufferers may also gain extreme amounts of weight and suffer the judgement and ridicule that many over-weight or large people suffer because of our societies obsession with lower weights and their stigmatization of ‘fat’

Working out – Sometimes people who work out to lose weight or become fit can become obsessed with it. Whilst not always connected to an eating disorder, this can relate closely to body dysmorphia and shares the ‘control’ factor crucial in all eating and body disorders because it is thought, they all seek to control their surroundings because they do not feel they are in control in other ways.

Body dysmorphia is not an eating disorder but it can lead to, cause or exacerbate an eating disorder. Body dysmorphia is the incorrect transmission of an image of oneself. You can see a photograph, a mirror reflection, a film, of your body and you will not see your body the way others do.

How is that possible?

I have no idea. It seems absolutely impossible. I would NEVER believe it IF I had not A. Experienced it directly and personally B. Known so many others who did C. Professionally worked with many who did. Just like those who are not raped cannot always understand how life-changing rape can be, we seem to struggle to empathize and understand unless we have directly experienced it, which is sad.

To some extent it seems like a delusional disorder, or type of madness. I mean if you think you look a certain way but do not, how can you see yourself physically that way? And yet you do.

People suffering from any of the above, often have other conditions such as anxiety, low self-esteem, they may be survivors of sexual abuse, they may have been raped, they may be being bullied. Depression Borderline Personality Disorder and Bipolar are other co-morbid conditions that often occur simultaneously. The secretive life of someone with this can be so secretive nobody ever knows they suffered.

Any type of eating disorder is pretty hard to ‘cure’ it was once thought Anorexia could never be cured it could be lived with. Nowadays anorexics and others, have access to treatment if they have the money for the often expensive treatment centers or if they are insured. Treatment can include hypnosis, group therapy, aversion and its opposite ‘exposure’ therapy, cognitive-behavioral and many other methods. Nobody knows the exact ‘cure’ rate but many go on to live healthy lives.

Then again like any addiction or disease, it is possible to switch one for the other. When someone who was say, formerly bulimic is ‘cured’ they may simply take their need for control and place it elsewhere. They may become obsessive-compulsive, they may generate more anxiety, they may take up smoking. It is important to look closely at this because some of the alternatives are as if not more dangerous.

Please note, this is the first time I have ever talked about my own experience in relation to eating disorders or body dysmorphia and my teeth are clenched because it’s like standing naked in public and goes against a history of being expert at hiding these things when they existed.

In my own case, I met a girl I thought was so beautiful around 14 years of age, she was bulimic and anorexic. I recall clearly that I wanted to be like her so I copied her, stupid, immature, but that’s what I did. At first it didn’t mean anything I was just copying her, until my grandmother said one day that I was thick around the waist and would never look good in 1950’s dresses (I was 14) and in the same week my dad told me I was ‘chunky’. Sometimes words have no effect, other times they do. When you are already insecure, and have had a rotten time, sometimes they have too much of an effect and it doesn’t go away.

My friend and I had a secret group where we would binge, purge, starve. Eventually we stuck with starving because we felt badly for wasting food. At 16 a gym teacher said I needed to drop a few pounds, a dance teacher said the same thing and so I entered the world of starving for the sport, which many can relate to. At 17 I began swimming four times a week and during this time of a year, I didn’t starve myself, I was simply too hungry to! It felt great, I was free of the demon.

Except that’s never what happens. The reason we know such things are mental disorders is because they are inherited (children of anorexics have a higher risk) they exist irrespective of culture or income (yes, Hispanics and Blacks have eating disorders too, they were just ignored by the main-stream who believed it to be an Anglo middle-class disease, likewise with boys and men) and it’s usually deeply hidden and never talked about and is a form of delusion-disorder, you SEE things that are NOT there. IE: You are skinny and you see fat.

