Traumatic Childhood Quotes

It's often said that a traumatic experience early in life marks a person forever, pulls her out of line, saying, "Stay there. Don't move.

As a matter of fact I had a terribly traumatic childhood. But afterward I sort of reraised myself.

...repeated trauma in childhood forms and deforms the personality. The child trapped in an abusive environment is faced with formidable tasks of adaptation. She must find a way to preserve a sense of trust in people who are untrustworthy, safety in a situation that is unsafe, control in a situation that is terrifyingly unpredictable, power in a situation of helplessness. Unable to care for or protect herself, she must compensate for the failures of adult care and protection with the only means at her disposal, an immature system of psychological defenses.

Our lives are determined less by our childhood than by the traumatic way we have learned to remember our childhoods.

Dissociation is the common response of children to repetitive, overwhelming trauma and holds the untenable knowledge out of awareness. The losses and the emotions engendered by the assaults on soul and body cannot, however be held indefinitely. In the absence of effective restorative experiences, the reactions to trauma will find expression. As the child gets older, he will turn the rage in upon himself or act it out on others, else it all will turn into madness.

I wanted to share with Black Americans the beautiful and empowering aspects of Africa.

There is a moment in our healing journey when our denial crumbles; we realize our experience and it's continued effects on us won't "just go away". That's our breakthrough moment. It's the sun coming out to warm the seeds of hope so they can grow our personal garden of empowerment.

I worked hard at fitting in and becoming an American, but then I discovered that being an American was not enough. I had to be a Black American because that’s how Americans, especially whites, saw me.

The ORDINARY RESPONSE TO ATROCITIES is to banish them from consciousness. Certain violations of the social compact are too terrible to utter aloud: this is the meaning of the word unspeakable. Atrocities, however, refuse to be buried. Equally as powerful as the desire to deny atrocities is the conviction that denial does not work. Folk wisdom is filled with ghosts who refuse to rest in their graves until their stories are told. Murder will out. Remembering and telling the truth about terrible events are prerequisites both for the restoration of the social order and for the healing of individual victims. The conflict between the will to deny horrible events and the will to proclaim them aloud is the central dialectic of psychological trauma. People who have survived atrocities often tell their stories in a highly emotional, contradictory, and fragmented manner that undermines their credibility and thereby serves the twin imperatives of truth-telling and secrecy. When the truth is finally recognized, survivors can begin their recovery. But far too often secrecy prevails, and the story of the traumatic event surfaces not as a verbal narrative but as a symptom. 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. The dialectic of trauma gives rise to complicated, sometimes uncanny alterations of consciousness, which George Orwell, one of the committed truth-tellers of our century, called "doublethink," and which mental health professionals, searching for calm, precise language, call "dissociation." It results in protean, dramatic, and often bizarre symptoms of hysteria which Freud recognized a century ago as disguised communications about sexual abuse in childhood. . . .

She's terrified that all these sensations and images are coming out of her — but I think she's even more terrified to find out why." Carla's description was typical of survivors of chronic childhood abuse. Almost always, they deny or minimize the abusive memories. They have to: it's too painful to believe that their parents would do such a thing.

The initial trauma of a young child may go underground but it will return to haunt us.

Sometimes it was like Neil was from an alien planet, where people never asked for or shared anything emotional without deeply apologizing first. He assured me that he was simply British. And that we Americans, with all of our loud oversharing and need for random hugs and free admissions to people we've just met of deep, traumatic childhood wounds looks just as alien to them.

Some of your childhood traumas may be remembered with incredible clarity, while others are so frightening or incomprehensible that your conscious mind buries the memory in your unconscious.

Secure attachment has been linked to a child's ability to successfully recover and prove resilient in the presence of a traumatic event.

In Simon's eyes, he was the most beautiful creature walking on God's Earth.

when traumatic events are of human design, those who bear witness are caught in the conflict between victim and perpetrator. All the perpetrator asks is that the bystander do nothing. He appeals to the universal desire to see, hear, and speak no evil. The victim, on the contrary, asks the bystander to share the burden of pain. The victim demands action, engagement and remembering.

