The fundamental stages of recovery are establishing safety, reconstructing the trauma story, and restoring the connection between survivors and their community.
Since most sexual abuse begins well before puberty, preventive education, if it is to have any effect at all, should begin early in grade school.
For survivors of prolonged, repeated trauma, it is not practical to approach each memory as a separate entity. There are simply too many incidents, and often similar memories have blurred together. Usually, however, a few distinct and particularly meaningful incidents stand out. Reconstruction of the trauma narrative is often based heavily upon these paradigmatic incidents, with the understanding that one episode stands for many.
The psychological distress symptoms of traumatized people simultaneously call attention to the existence of an unspeakable secret and deflect attention from it. This is most apparent in the way traumatized people alternate between feeling numb and reliving the event.
Women quickly learn that rape is only a crime in theory; in practice the standard for what constitutes rape is not set at the level of experience of women’s violation but just above the level of coercion acceptable to men.
It has become clear that, as Janet observed one hundred years ago, dissociation lies at the heart of the traumatic stress disorders. Studies of survivors of disasters, terrorist attacks, and combat have demonstrated that people who enter a dissociative state at the time of the traumatic event are among most likely to develop long-lasting PTSD.
As long as fathers rule but do not nurture, as long as mothers nurture but do not rule, the conditions favoring the development of father-daughter incest will prevail.
Maternal absence, in one form or another, is always found in the background of the incest romance. Womens literature on incest generally treats the theme of maternal absence tragically. Mens literature trivializes it or treats it comically. And clinical literature tends to treat it judgmentally.
Though both partners may wish for reconciliation, their unspoken goals are often sharply in conflict. The abuser usually wishes to reestablish his pattern of coercive control, while the victim wishes to resist it.
In the absence of strong political movements for human rights, the active process of bearing witness inevitably gives way to the active process of forgetting. Repression, dissociation, and denial are phenomena of social as well as individual consciousness.
In refusing to hide or be silenced, in insisting that rape is a public matter, and in demanding social change, survivors create their own living monument.
In the aftermath of traumatic events, survivors doubt both others and themselves. Things are no longer what they seem. The combat veteran Tim O’Brien describes this pervasive sense of doubt: ‘... There is no clarity. Everything swirls. The old rules are no longer binding, the old truths no longer true. Right spills over into wrong. Order blends into chaos, love into hate, ugliness into beauty, law into anarchy, civility into savagery.’...
Authoritarian, secretive, sometimes grandiose, and even paranoid, the perpetrator is nevertheless exquisitely sensitive to the realities of power and to social norms. Only rarely does he get into difficulties with the law; rather, he seeks out situations where his tyrannical behavior will be tolerated, condoned, or admired. His demeanor provides an excellent camouflage, for few people believe that extraordinary crimes can be committed by men of such conventional appearance.
The desire for total control over another person is the common denominator of all forms of tyranny.
Therapy requires a collaborative working relationship in which both partners act on the basis of their implicit confidence in the value and efficacy of persuasion rather than coercion, ideas rather than force, mutuality rather than authoritarian control.
Fragmentation in the inner representations of the self prevents the integration of identity. Fragmentation in the inner representations of others prevents the development of a reliable sense of independence within connection.
Survivors do not want their injuries to be trivialized or ridiculed, and they do not want to be blamed for them. They do not want to be dismissed as overly emotional or told to “get over it.” They want their communities to recognize and respect their suffering and to acknowledge the seriousness of the harm they have endured.
In the face of common prejudices that blame survivors for whatever happened to them, they want assurances from the community that they did not deserve to be abused.
The righteous anger of women and other subordinated groups, which violates dominant norms of compliant and willing submission, is always particularly threatening.
Some extraordinary survivors, recognizing that their suffering is part of a much larger social problem, are able to transform the meaning of their trauma by making their stories a gift to others and by joining with others to seek a better world.