I can remember being in a dance class and watching all the tan girls in their leotards with their long legs and necks, so graceful and then looking down and seeing my inner thighs all flabby and squishy. It wasn’t true, they weren’t, but that is what I SAW. I remember being at a dinner party and suddenly running to the bathroom and throwing up everything I ate, and covering it expertly with a breath mint, nobody knew and it seemed like a super-power, in fact it was a sickness, an invisible and terribly destructive sickness invading my every thought.

At 18 after my boyfriend had left me, the old demon returned (a need to control) and I began to throw up whenever I ate until I was a dangerous weight. Few people knew, including my parents because I was excellent at hiding things related to my eating disorder. I went to college and in that first year it was the worst it was ever. I realized I was going out of my mind and it controlled me completely, I sought help. I went to a therapist about it and how it related to being abused as a child and other things that had happened in my life. This helped.

The main ‘cure’ of my eating disorder though was not what the magazines would like me to say. It wasn’t that I saw the light, I got better, I’m a shining example. Oh no.

I was ‘cured’ because I was in a relationship and I had nowhere to purge, or throw up after eating and I couldn’t not eat because I lived with four people and they would have noticed. there was only one bathroom, the house was small the walls paper-thin. After a while I realized I just couldn’t hide my disorder and as I was also sharing my bed and happy in my relationship I stopped.

That seems a pretty pathetic reason huh? I thought so.

It also wasn’t true, it was another layer of the delusion.That’s like an alcoholic not drinking in public, doesn’t mean they are not an alcoholic. People say, if it’s a disease you cannot control it, but who said that? Of course you can! You think you can anyway, but really it controls you. When I was alone, even for one night, I would stuff things in my mouth until I nearly burst and then throw up, or I would eat absolutely nothing or I would stare at myself and see something hideous. I didn’t and couldn’t talk about it because we all know what others would say. You are vain. You are shallow. You are pathetic. You cause this. You waste food. You deserve what you get. But it wasn’t vanity it was self-hatred and self-loathing, a desire to be that eight year old again, free of everything. I didn’t know why, I didn’t connect it to sexual abuse and other things that so often are the triggers and markers for at-risk youth to develop eating disorders.

But years later when I was single again I began to starve off and on. I saw that the ONLY thing keeping me from having a full-blown eating disorder again was circumstance! I wasn’t cured at all! I was simply living with the secrecy like a double-agent, patting myself on the back for my success when really it was underneath the surface controlling me. For someone who was so open and honest I was a huge liar, nobody knew, and the more they didn’t know, the more I couldn’t say.

HOW can we have so much control that if we live with someone else it may help and if we are alone we immediately fall back to it? How serious and real can it be then? I think it’s very serious and very real, imagine looking in the mirror and seeing someone who isn’t there! I still do. I cannot see the ‘real’ me in the mirror but what I try to do is surround myself with people who eat healthily but normally, and ensure that I don’t let ‘the voices’ lure me back into bad habits.

I have slipped a few times, notably in times of high stress. I realize for some it is impossible to live with the disease relatively well, for some they are so sick they really do benefit from more intensive treatment and/or hospitalization. I was never as sick as some of the girls (and one boy) whom I knew with eating disorders but that doesn’t mean I was well either. After a very serious bad experience I fell back into starving myself the denial felt redemptive, in my twenties I felt I was far too old to be doing this, and yet I was (many anorexics are over forty, everyone assumes they are 18, the age-bias means many do not ever get treatment). That year I went to visit school friends back in Europe, they all told me how unhealthy I looked, how I had no chest, no flesh, and I felt like I lived with a chimera inside of me, dictating this awful tendency to reduce everything to controlling how much I ate.

In our society if we perceive a disease to be ‘chosen’ or ‘self-selected’ and the person had a choice, then we blame the person who has that disease. We say “I’m not going to understand this disease or empathize because I blame you for causing it, therefore it’s not like a disease you didn’t cause.” What we fail to understand is, while we judge, we judge a far wider number of people who witness that judgement and thus, never seek help, we also instill a sense in the disease-sufferer that their disease is a choice, a bad habit, and their fault. In other words we compound the problem all because we condemn people for something we don’t understand. How many times have you heard someone say; “Those damn anorexic models I have no sympathy for them” We believe that kind of illness is essentially a weakness of character or worse, enviable and thus, we resent them. Would we say that if someone disclosed they had ovarian cancer?