Traumatic experiences in early childhood may interfere with the child's ability to securely attach.

We keep our heads down and work hard, believing that our diligence will reward us with our dignity, but our diligence will only make us disappear. By not speaking up, we perpetuate the myth that our shame is caused by our repressive culture and the country we fled, whereas America has given us nothing but opportunity. The lie that Asians have it good is so insidious that even now as I write, I’m shadowed by doubt that I didn’t have it bad compared to others. but racial trauma is not a competitive sport. The problem is not that my childhood was exceptionally traumatic but that it was in fact rather typical. Most white Americans can only understand racial trauma as a spectacle.

It was Cathy who taught me the true meaning of the word “risk.” Whenever I see that word written or hear it spoken, I see her face. I see her faith. I see her love and her youth when she took on this challenge. She perceived a need and didn’t wait for everything to fall into place before doing something about it. She did not wait until someone wrote the manual on How to be a Mother to a 19-Year-Old African Orphan When You’re Only 23.

Coming to terms with incest is not easy. Learning to be a survivor, not a victim, gives new meaning to life

Early relational trauma results from the fact that we are often given more to experience in this life than we can bear to experience consciously. This problem has been around since the beginning of time, but it is especially acute in early childhood where, because of the immaturity of the psyche and/or brain, we are ill-equipped to metabolize our experience. An infant or young child who is abused, violated or seriously neglected by a caretaking adult is overwhelmed by intolerable affects that are impossible for it to metabolize, much less understand or even think about.

Even the youngest must have known they were now steaming away from the country of their birth, never to return. They’d all suffered through the trauma of the war and the loss of their parents and were presently being further traumatized by their banishment to Australia.

Being in a state of denial is a universally human response to situations which threaten to overwhelm. People who were abused as children sometimes carry their denial like precious cargo without a port of destination. It enabled us to survive our childhood experiences, and often we still live in survival mode decades beyond the actual abuse. We protect ourselves to excess because we learned abruptly and painfully that no one else would.

So began a divorce between his body and brain that would be problematical for Simon in the years to come.

One of the leading techniques that is used in trauma integration involves a process where you consciously revisit traumatizing memories, rescue your childhood self out of each of those memories, and then bring those childhood versions of you to a safe space where you then reparent them.

The problem is that children believe what adults say and once they're adults themselves they exact their revenge by deceiving their own children. "Life has meaning and we grown-ups know what it is" is the universal lie that everyone is supposed to believe. Once you become an adult and you realize that's not true it's too late. The mystery remains intact but all your available energy has long ago been wasted on stupid things. All that's left is to anesthetize yourself by trying to hide the fact that you can't find any meaning in your life and then the better to convince yourself you deceive your own children. ... People aim for the stars and they end up like goldfish in a bowl. I wonder if it wouldn't be simpler just to teach children right from the start that life is absurd. That might deprive you of a few good moments in your childhood but it would save you a considerable amount of time as an adultnot to mention the fact that you'd be spared at least one traumatic experience i.e. the goldfish bowl.

Those who were molested or beaten as children or teenagers might later be vulnerable to sexual abuse or violence, because their natural impulses to protect themselves and protest (physical and verbal) were extinguished. Expectation of hurtful treatment by others or one's own failed capabilities can stubbornly persist despite overwhelming evidence that such is no longer the case.

Edward sat down on the bench and looked at the horses grazing behind the pasture fence. Even though horses weren’t needed at the vineyard anymore, he’d insisted that a team be kept here and work as they had done when he was the foreman of the vineyard. This affected the productivity of the farm, but he didn’t care. The horses had been a source of comfort for him, and he’d kept them here for this very moment.

Poor kid, thought Simon. Would I be in that hidden anguish were it not for Daniel?

The eyes! Cold and calculating, hard grey eyes, with the feel of a malevolent intelligence behind them.

