Self Harm Recovery Quotes

stars are the scars of the universe

Punishments include such things as flashbacks, flooding of unbearable emotions, painful body memories, flooding of memories in which the survivor perpetrated against others, self-harm, and suicide attempts.

Is it bad to like the way the scars look on my skin? Oh, the way they feel under my hands. My body’s protecting itself, saying, “No, this barrier of scar tissue is to keep you out.

In some ways, com­ing to terms with my­self and work­ing to­ward re­cov­ery has been like say­ing “I love you” to some­one but keep­ing a loaded gun hid­den in your back pocket, just in case that per­son pisses you off enough.

The sky was so blue I couldn’t look at it because it made me sad, swelling tears in my eyes and they dripped quietly on the floor as I got on with my day. I tried to keep my focus, ticked off the to-do list, did my chores. Packed orders, wrote emails, paid bills and rewrote stories, but the panic kept growing, exploding in my chest. Tears falling on the desk tick tick tick me not making a sound and some days I just don't know what to do. Where to go or who to see and I try to be gentle, soft and kind, but anxiety eats you up and I just want to be fine.

We all have scars; both inside and out. Use your experience to support those who are going down the same road of destruction you once went down. Know that your past is worth more than the pain you once carried, because it can now be used to comfort and give strength to another soul who is suffering. Cherish your trials and tribulations as gifts; embrace these opportunities to share the grace you have been given.

Never feel this bad again. Never come back to this place, where only a knife will do. Live a gentle and kind life. Don't do things that make you want to hurt yourself. Whatever you do, every day, remember this - then steer away from here.

Don’t ever forget you are beautiful, although your life, your past and your present situation may be ugly. You are beautiful.

Change is inevitable. Progression is a choice. We all move, but are you going to move forward?

It wasn't that I gave up on her healing, but, as she continued to struggle to get in the door and actively needed her self-hatred to stay functional, I began to realize more deeply that her patterns had meaning and that it wasn't useful for me to predetermine what recovery might look like for her.

Do you know that feeling? When everything you do seems like a struggle. Where you dont wanna leave the house because you know everyone is judging you. Where you cant even ask for directions in fear that they critise you. Where everyone always seems to be picking out your flaws. That feeling where you feel so damn sick for no reason. Do you know that feeling where you look in the mirror and completly hate what you see. When you grab handfuls and handfuls of fat and just want to cut it all off. That feeling when you see other beautiful girls and just wish you looked like them. When you compare yourself to everyone you meet. When you realise why no one ever showed intrest in you. That feeling where you become so self conscious you dont even turn up at school. That feeling when you feel so disappointed in who you are and everything you have become. That feeling when every bite makes you wanna be sick. When hunger is more satifying that food. The feeling of failure when you eat a meal. Do you know that feeling when you cant run as far as your class. Fear knowing that everyone thinks of you as the"Unfit FAT BITCH" That feeling when you just wanna let it all out but you dont wanna look weak. The fear you have in class when you dont understand something but your too afraid to ask for help. The feeling of being to ashamed to stand up for yourself. Do you know the feeling when your deepest fear becomes a reality. Fear that you will NEVER be good enough. When you feel as if you deserve all the pain you give yourself. When you finally understand why everyone hates you. FINALLY realising the harsh truth. Understanding that every cut, every burn, every bruise you have even given yourself, you deserved. In fact you deserved worse. That feeling when you believe you deserve constant and brutal pain. Do you know what it feels like to just want to give up. When you just want all the pain to end but you want it to continue? Or am i just insane

We are all a beautiful jumble of layers, parts, and mixtures of experiences, but my most important part, and in my opinion everyone’s most valuable part, is the one that chooses self-love instead of self-harm in the grand sweeping ways but also the little ways every single day. Learning to parent yourself, with soothing compassionate love, forgiving yourself, and learning from all the decisions you made to get you to where you are - that’s the key to being fulfilled. Learning to be the dream parent cheerleader to yourself. It’s been in you the whole time. And no matter how down you get, you can always make a gorgeous recovery.

...some patients resist the diagnosis of a post-traumatic disorder. They may feel stigmatized by any psychiatric diagnosis or wish to deny their condition out of a sense of pride. Some people feel that acknowledging psychological harm grants a moral victory to the perpetrator, in a way that acknowledging physical harm does not.