I use my own example because I have NEVER publically talked about having an eating disorder before. I would say it’s a lot like being an alcoholic, you are ALWAYS an alcoholic just like you are always someone with a potential for eating disorders. I did go down the road of Orthorexia and left to my own devices would be merrily heading down it now (except it’s not merry, it’s ridiculous and it’s crazy) and equally I still have body dysmorphia. I can only believe that by admitting this as I have here, I encourage others to get treatment. I personally found therapy very helpful and the other thing that helped was ensuring I took the right vitamins and minerals to balance myself and become less unhinged which I was exacerbating by poor nutrition. It is a vicious circle.

It is very hard for me to recount this, I have tried to delete this several times, feeling that if it gets ‘out there’ I will lose control and I realize, that’s what I have to do and what we all have to do if we experience these feelings. For a long time I could not hang out with people with eating disorders, they triggered me. I am such an independent person ask anyone but when it comes to eating I’m not at all I’m a complete follower and that baffles me. I still struggle to eat when I’m alone or at dinner parties, there are things I will always have and need to always remind myself I have, to face them and not deny them, because then they win.

The grand irony is, I have always been genetically thin, so even if I never had this, I would have been picked on for being underweight, and that’s the farce of it, you can look any way and nobody really knows what’s going on for you, they accuse you of being anorexic when you’re not, and commend you for having a good figure when you’re starving yourself, the mixed-messages of our society increase our propensity to be sick. For some they are genetically wired to not respond to those triggers, whilst others are genetically engineered to respond to them, recent studies show there is a definitive link between DNA and the development of any type of eating disorder. Therefore it’s not all in your head and it is all in your head. But for years we were told it was the spoilt princess syndrome, would that make anyone want to admit it?

It is a form of madness I am certain of it, and as such it belongs in the mental health category almost more than anything else. Society does not help, the continual bombardment of thin bodies really doesn’t help. I have been told I was thin my entire life, and I realize, thin doesn’t even MATTER it’s not IMPORTANT and I don’t even find really thin women attractive! Sometimes it’s not about wanting to be thin, in my case it never was, it was about seeking control and having a really bad relationship with food that was very love-hate. Personally I think bigger women are far more beautiful, proof that an eating disorder or body dysmorphia is not always about weight or thinness, although for some it is.

I had a fear of letting go of being a child, of growing up, of intimacy, of body-shame due to sexual abuse, of self-hate due to low-self-esteem. Those were my triggers, those were my things that led me to develop eating and body disorders. For others it may be the same or different. The thing we all share is a need to control what we feel we do not control – a feeling of being out of control. Sometimes people cut themselves, sometimes people do drugs, sometimes people control what they eat. Equally, if you do not see yourself accurately in the mirror this can be a manifestation of self-hate that was inculcated or indoctrinated and it can lead to a skewed self-image which is at the root of body dysmorphia.

I feel an intense embarrassment and shame at admitting this about myself. I know when I press ‘publish’ I will immediately regret this. And that’s why I’m doing it, because it’s time. Time to end the shame. If you read this and think I’m another white-middle-class-whiner who invents a disease, good day to you, but for those of you who ‘get’ what I’m saying here, I say to you, let’s talk about it, let’s get the monster out of the closet and get to the bottom of it, because the one thing that we hate most of all is admitting it and coming clean, that’s what we avoid at any cost, and that’s exactly why we must.

I’m sorry this is all about me, it was the only way I could find to truthfully tell the story.

 

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Mental Health Month”Grow up & forget about it!”

Do you know anyone who was sexually abused as a child? Were you? Was your daughter? Sister? Wife? Neighbor? Brother? Son?

