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.

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Mental Health Month “Rape”

Rape isn’t a subject people talk about very often. Sadly it’s a subject people joke about quite a bit.

The first time I heard a rape-joke I didn’t get it. It was too disgusting to ‘get’ and I am glad I didn’t. Everyone else did though and they all laughed. At the time I didn’t think how someone sitting there who had been raped would feel, but statistics tell us, that likelihood is quite high considering that 80 percent of rape goes unreported and even the reported numbers are staggering.

How a rape joke could hope to be funny, baffles me, but it maybe is more telling of our society as a whole, that we can laugh at true misfortune and tragedy. That’s not gallows humor, that’s just sick.

Rape is never funny. Rape is never something that doesn’t matter. Perhaps if we acted like it mattered more, those who were rape survivors would not be more subject to a plethora of mental illness.

That’s why rape is a subject this Mental Health Month. Because the link between rape and mental illness exists. Rape can among other things, be a cause or contributing cause or exacerbation of; PTSD, Anxiety, Eating Disorders, Depression, Phobias, Suicidality and Suicide, Cutting/Self-Harm and many other conditions.

We’ve talked in earlier posts about how that doesn’t diminish the very real and medical ‘illness’ of mental disorders, and just because an act pushes someone toward feeling a certain way, does not decrease the legitimacy of the illness part of any mental disease. Illness can and is caused by trauma, and there are few things more traumatic to a girl or woman (or boy or man) than rape.

Perhaps though there is one thing worse and that is not being believed, or the act of rape being diminished or ignored.

I hope most of you have watched The Hunting Ground, a documentary on Campus rapes here in America, but if you have not yet, and you have children, know college age kids, or people who work on campuses, it is compulsory viewing not to be missed.

Ultimately the numbers of rapes committed in any situation are underreported, under prosecuted, and not punished. Some judges do not believe a rapist should go to jail. It is often said ‘but he’s such a good boy and he has his entire life ahead of him’ and this stands as a perfectly reasonable explanation for not giving a rapist a harsher sentence.

The other big let-down as far as rape in the legal system goes, is that rape has a statute of limitations and thus, if five years pass and you do not report your rape you are not protected under the law anymore and cannot prosecute your rapist. This is not true for many other crimes including murder, and financial embezzlement. In other words, you can prosecute someone for stealing from you years later, but you cannot prosecute someone for raping you after a certain time period. Great message you’re giving the survivor!

In the interest of fairness, it should be pointed out this exists because the likelihood of having proof after five years is diminished and it is to protect those falsely accused many years later. But that relies upon a significant swath of false accusations and assumes that proof must exist to punish a rape rather than taking the word of the survivor. Therein lies the rub. It is a difficult subject to prosecute when it’s one person’s word against another and historically women have not been believed over men who were upstanding and respected in the community. So if you’re a prostitute and you are raped by a politician, don’t expect anyone to believe you.

Maybe we cannot do enough about this to change it entirely, but speeding up the rate of prosecution cases, ensuring all rape kits are tested (when so many lie untested due to lack of funding) ensuring the survivors are not ‘blamed’ during their legal ordeal, and educating everyone about the low figures of false reporting, may make some difference.

As with anything we can find examples of those who cried wolf, but that is literally true of anything human. It is singular to rape survivors that they are accused of ‘making it up’ as if everyone involved knows of 1000 x cases of liars who pretended they were raped for whatever gain. We should as we do with ‘innocent until proven guilty’ assume someone is likely to be telling the truth when they pluck up the courage and report being raped. If nothing else, something is wrong.

No more so than on campuses across America today, where so many young people are raped and do not report it knowing it will not go anywhere, or do report it and find those who raped them are not penalized sufficiently because they are a star football player. This inequality of punishment needs to be eliminated because what you are effectively saying is, you are not worth as much as the rapist or we do not believe your rape mattered enough to punish this person.

Sometimes I have heard people say ‘she’s too ugly to be raped she must be lying’ and awful things like that. I had one person told by a police officer that because she admitted she was gay, she had obviously chosen to ‘try the other side’ for the night when she was dragged along the street at night and raped by a stranger in an abandoned warehouse. Sure. She wanted it.

Seeing why people who survive rape, are at high risk for some kind of short-term mental illness or at high risk for exacerbating a pre-existing one, is obvious when you look at the details of what someone really goes through. The aftermath of rape is nearly always the worst part. We need to bring our ability to empathize and our compassion to the table and treat all rape cries seriously.

I have worked in two Rape Crisis Centers and the second one I worked in, only prosecuted a handful of cases via the authorities, due to the enormous back-log of DNA testing (rape kits) and the desire of the authorities to plea deal rather than prosecute. Let us not forget a plea deal is often a free pass for a rapist and his offense is often knocked down to a smaller crime that will not indicate to someone looking at his record, that he is a serial rapist. Typically those who rape do so again and again, so if we do not incarcerate them, reeducate them and rehabilitate them if possible they will go out and do it again.

Likewise those who are beyond our help are still let out onto the streets along with paedophiles whom they know will re-offend it’s just a matter of time. How does this happen? How can we justify this?

For those survivors who tell others that they were raped, it is on our shoulders to be as supportive and gentle as possible with someone who confides in us. So often rape is a subject of humor and fun making and there is literally, nothing funny about rape.SAAMP2017 (SM)7

https://merrildsmith.wordpress.com/

https://www.rainn.org/

National Sexual Abuse Hotline: 800-656-HOPE

How to respond to a survivor: https://www.rainn.org/articles/how-respond-survivor

 

Mental Health Month

Fortunately quite a few people are making time for this important subject. Raising awareness.

Before you click off thinking; “I’ve heard this before / I know this already” consider the following;

  1. If you have not suffered from a mental health issue you’re in the minority

2. More people die from mental health influenced factors than anything else

3. There is today more depression in the western hemisphere than ever before and our answer is to medicate using medication that is poorly proven to resolve depression and was only ever meant as a temporary solution, with therapy a rare and restricted ‘luxury’

4. We are cutting back so many mental health resources we now have less than we did in 1970, yes that means we’re going backwards not forward

5. Whilst some mental health issues are better known and understood today than 40 years ago, the terrible truth is … they are judged just as much as they were before people knew more about them and those who suffer from mental illness are often pushed to breaking-point by others who see mental-illnesses as a “choice” even by carelessly chosen words.

Words like – Depression is looking back / anxiety is looking forward / wellness is in the present.

People may say things like ‘snap out of it’ and be well meaning even but imagine saying that to someone who has cancer?

The implied condemnation / judgement / criticism or just put-down in many ‘helpful’ comments furthers the progression of the disease.

Ultimately mental health is seen as a sign of character. If you are mentally ill you have a weak character. If you are not mentally ill you have a strong character. Follow the progression of that.

Strength does not come into whether someone is mentally ill or not, any more than if someone has breast cancer. But like blaming a smoker for their lung cancer, most people see mental illness as something that someone can change ‘if they just tried’ and more of a character flaw, a negativity, a bad attitude, than a crippling, life-reducing disease.

Still think we don’t need to talk about mental illness?