Stop looking back when your future is ahead of you

Yesterday it was sun outside. The sky was blue and people were lying under blooming cherry trees in the park. It was Friday, so records were released, that people have been working on for years. Friends around me find success and level up, do fancy photo shoots and get featured on big, white, movie screens. There were parties and lovers, hand in hand, laughing perfectly loud, but I walked numbly through the park, round and round, 40 times for 4 hours just wanting to make it through the day. There's a weight that inhabits my chest some times. Like a lock in my throat, making it hard to breathe. A little less air got through and the sky was so blue I couldn’t look at it because it made me sad, swelling tears in my eyes and they dripped quietly on the floor as I got on with my day. I tried to keep my focus, ticked off the to-do list, did my chores. Packed orders, wrote emails, paid bills and rewrote stories, but the panic kept growing, exploding in my chest. Tears falling on the desk tick tick tick me not making a sound and some days I just don't know what to do. Where to go or who to see and I try to be gentle, soft and kind, but anxiety eats you up and I just want to be fine. This is not beautiful. This is not useful. You can not do anything with it and it tries to control you, throw you off your balance and lovely ways but you can not let it. I cleaned up. Took myself for a walk. Tried to keep my eyes on the sky. Stayed away from the alcohol, stayed away from the destructive tools we learn to use. the smoking and the starving, the running, the madness, thinking it will help but it only feeds the fire and I don't want to hurt myself anymore. I made it through and today I woke up, lighter and proud because I'm still here. There are flowers growing outside my window. The coffee is warm, the air is pure. In a few hours I'll be on a train on my way to sing for people who invited me to come, to sing, for them. My own songs, that I created. Me—little me. From nowhere at all. And I have people around that I like and can laugh with, and it's spring again. It will always be spring again. And there will always be a new day.

Further evidence for the pathogenic role of dissociation has come from a largescale clinical and community study of traumatized people conducted by a task force of the American Psychiatric Association. In this study, people who reported having dissociative symptoms were also quite likely to develop persistent somatic symptoms for which no physical cause could be found. They also frequently engaged in self-destructive attacks on their own bodies. The results of these investigations validate the century-old insight that traumatized people relive in their bodies the moments of terror that they can not describe in words. Dissociation appears to be the mechanism by which intense sensory and emotional experiences are disconnected from the social domain of language and memory, the internal mechanism by which terrorized people are silenced.

Living in the past can be harmful to your present and future self.

What if, instead of viewing people who’ve been abused as weak, we began to celebrate the strength it takes to persevere while overcoming the harm that was placed on them by someone who was supposed to love and care for them? What if, instead of accepting the myth that there’s something wrong with people who were abused, we place full responsibility and accountability for the abuse on the people who perpetrate it?

I don’t remember when I stopped noticing—stopped noticing every mirror, every window, every scale, every fast-food restaurant, every diet ad, every horrifying model. And I don’t remember when I stopped counting, or when I stopped caring what size my pants were, or when I started ordering what I wanted to eat and not what seemed “safe,” or when I could sit comfortably reading a book in my kitchen without noticing I was in my kitchen until I got hungry—or when I started just eating when I got hungry, instead of questioning it, obsessing about it, dithering and freaking out, as I’d done for nearly my whole life. I don’t remember exactly when recovery took hold, and went from being something I both fought and wanted, to being simply a way of life. A way of life that is, let me tell you, infinitely more peaceful, infinitely happier, and infinitely more free than life with an eating disorder. And I wouldn’t give up this life of freedom for the world. What I know is this: I chose recovery. It was a conscious decision, and not an easy one. That’s the common denominator among people I know who have recovered: they chose recovery, and they worked like hell for it, and they didn’t give up. Recovery isn’t easy, at first. It takes time. It takes more work, sometimes, than you think you’re willing to do. But it is worth every hard day, every tear, every terrified moment. It’s worth it, because the trade-off is this: you let go of your eating disorder, and you get back your life. There are a couple of things I had to keep in mind in early recovery. One was that I was going to recover, even though I didn’t feel “ready.” I realized I was never going to feel ready—I was just going to jump in and do it, ready or not, and I am deeply glad that I did. Another was that symptoms were not an option. Symptoms, as critically necessary and automatic as they feel, are ultimately a choice. You can choose to let the fallacy that you must use symptoms kill you, or you can choose not to use symptoms. Easier said than done? Of course. But it can be done. I had to keep at the forefront of my mind the reasons I wanted to recover so badly, and the biggest one was this: I couldn’t believe in what I was doing anymore. I couldn’t justify committing my life to self-destruction, to appearance, to size, to weight, to food, to obsession, to self-harm. And that was what I had been doing for so long—dedicating all my strength, passion, energy, and intelligence to the pursuit of a warped and vanishing ideal. I just couldn’t believe in it anymore. As scared as I was to recover, to recover fully, to let go of every last symptom, to rid myself of the familiar and comforting compulsions, I wanted to know who I was without the demon of my eating disorder inhabiting my body and mind. And it turned out that I was all right. It turned out it was all right with me to be human, to have hungers, to have needs, to take space. It turned out that I had a self, a voice, a whole range of values and beliefs and passions and goals beyond what I had allowed myself to see when I was sick. There was a person in there, under the thick ice of the illness, a person I found I could respect. Recovery takes time, patience, enormous effort, and strength. We all have those things. It’s a matter of choosing to use them to save our own lives—to survive—but beyond that, to thrive. If you are still teetering on the brink of illness, I invite you to step firmly onto the solid ground of health. Walk back toward the world. Gather strength as you go. Listen to your own inner voice, not the voice of the eating disorder—as you recover, your voice will get clearer and louder, and eventually the voice of the eating disorder will recede. Give it time. Don’t give up. Love yourself absolutely. Take back your life. The value of freedom cannot be overestimated. It’s there for the taking. Find your way toward it, and set yourself free.