Childhood sexual abuse and adult survivors of childhood sexual abuse (ASCSA) are in every society in every corner of our planet. It is often assumed children are resilient and can put up with a lot, and this is true, but childhood sexual abuse can destroy and does destroy so many parts of a child’s psyche we can honestly never know with any certainty how much was taken by the act of abuse.

What we do know is abuse, any kind of abuse, including sexual abuse, is going to have after effects that last long after the actual abuse ends. One of the ways this occurs is an unconscious attempt on the part of the child grown to adulthood (or near enough) in acting out the abuse in an attempt to understand it.

Does that seem crazy?

Very often organizations working with adult survivors noticed a pattern of repeat sexual and physical and mental abuse among populations who had endured these things. At first they believed a person who say, was raped was more likely to be raped a second time and this is borne out by statistics. But in addition to this increase likelihood of further victimization there was another pattern emerging; the unconscious re-enactment of aspects of the abuse by the survivor.

What that means in plain terms is, sometimes survivors will create situations similar to the abuse and actually reenact elements of the abuse, and go through those scenarios and possibly be re-victimized as a result. They will do this without being consciously aware of doing it.

Why would you ever want to do that?

It is thought this unconscious behavior is much like an unconscious wish to understand and reclaim what happened. Without intervention the individual is not aware they are doing it, and thus, when it happens is genuinely surprised (and re-traumatized) whereas when they are made aware this is a process of the mind trying to make sense of something that is hard if not impossible to make sense of, they can break the cycle.

Like many survivors who may turn to prostitution because of feelings of worthlessness and devalued degradation and shame, some will go in the opposite direction and have absolutely no sexual desire. These extremes are one form of ‘reacting’ to something the mind and spirit are trying to reconcile. Another way is the reenactment of the experience on some level. It has even been postulated that BDSM is one outlet for survivors to ‘act out’ their feelings and possibly reclaim their lost power.

Whether true or not, for others who have not had this experience, it may appear the individual is seeking to be abused on some level. It may even be an accusation thrown at the individual. Statements like; “You must want this / you keep putting yourself in these situations and letting it happen!” The individual will perceive this as being another condemning, blaming, shaming comment.

Abuse is hard to understand. I cannot understand why someone would sexually abuse a child, a woman, a man, an animal. I don’t think I could ever understand. So in absence of understanding, we sometimes go to great lengths to try to make sense of what happened to us.

I knew a woman who would drink a lot and go home with men and wait to see if they raped her. She was not aware she was doing this, until she really stopped the compulsion and thought about it. Then she realized she was seeing if she would be ‘betrayed’ again by a man who she had trusted and who had raped her when they had been drinking together. She had tried to talk to her friend who had raped her afterward about why he would have done this, he refused to say, and so she unconsciously put herself in similar situations to see if it would happen again and maybe understand it better. Of course when she realized what was happening she realized she did not want to be raped again! But until she came to that point she was unawares this was even happening.

Legally if she had been raped whilst drinking even if she consented to go home with someone, it would be rape if she did not give consent for sex and some would argue, if you are drunk you cannot give consent so with the exception of committed relationships where many times, partners will have sex when inebriated, the rule of thumb is, if you are not in a relationship and you or your partner are inebriated do not have sex with them because you cannot guarantee consent (unless it’s very obvious). Of course this is a difficult thing to gauge and it’s unrealistic to expect nobody to drink, so that’s where the legal system can get unstuck in issues of consent. However in most cases it is obvious for example if you are passed out drunk and someone has sex with you, that’s rape and you did not give consent, if you changed your mind and didn’t want to sleep with someone you withdraw your consent.

Therapy can be useful in working through trauma that involves enacting out parts of the abuse. Childhood survivors of sexual abuse go through triggering phases in their lives where it becomes challenging to deal with the history of their experiences. Typically these occur at puberty, during your first serious relationship, in pregnancy, during your child’s puberty and other occasions. It can be hard talking to family members about this, especially if the abuser was a family member. In a healthy marriage, talking about past sexual abuse histories helps you communicate what is and is not acceptable and what boundaries need to be respected, as well as bringing you closer.