Carla's description was typical of survivors of chronic childhood abuse. Almost always, they deny or minimize the abusive memories. They have to: it's too painful to believe that their parents would do such a thing. So they fragment the memories into hundreds of shards, leaving only acceptable traces in their conscious minds. Rationalizations like "my childhood was rough," "he only did it to me once or twice," and "it wasn't so bad" are common, masking the fact that the abuse was devastating and chronic. But while the knowledge, body sensations, and feelings are shattered, they are not forgotten. They intrude in unexpected ways: through panic attacks and insomnia, through dreams and artwork, through seemingly inexplicable compulsions, and through the shadowy dread of the abusive parent. They live just outside of consciousness like noisy neighbors who bang on the pipes and occasionally show up at the door.

One in four girls will experience sexual abuse by the time she is sixteen, and 48 percent of all rapes involve a young woman under the age of eighteen. It’s not surprising then, that in a society where sexual abuse of young women is rampant, many women never share their stories. They remain hidden and invisible.

The primary driver to pathological dissociation is attachment disorganization in early life: when that is followed by severe and repeated trauma, then a major disorder of structural dissociation is created (Lyons-Ruth, Dutra, Schuder, & Bianchi, 2006).

Cruelty is the opposite of love, and its traumatic effect, far from being reduced, is actually reinforced if it is presented as a sign of love.

Many deeply hidden memories have come flooding back. The important message here though is that it is possible to heal and survive. Everyone has survived their own kind of emotional or mental trauma. We all have our inner fears and misreplaced feelings of guilt.

Those who are repetitively traumatized in childhood often learn to survive by over-using one or two of the 4F Reponses. Fixation in any one 4F response not only limits our ability to access all the others, but also severely impairs our ability to relax into an undefended state. Additionally, it strands us in a narrow, impoverished experience of life.

Children who are resilient often have an appearance of a Teflon coating: nothing seems to faze these children.

Did losing virginity have to be with the opposite sex? Had Daniel lost his virginity with him, Simon?

Childhood trauma can range from having faces extreme violence and neglect to having confronted feelings of not belonging, being unwanted, or being chronically misunderstood. You may have grown up in an environment where your curiosity and enthusiasm were constantly devalued. Perhaps you were brought up in a family where your parents had unresolved traumas of their own, which impaired their ability to attend to your emotional needs. Or, you may have faced vicious sexual or physical attacks. In all such situations, you learn to compensate by developing defenses around your most vulnerabe parts.

I’m such a negative person, and always have been. Was I born that way? I don’t know. I am constantly disgusted by reality, horrified and afraid. I cling desperately to the few things that give me some solace, that make me feel good. I hate most of humanity. Though I might be very fond of particular individuals, humanity in general fills me with contempt and despair. I hate most of what passes for civilization. I hate the modern world. For one thing there are just too Goddamn many people. I hate the hordes, the crowds in their vast cities, with all their hateful vehicles, their noise and their constant meaningless comings and goings. I hate cars. I hate modern architecture. Every building built after 1955 should be torn down! I despise modern music. Words cannot express how much it gets on my nerves – the false, pretentious, smug assertiveness of it. I hate business, having to deal with money. Money is one of the most hateful inventions of the human race. I hate the commodity culture, in which everything is bought and sold. No stone is left unturned. I hate the mass media, and how passively people suck up to it. I hate having to get up in the morning and face another day of this insanity. I hate having to eat, shit, maintain the body – I hate my body. The thought of my internal functions, the organs, digestion, the brain, the nervous system, horrify me. Nature is horrible. It’s not cute and loveable. It’s kill or be killed. It’s very dangerous out there. The natural world is filled with scary, murderous creatures and forces. I hate the whole way that nature functions. Sex is especially hateful and horrifying, the male penetrating the female, his dick goes into her hole, she’s impregnated, another being grows inside her, and then she must go through a painful ordeal as the new being pushes out of her, only to repeat the whole process in time. Reproduction – what could be more existentially repulsive? How I hate the courting ritual. I was always repelled by my own sex drive, which in my youth never left me alone. I was constantly driven by frustrated desires to do bizarre and unacceptable things with and to women. My soul was in constant conflict about it. I never was able to resolve it. Old age is the only relief. I hate the way the human psyche works, the way we are traumatized and stupidly imprinted in early childhood and have to spend the rest of our lives trying to overcome these infantile mental fixations. And we never ever fully succeed in this endeavor. I hate organized religions. I hate governments. It’s all a lot of power games played out by ambition-driven people, and foisted on the weak, the poor, and on children. Most humans are bullies. Adults pick on children. Older children pick on younger children. Men bully women. The rich bully the poor. People love to dominate. I hate the way humans worship power – one of the most disgusting of all human traits. I hate the human tendency towards revenge and vindictiveness. I hate the way humans are constantly trying to trick and deceive one another, to swindle, to cheat, and take unfair advantage of the innocent, the naïve and the ignorant. I hate the vacuous, false, banal conversation that goes on among people. Sometimes I feel suffocated; I want to flee from it. For me, to be human is, for the most part, to hate what I am. When I suddenly realize that I am one of them, I want to scream in horror.