Her fight with alcohol had made for contentious exchanges and, if that were possible, even more contentious silences. Tony, empathetic to the point of self-harming, felt the pain of her abstinence as powerfully as anything he'd ever endured personally.

Guilt is imperative if we are to create and sustain a decent code of ethics and a sound moral compass. Guilt can help us to listen to our conscience, enhance empathy, and therefore have fulfilling relationships. Without guilt, we would live in an extremely dark world. However, misplaced guilt often triggers us to be over-apologetic and people-please. Many people repeat the word ‘sorry’ without needing to, while still others feel guilty for their very own existence. Emotionally wounded, shame-based people often feel that they are constantly ‘getting in the way’. This stems from a sense of feeling unlovable. To ask for one’s own needs to be met often results in a feeling of guilt. I call this misplaced guilt. Similarly, a person may feel guilty even if they have been abused or harmed by others. Misplaced guilt or excessive guilt stifles people’s chances to live happily and peacefully.

You deserve this. Even when you feel like you don’t. You do. You deserve to have a healthy, loving, grace-filled relationship with yourself. You deserve to stop hurting in secret and in shame. You deserve to fully experience life. You deserve to be heard and helped. You deserve everything the negative voices have told you you don’t.

Some protectors do eventually dissolve in their current manifestation. Cutting or purging stops. Addition to alcohol or drugs abates. Suicide plans become ideation and finally depart, although none of this happens as linearly as I have stated it. Often, they are first replaced by less harmful protectors, and then those may be able to transform, bringing helpful gifts. Most important for us ... is to welcome these parts, listen to them and let them become our guides ... They will have a better sense of pacing than we do because they are so connected to the wounded ones inside. As the ones in distress have less hold on thoughts, feelings, behaviors and relationships, we can know that less vigilance over the inner world is needed.