Survivors of adult sexual abuse can have large issues with rage – anger – helplessness and anxiety.

Rage – anger at the perpetrator, at those who didn’t do enough to stop it, at oneself for being a victim, at people who trigger a reminder in any way.

Helplessness – feelings of impotence, uselessness, weakness, a feeling that nothing you do no matter how hard you try will change things or count.

Anxiety – fear, phobias, self-hate, secret-keeping, terror, flashbacks, nervousness, triggers, and general anxiety around anything related to or reminding of, the abuse.

Those as well as other symptoms can lead to severe mental health challenges, not least, depression and difficulty with trust and emotions. Unlike some who if raped may hopefully get some degree of immediate support, many times adult survivors of childhood sexual abuse, may never report what happened, may be disbelieved, may suppress it and keep quiet about it. Others may feel it was dismissed, forgotten about, considered unimportant and feel that people think they should ‘get over it’ by now. Those who are raped as adults and receive no support will probably also experience this isolation. That feeling can lead to mental illness if left to fester and remain unresolved. Rape Crisis Centers will see ANY child or adult of either gender who was raped or sexually abused in any way at any age at any time in their life. They have therapists who are trained in the legal ramifications, and also how to actually help those who have experienced this.

A fellow blogger reminded me to be mindful of male-rape and male sexual abuse and assault and how even if it does not happen with the same frequency it may suffer greater stigma because males are less likely to report any kind of sexual abuse, for similar reasons, but also because they are not as typical a victim and thus, they fear the condemnation of others who may think ‘you’re male, why were YOU raped? How could you have let that happen?’ As with women, and children, nobody LETS rape happen, they are victimized by a rapist and they survive that rape.

Men and boys of all ages can be raped by other men and boys. Men and boys can be raped by women, although this is the rarest form of rape and sexual abuse/assault it does and can happen. Typically the most common form of sexual abuse perpetrated by a woman toward a man is between a female relative (older) to a male relative (younger) when the power balance and physical strength is on the female’s side. The male relative may be told ‘that’s a fantasy come true’ when he tells his story of being raped by an older woman, but of course, for many young men this is no sexual fantasy, this is rape.

A man or boy can obtain an erection even against their will, because our bodies respond whether we emotionally wish them to or not, this is also true of women. A man or boy may be able to be touched to erection and then raped, and orgasm, and thus he may feel he was not raped even if he emotionally feels he was. A woman or girl can also experience this. The fear of ‘I came so I must have liked it’ is one big reason why males in particular do not talk about their sexual abuse. Another reason is, if a boy is raped by another boy, he feels people will think he is gay and whether he is or not, this can be a palpable fear in many social settings that perceive being gay negatively in some way.

For a boy who is not gay, being raped by a male, to the point of ejaculation is horrifying and leads them to have many internalized fears of ‘I must be gay / I must be twisted / I liked being raped’ instead of seeing that climaxing is no indicator of pleasure, it is a physical response to stimulation. Likewise, if raped by a member of the same-sex, the rape can be physically damaging, and emotionally scaring because that male may never have considered that they too could be raped. For girls and women we’ve always known it was a possibility, it doesn’t make it easier BY ANY MEANS but it’s a socially known phenomena, less for male-on-male-rape and yet, it has been used for years on the battlefield with both sexes.

Rape isn’t about sex it’s about domination, control, sadism, anger, violence.

Sometimes sexual pleasure is another reason that is gained by the rapist who inflicts pain, control, domination, fear, anger, violence. In other words, they get off on it. That’s the definition of a sadist and probably a sociopath (someone who has no empathy or regard for others). Equally narcissists can be deluded into thinking anything they do to anyone must be good because it feels good to them.

Those kinds of people capable of rape are our norm. But what about the good person who rapes? Is that possible?