Complexly traumatized children need to be helped to engage their attention in pursuits that do not remind them of trauma-related triggers and that give them a sense of pleasure and mastery. Safety, predictability, and "fun" are essential for the establishment of the capacity to observe what is going on, put it into a larger context, and initiate physiological and motoric self-regulation.

Changes in the Perception of Self: People who have been traumatized in childhood are often troubled by guilt, shame, and negative feelings about themselves, such as the belief they are unlikable, unlovable, stupid, inept, dirty, worthless, lazy, and so forth. In Complex Dissociative disorders there are typically particular parts that contain these negative feelings about the self while other parts may evaluate themselves quite differently. Alterations among parts thus may result in rather rapid and distinct changes in self perception.

The traumatic stress field has adopted the term “Complex Trauma” to describe the experience of multiple and/or chronic and prolonged, developmentally adverse traumatic events, most often of an interpersonal nature (e.g., sexual or physical abuse, war, community violence) and early-life onset. These exposures often occur within the child’s caregiving system and include physical, emotional, and educational neglect and child maltreatment beginning in early childhood - Developmental Trauma Disorder

We must become aware of the astonishing fact that as a species we are the victims of an instance of traumatic abuse in childhood. As human beings, we once had a symbiotic relationship with the world-girdling intelligence of the planet that was mediated through shamanic plant use. This relationship was disrupted and eventually lost by the progressive climatic drying of the Eurasian and African land masses.

... sexual abuse by the mother is considered to he one of the most traumatic forms of abuse. In some ways it's the ultimate betrayal.

This is the difference between traumatic memory and ordinary memory. Traumatic memory stays vivid.

Simon could hardly explain that he had attacked Sidney because he was too scared to attack Barry Spence.

My traumatic experience was life changing

I warned myself against the danger of compassion in this case. How easy it would be to imagine the traumas of childhood that might have deformed her into the moral monster she had become, and then to convince myself that those traumas could be balanced - and their effects reversed - by sufficient acts of kindness.

It turned out that for every category of traumatic experience you went through as a kid, you were radically more likely to become depressed as an adult. If you had six categories of traumatic events in your childhood, you were five times more likely to become depressed as an adult than somebody who didn’t have any. If you had seven categories of traumatic event as a child, you were 3,100 percent more likely to attempt to commit suicide as an adult.

The worst thing about having been traumatized with the look in childhood is that we can erroneously transfer and project our memory of it onto other people when we are triggered. We are especially prone to doing this with authority figures or people that resemble our parents, even when they are not sporting the look. Internal

A refusal on the part of psychiatrists and therapists to validate the horrors of their patients' tortured past implies a refusal to take seriously the unconscious psychological mechanisms that individuals need to use to protect themselves from the unspeakable. Such a denial is, however, no longer ethical, for it is in the human capacity to dissociate that lies part of the secret of both childhood abuse and the horrors of the Nazi genocide, both forms of human violence so often carried out by 'respectable' men and women.