As the third evening approached, Gabriel looked up blearily as two people entered the room. His parents. The sight of them infused him with relief. At the same time, their presence unlatched all the wretched emotion he'd kept battened down until this moment. Disciplining his breathing, he stood awkwardly, his limbs stiff from spending hours on the hard chair. His father came to him first, pulling him close for a crushing hug and ruffling his hair before going to the bedside. His mother was next, embracing him with her familiar tenderness and strength. She was the one he'd always gone to first whenever he'd done something wrong, knowing she would never condemn or criticize, even when he deserved it. She was a source of endless kindness, the one to whom he could entrust his worst thoughts and fears. "I promised nothing would ever harm her," Gabriel said against her hair, his voice cracking. Evie's gentle hands patted his back. "I took my eyes off her when I shouldn't have," he went on. "Mrs. Black approached her after the play- I pulled the bitch aside, and I was too distracted to notice-" He stopped talking and cleared his throat harshly, trying not to choke on emotion. Evie waited until he calmed himself before saying quietly, "You remember when I told you about the time your f-father was badly injured because of me?" "That wasn't because of you," Sebastian said irritably from the bedside. "Evie, have you harbored that absurd idea for all these years?" "It's the most terrible feeling in the world," Evie murmured to Gabriel. "But it's not your fault, and trying not to make it so won't help either of you. Dearest boy, are you listening to me?" Keeping his face pressed against her hair, Gabriel shook his head. "Pandora won't blame you for what happened," Evie told him, "any more than your father blamed me." "Neither of you are to blame for anything," his father said, "except for annoying me with this nonsense. Obviously the only person to blame for this poor girl's injury is the woman who attempted to skewer her like a pinioned duck." He straightened the covers over Pandora, bent to kiss her forehead gently, and sat in the bedside chair. "My son... guilt, in proper measure, can be a useful emotion. However, when indulged to excess it becomes self-defeating, and even worse, tedious." Stretching out his long legs, he crossed them negligently. "There's no reason to tear yourself to pieces worrying about Pandora. She's going to make a full recovery." "You're a doctor now?" Gabriel asked sardonically, although some of the weight of grief and worry lifted at his father's confident pronouncement. "I daresay I've seen enough illness and injuries in my time, stabbings included, to predict the outcome accurately. Besides, I know the spirit of this girl. She'll recover." "I agree," Evie said firmly. Letting out a shuddering sigh, Gabriel tightened his arms around her. After a long moment, he heard his mother say ruefully, "Sometimes I miss the days when I could solve any of my children's problems with a nap and a biscuit." "A nap and a biscuit wouldn't hurt this one at the moment," Sebastian commented dryly. "Gabriel, go find a proper bed and rest for a few hours. We'll watch over your little fox cub.

[I]t's a con, at children's expense. When self-esteem advocates tell us to flatter the young about their views, in reality they ask adults to abandon the difficult task of disciplining them. Emphasizing that adults must 'express unconditional positive regard and acceptance for children' effectively destroys the inter-generational duty of passing on knowledge, setting boundaries for behavior and the broader task of socialization. It is not good for children and can mean adults indulging even the most destructive aspects of young people's behavior. In 2013, a self-harming pupil at Unsted Park School in Godalming, Surrey was given a disposable safety razor to slash himself with, supervised by a teacher. A spokeswoman from selfharm.co.uk justified this irresponsible collapse of adult judgement using the mantras of pupil voice and self-esteem: 'The best way to help is to listen without judging, accept that the recovery process may take a while and avoid "taking away" the self-harm' because 'self-harm can be about control, so it's important that the young person in the center feels in control of the steps taken to help them'. That's an extreme case but it touches on how focusing on the schoolchild's self-esteem can create the impression that the world should circle around pupils' desires. This in turn puts pressure on adults to tip-toe around young people's sensitivities and to accede to their opinions. Combined with student voice orthodoxies, this can lead to the peculiar diktat that teachers express respect for pupils' views, however childish or even poisonous.

Imagine the daughter of a narcissistic father as an example. She grows up chronically violated and abused at home, perhaps bullied by her peers as well. Her burgeoning low self-esteem, disruptions in identity and problems with emotional regulation causes her to live a life filled with terror. This is a terror that is stored in the body and literally shapes her brain. It is also what makes her brain extra vulnerable and susceptible to the effects of trauma in adulthood.                              Being verbally, emotionally and sometimes even physically beaten down, the child of a narcissistic parent learns that there is no safe place for her in the world. The symptoms of trauma emerge: disassociation to survive and escape her day-to-day existence, addictions that cause her to self-sabotage, maybe even self-harm to cope with the pain of being unloved, neglected and mistreated. Her pervasive sense of worthlessness and toxic shame, as well as subconscious programming, then cause her to become more easily attached to emotional predators in adulthood. In her repeated search for a rescuer, she instead finds those who chronically diminish her just like her earliest abusers. Of course, her resilience, adept skill set in adapting to chaotic environments and ability to “bounce back” was also birthed in early childhood. This is also seen as an “asset” to toxic partners because it means she will be more likely to stay within the abuse cycle in order to attempt to make things “work.” She then suffers not just from early childhood trauma, but from multiple re-victimizations in adulthood until, with the right support, she addresses her core wounds and begins to break the cycle step by step. Before she can break the cycle, she must first give herself the space and time to recover. A break from establishing new relationships is often essential during this time; No Contact (or Low Contact from her abusers in more complicated situations such as co-parenting) is also vital to the healing journey, to prevent compounding any existing traumas.