Many times a best friend rapes their friend. In such incidences, everything you thought you knew flies out of the window. How could my best friend do this to me? What did I do to deserve this? You didn’t do anything. Sometimes people, even good people, do terrible things. We should not excuse a good person who does a terrible thing, because they committed an act that will stay with us forever. Oftentimes though, these are the very rapes that go unreported and can occur before adulthood.

Of course who wants to report rape when the system is broken? Ideally everyone should, that is the only way rapists are stopped. But even if you don’t, seeking therapy to work through the messed up feelings you will have afterward, as well as checking yourself physically and ensuring you are protected as much as possible from disease and injury is essential. This can and should include, an examination, evidence collected for should you proceed with a case (and you may not know if you want to at the time so get it taken so you have that choice) documentation of damage (for future reference in relation to your long-term health, blood tests for contracted sexual diseases and treatment if applicable including but not limited to, prophylactic treatment.

prophylactic treatment can include certain antibiotics that work to counter certain STD’s that are commonly transmitted. Others include The Morning After Pill which is not an abortion pill but a pill that prevents conception much like the regular pill but is taken once during the first 72 hours after a man has ejaculated inside you, to prevent unwanted pregnancy.

The least well-known prophylactic treatment is a HIV prophelactic. If you believe your rapist may have had HIV this is one measure to prevent contraction. You are given a large quantity of medication similar to the HIV treatment for up to six weeks typically a month, they have side-effects but they are reliable in preventing HIV transmission. Many people do not know about this and if it is applicable, it should be requested.

What about adults of childhood sexual assault? They are often raped in childhood, it is often a secret, as adults they may have scars and side-effects from this abuse including STD’s which further the shame and humiliation they feel. Seeing a good doctor who can go through your history and check on you regularly as well as prescribing appropriate medications can help though often the damage can be lasting and far-reaching which is why children abused in secret is so devastating as many are never treated until it’s too late.

With therapy it is never too late. I have seen people in their eighties who until that moment had never spoken about being abused as a child and at the termination of therapy they were glad they spoke out. It is never too late. Never.

But if you don’t get therapy for someone you love, it might lead to things you couldn’t imagine like them becoming the predator and abusing another child, as I saw many times happen, not because they were evil but because it’s a taught, learned maladaptive behavior that can be acted-out to the extent that the line between ‘abused’ and ‘abuser’ is blurred and finally, lost.

If you are friends with someone who has gone through something like this, be a friend to them and talk with them about it, don’t side-step around it, let them know you care and want to talk about it and encourage them to talk to a professional also.

Childhood sexual abuse survivors can be among the strongest most resilient souls you could ever meet, they are often the most inspirational and giving and helping. Nobody has to be destroyed by childhood sexual abuse, it is very rare that they are, but those who are, need the voice of us all, to prevent as much as we can, this quiet abuse that can be occurring right next door to us. We should all know the signs and symptoms of an abused child and not be afraid to check on a child we fear might be at risk of abuse.

That said, temper enthusiasm for helping with caution. Being brought up by a single father, many assumed I was at risk for being sexually abused by my father. He never did and never would, but I could see why they may have found it unusual for a small female child to be reared by their father. I was appreciative of their caution when I look back, but glad it didn’t cause further enquiry as that can be as damaging as doing nothing. It may be a fine balance but together, we can lower the number of children who are invisibly being abused in our society right now.

Between

ring1Good day then

fais de beaux rĂªves

between the spectacle

shut your eyes tight

always keep them open

conviction

affliction

conducting weather veins

bristling they ebb

pointing into heavens

would they could talk

up there up there

they look and mock our drama

what we believe ourselves to be

quietly observant at the pew

head down knees knocking

Forgive me Father for I have sinned

the day I turned on others and rubbed in

the same welt

gory and open for flies

to lay their magnitude

little children

little liars

come hold hands by the roses

learn a thorn can prick but words are mightier

wielding penchant for harm

like a crystal ball

hear the soft foot fall of night

clothe us in redeeming disguise

fingers behind our backs twix crossed

one for ourselves, one for luck

nothing left to add to the stew

all poison all venom all malice is

but easy fitting shoes on lusty urge

stay your hand my girl

spend time among the rich of heart

they hold less in their pockets

more in their eyes

as first rays of morning

broker subsuming clouds

of darkness

breaking past

releasing

light

Portraiture

f801918ca3883a4898de8530a0e88a98It is true if I could I would claim you through time

circle your coiled hair and patent smile

did the photographer pose

or you just know

how to swan your neck and hide your pain

in thrice mended sweater a size too small

our boiled wool and best kept stockings

sweating out youth

if now you lived I’d show you what came after

austerity and lit eyes of hazel

wishing into the future

is it better now? or then when

the greatest harm an unmarried pin

sticking your freedom to the quick

you laced yourself in and breathed out

coal dust and fisherman’s hands

chaffed and reddened by toil

ancestors enriching highland soil

would we have been friends?

my lack of Godhead your penchant

for John Bunion and his sermon

who can say? only the field mouse’

small and mauve in death

brought in by cat laid carefully by farm-house mat

beyond a sewing room where you cobbled looks from Paris

on muslin form, breathing life

I was clumsy and wide waisted in compare

climbing trees watching for the worm

as magpie attracted to beauty

is not capable of wearing his fine theft

he is a creature of the outdoors

looking in from cleft of oak

like I summon you through time

spend a moment here

lend me strength

show me how

you endured the fallow path and

hard winter of turning twenty

as light leaches from heathered hills

and tired men return for their supper

only the fair-headed girl lingers

until last golden arc presses against

violet hour and she too must

return her gaze to humbler pasture

Quiet sincerity

575d3e8450d2b93d9ae583716b569a05I learned

long after I should

friendship comes not

in fizz and pour

nor the brightness of

shower and radiance

nor promise and its papery craft of bows

but more often unexpected slow

hesitant over years

water leaving her tears on

marble rock

stalwart and less demonstrative

a cat who watches food put out

does not immediately approach

I fell for the fireworks

the hot kiss on lost ego

glittering words

feathered protests to believe

those party animals in their tinsel crowns

pushing me toward celebration

in those days I did not mind

the quiet soul who hung back

someone you could call upon

when deserters ran out of festivity

turned their backs on former animation

I was suckered by their demands to believe

their loudest call was truth, hear me!

now I know quiet love is the steadiest

those who may seem cold or aloof

often outlast town crier

hawking themselves for fancy

I’m sorry it took me so long to

understand silence and softness

are more often truth

much like the piper who

sung children through the mountain

bewitching their longing for loud

merriment

before they grew and knew

the sweetness of sincerity

whispered

For Jane – Pretty things

“Oh you pretty things

don’t you know you’re driving your mama’s and papa’s insane?” – David Bowie

thumbelina.jpgtake a leaf out of this book

fold it into a veined ship

let it sail the hazel brook

dried through fleet summer

now brackened with steam liquor

intoxicating swaying blackbird to

fly close to glassy reverie

their glossy ebony wing

hinting blue and green against

dappled light won with coffee grain

we didn’t rise with the lark nor

make nesting bed for a penny to bounce

high and glittering

we ate buttered toast with frozen fingertips

leaving crumbs of ourselves beneath

pillows indented by dream

for who knows how long

any river has?

then warm days shall absolve this tender

frost blinking in iridescent snow fall

drying out magic divination

cupped in saucers of captive water

the little girl thinks fairies must

look out at her as she peers down

through velvet moss and snail sheen

carving runes

what worlds of worlds of worlds

beneath our flat-footed certainty

stir against shy bramble

our fruit ever sweeter on tongue

as thimbled nectar

for children still believe

amid our pastures creatures swim

in silver netting like gowns of

spider silk and berries redder than

earnest lover

shush, if you stay your curious hand

turn not the faucet nor start the washer

in Thumbelina’s kingdom music stirs

as old as life

holding up the unseen world

 

For Jane. Put another log on the fire for me.