One of the most serious harms of trauma is that of loss of control. Some researchers of trauma have defined it as a state of complete helplessness in the face of an overwhelming force. Whether or not such total loss of control is constitutive of trauma, a daunting, seemingly impossible, task faced by the trauma survivor is to regain a sense of control over her or his life. Trauma survivors (rape survivors, in particular, because they are frequently blamed for their assaults) are faced with an especially intractable doubled bind: they need to know there's something they can do to avoid being similarly traumatized in future, but if there *is* such a thing, then they blame themselves for not knowing it (or doing it) at the time. They are faced with a choice between regaining control by accepting (at least some) responsibility--and hence blame--for the trauma, or feeling overwhelmed by helplessness. Whereas rape victims' self blaming has often been misunderstood as merely a self-destructive response to rape, arising out of low self-esteem, feelings of shame, or female masochism, and fueled by society's desire to blame the victim, it can also be seen as an adaptive survival strategy, if the victim has no other way of gaining control.

We can all be "sad" or "blue" at times in our lives. We have all seen movies about the madman and his crime spree, with the underlying cause of mental illness. We sometimes even make jokes about people being crazy or nuts, even though we know that we shouldn't. We have all had some exposure to mental illness, but do we really understand it or know what it is? Many of our preconceptions are incorrect. A mental illness can be defined as a health condition that changes a person's thinking, feelings, or behavior (or all three) and that causes the person distress and difficulty in functioning. As with many diseases, mental illness is severe in some cases and mild in others. Individuals who have a mental illness don't necessarily look like they are sick, especially if their illness is mild. Other individuals may show more explicit symptoms such as confusion, agitation, or withdrawal. There are many different mental illnesses, including depression, schizophrenia, attention deficit hyperactivity disorder (ADHD), autism, and obsessive-compulsive disorder. Each illness alters a person's thoughts, feelings, and/or behaviors in distinct ways. But in all this struggles, Consummo Plus has proven to be the most effective herbal way of treating mental illness no matter the root cause. The treatment will be in three stages. First is activating detoxification, which includes flushing any insoluble toxins from the body. The medicine and the supplement then proceed to activate all cells in the body, it receives signals from the brain and goes to repair very damaged cells, tissues, or organs of the body wherever such is found. The second treatment comes in liquid form, tackles the psychological aspect including hallucination, paranoia, hearing voices, depression, fear, persecutory delusion, or religious delusion. The supplement also tackles the Behavioral, Mood, and Cognitive aspects including aggression or anger, thought disorder, self-harm, or lack of restraint, anxiety, apathy, fatigue, feeling detached, false belief of superiority or inferiority, and amnesia. The third treatment is called mental restorer, and this consists of the spiritual brain restorer, a system of healing which “assumes the presence of a supernatural power to restore the natural brain order. With this approach, you will get back your loving boyfriend and he will live a better and fulfilled life, like realize his full potential, work productively, make a meaningful contribution to his community, and handle all the stress that comes with life. It will give him a new lease of life, a new strength, and new vigor. The Healing & Recovery process is Gradual, Comprehensive, Holistic, and very Effective. www . curetoschizophrenia . blogspot . com E-mail: rodwenhill@gmail. com

If you do not cultivate your life's environment, you will not captivate the worlds enlightenment.

Regardless of the different stages in our human development, unless we learn how to create loving and fulfilling relationships (with ourselves and others), addiction will follow – not necessarily as a manifestation of substance misuse but in the form of codependence, compulsive thinking, unhealthy relationships, sex and love addictions, overeating, insidious incarnations of self-harm and so on.

But this time, if and when discontented Americans like Amy and Sarah do reengage with democracy, it’s by no means clear that they will vote to stick with the capitalism part of the American model. The 1970s represented the first protracted stumble after the recovery from the Great Depression, with two oil-price shocks and a nasty recession mid-decade. Had recovery from those challenges been as strong as that in the late 1930s and 1940s, no doubt faith in the system would once again have been vindicated. Instead, as the data shows, the post-1970s decades have been, for Americans like Amy and Sarah, a slow drip feed of disappointment and frustration. In this environment, a more sinister narrative about capitalism has been taking root. Capitalism is no longer unambiguously about everybody working hard and getting ahead—it is about the benefit of overall economic growth flowing so disproportionately to rich people that there just isn’t enough left for average Americans to consistently advance. If the little that does trickle down isn’t enough to keep Amy and Sarah afloat, then sooner or later they will wonder why they trust the management of the economy to Wall Street CEOs and Beltway politicians and policy wonks. And then they will surely reengage with the democratic part of the US system—probably with dramatic and potentially harmful results. To be sure, it is always tempting to look for a clear, easily identified whipping boy—a bad president, an atrocious piece of legislation, callous Wall Street, venal hedge funds, the unfettered internet, runaway globalization, or self-absorbed millennials. While no one of these can be held responsible for the yawning inequality of the US economy and the alienation that it engenders, many actors have played a role. It has taken almost half a century of both Democratic and Republican presidents and houses of Congress to get us to the current point. And if numerous actors are in part responsible, then we have to ask—given all that the data shows—whether there may be a fundamental structural problem with democratic capitalism. If so, can we fix it?

The more questions you answer “Yes” to, the more codependent your life is, and this makes it important for you to liberate yourself and begin building a new, healthy life. Do you live with someone who practices substance abuse? Do you live with someone who bullies or belittles you? Are you a victim of physical abuse? Are you a victim of sexual abuse? Do you worry about the opinions other people have of you? Are the opinions and desires of others more important than your own? Do you become jealous when those close to you spend time with other people? Do you struggle to know your own thoughts or feelings? Do you struggle to express your thoughts or feelings to others? Are you overly self-critical when you make mistakes? Do you feel solely responsible for the happiness and wellbeing of others? Do you suffer from low self-esteem? Do you doubt your ability to be good enough in life? Do you feel responsible for the misfortunes of those in your life? Do you feel overwhelmed with your responsibilities in life? Do you struggle with asking others for help? Do you live in a constant state of fear or anxiety? Do you have a hard time interacting with authority figures, such as bosses, the police or other such people? Do you suppress your emotions or thoughts to appease others? Do you feel as though you live to serve others, but not yourself? Is your life defined by the relationships you have? Do you rely on one person to provide you with the love and support you need? Does anyone rely solely on you for the love and support they need? Do you wish you could restart your life somewhere else or with someone else? Have you ever had thoughts of self-harm or suicide?

There is as well a two-way interaction between virtue and discipline. As we continue to practice the discipline of self-examination and continue to take inventory, we grow in the virtues of humility and honesty, and, conversely, as we grow in these virtues we become better at looking at ourselves and discerning our shortcomings. Promptly admitting our wrongs to those we have harmed will become a habit with time, disposing us to justice, and, the more just we become, the more readily and openly will we admit to such wrongs.

Exiles are the wounded inner parts which carry the emotions and memories of our childhood wounds. Managers are the hypercritical, controlling inner parts which attempt to protect our exiles from being triggered. Firefighter inner parts also help to hide the vulnerable exile parts from coming into our consciousness but they do so by dousing out the “fires” (triggers) immediately by causing us to engage in addictive, compulsive, and self-harming behaviors to escape the pain.

Shame is an emotion that many rape survivors struggle with for reasons that can be more complicated than we might think. It is a distinctly insidious form of humiliation, the result of a serious injury to our self-esteem, which can be exacerbated by the feeling that we’ve done something wrong. Humiliation is par for the course when your body is used sexually against your will—that part of the aftermath of sexual violence is pretty well understood. Less well appreciated is why rape survivors may end up feeling responsible for what has happened to them. A common assumption is that women blame themselves because of low self-esteem: if only I had dressed differently, if only I had not looked at him that way, if only I had made better decisions for myself. While a woman’s self-image may play a role in how she comes to understand what has happened to her, the sense of responsibility held by many rape survivors is at least partly driven by a dominant worldview regarding personal safety and harm. Although this picture is slowly changing, historically, at least in the West, girls have been taught from a young age that the world is basically a safe place and that so long as you are sufficiently careful and intelligent, you can protect yourself from any serious harm. Underscoring this narrative is the fact that in our entertainment-saturated media culture, the everydayness of sexual violence against women is overlooked in favour of sensationalized stories of extreme violence. And because rape is typically experienced in private, unlike other traumatic experiences, like combat fighting in war, for instance, the clear evidence of its pervasiveness is obscured from our collective vision. This further reinforces the mistaken notion that the world is a benign place for women—and worse, it makes incidents of sexual violence against women look like a series of unrelated, isolated events when in fact they are the systematic consequence of patriarchal social structures. So how does the rape survivor reconcile this dominant worldview with what has happened to her? After all, it cannot be true both that the world is a safe place and that you were raped, unless, of course, the rape was your fault. The other alternative is to reject the dominant worldview, but this means accepting the fact that we live in a world where women, by virtue of being women, are at risk. For a variety of reasons, it can be easier and less painful to believe instead that being raped was a result of your own poor choices.

Self-destructive behavior: When someone has been in a controlling relationship long enough, they carry on with the feelings of shame and fault even after the relationship has ended. This can flow over into forms of self-harm and substance abuse to continue with what the abuser did to them. ●     Overly obliging: Being forced to make the needs and wants of another person a number one priority from wake up until bedtime can result in extending the people-pleasing into other areas of your life. ●     Trust issues: Being mentally abused to the point where a person doubts themselves, or doesn’t even trust themselves or others, it can create severe trust issues. This can even lead to more severe concerns such as social anxiety. It instills mistrust of what others say, what they really mean and their sincerity. ●     Emotionally disconnected: It’s not uncommon to not understand how to emotionally respond to situations or people, or even express emotions at all. ●     Cognitive issues: This can be the result of the ill-treatment itself or the physical symptoms impairing health. Lack of sleep can result in many of the symptoms listed earlier as can digestive issues. Additional concerns also include memory loss, inability to concentrate, losing focus performing basic tasks or “spacing out”. ●     Inability to forgive the self: Feelings of unworthiness, shame and blame dissipate over time they never completely go away. Similar to PTSD, one small trigger can be all it takes to relive the trauma. Another aspect of this is a damaged self-worth that causes us to not make an effort to reach goals or dreams, or we self-sabotage because we’re convinced we don’t deserve happiness or success.

I’m convinced that calling addiction a disease is not only inaccurate, it’s often harmful. Harmful, first of all, to addicts themselves. While shame and guilt may be softened by the disease definition, many addicts simply don’t see themselves as ill, and being coerced into an admission that they have a disease can undermine other—sometimes highly valuable—elements of their self-image and self-esteem. Many recovering addicts find it better not to see themselves as helpless victims of a disease, and objective accounts of recovery and relapse suggest they might be right. Treatment experts and addiction counsellors often identify empowerment or self-efficacy as a necessary resource for lasting recovery.

There is no evidence from anywhere in the world that harm reduction measures encourage drug use. Denying addicts humane assistance multiplies their miseries without bringing them one inch closer to recovery. There is also no contradiction between harm reduction and abstinence. The two objectives are incompatible only if we imagine that we can set the agenda for someone else’s life regardless of what he or she may choose. We cannot. Short of extreme coercion there is absolutely nothing anyone can do to induce another to give up addiction, except to provide the island of relief where contemplation and self-respect can, perhaps, take root. Those ready to choose abstinence should receive every possible support — much more support than we currently provide. But what of those who don’t choose that path? The impossibility of changing other people is not restricted to addictions. Try as we may to motivate another person to be different or to do this or not to do that, our attempts founder on a basic human trait: the drive for autonomy. “And one may choose what is contrary to one’s own interests and sometimes one positively ought,” wrote Fyodor Dostoevsky in Notes from the Underground. “What man wants is simply independent choice, whatever that independence may cost and wherever it may lead.” The issue is not whether the addict would be better off without his habit — of course he would — but whether we are going to abandon him if he is unable to give it up. Are we willing to care for human beings who suffer because of their own persistent behaviours, mindful that these behaviours stem from early life misfortunes they had no hand in creating? The harm reduction approach accepts that some people — many people — are too deeply enmeshed in substance dependence for any realistic “cure” under present circumstances. There is, for now, too much pain in their lives and too few internal and external resources available to them. In practising harm reduction we do not give up on abstinence — on the contrary, we may hope to encourage that possibility by helping people feel better, bringing them into therapeutic relationships with caregivers, offering them a sense of trust, removing judgment from our interactions with them and giving them a sense of acceptance. At the same time, we do not hold out abstinence as the Holy Grail and we do not make our valuation of addicts as worthwhile human beings dependent on their making choices that please us. Harm reduction is as much an attitude and way of being as it is a set of policies and methods.