Psychologists call the everyday occurrences of my and Lindsay’s life “adverse childhood experiences,” or ACEs. ACEs are traumatic childhood events, and their consequences reach far into adulthood. The trauma need not be physical. The following events or feelings are some of the most common ACEs: • being sworn at, insulted, or humiliated by parents • being pushed, grabbed, or having something thrown at you

It’s important to realize that childhood experiences of profound helplessness can feel traumatic, causing people to later react to adult feelings of helplessness with sensations of collapse and a feeling of “There’s nothing I can do, and no one will help me.” As children, sensitive internalizers can be so affected by this feeling that later they’re prone to feeling like victims with no control, at the mercy of powerful people who refuse to give them what they desperately need.

By the time Cheryl Hersha came to the facility, knowledge of multiple personality was so complete that doctors understood how the mind separated into distinct ego states, each unaware of the other. First, the person traumatized had to be both extremely intelligent and under the age of seven, two conditions not yet understood though remaining consistent as factors. The trauma was almost always of a sexual nature… (p52)

Because the “traumatic” view of early years so controls psychological theory of personality and its development, the focus of our rememberings and the language of our personal story telling have already been infiltrated by the toxins of these theories. Our lives may be determined less by our childhood than by the way we have learned to imagine our childhoods. We are, this book shall maintain, less damaged by the traumas of childhood than by the traumatic way we remember childhood as a time of unnecessary and externally caused calamities that wrongly shaped us.

Origins Of Cptsd How do traumatically abused and/or abandoned children develop Cptsd? While the origin of Cptsd is most often associated with extended periods of physical and/or sexual abuse in childhood, my observations convince me that ongoing verbal and emotional abuse also causes it. Many dysfunctional parents react contemptuously to a baby or toddler’s plaintive call for connection and attachment. Contempt is extremely traumatizing to a child, and at best, extremely noxious to an adult. Contempt is a toxic cocktail of verbal and emotional abuse, a deadly amalgam of denigration, rage and disgust. Rage creates fear, and disgust creates shame in the child in a way that soon teaches her to refrain from crying out, from ever asking for attention. Before long, the child gives up on seeking any kind of help or connection at all. The child’s bid for bonding and acceptance is thwarted, and she is left to suffer in the frightened despair of abandonment. Particularly abusive parents deepen the abandonment trauma by linking corporal punishment with contempt. Slaveholders and prison guards typically use contempt and scorn to destroy their victims’ self-esteem. Slaves, prisoners, and children, who are made to feel worthless and powerless devolve into learned helplessness and can be controlled with far less energy and attention. Cult leaders also use contempt to shrink their followers into absolute submission after luring them in with brief phases of fake unconditional love.

July 15, 1991 Nita: My mother was a paragon of our neighborhood, People always come up to us with hugs, saying "You have the most wonderful mother." l'd think. “Don't you see what's going on in this house?” To this day, if somehow even in jest raises their hand to me, I will do this (raises hands to protect face and cowers) I cringe. Then they look at me like, what's your probem? You don't get that from a great childhood.

If someone is badly hurt at some point in life—traumatized—the dominance counter can transform in a manner that makes additional hurt more rather than less likely. This often happens in the case of people, now adults, who were viciously bullied during childhood or adolescence. They become anxious and easily upset. They shield themselves with a defensive crouch, and avoid the direct eye contact interpretable as a dominance challenge. This means that the damage caused by the bullying (the lowering of status and confidence) can continue, even after the bullying has ended.25 In the simplest of cases, the formerly lowly persons have matured and moved to new and more successful places in their lives. But they don’t fully notice. Their now-counterproductive physiological adaptations to earlier reality remain, and they are more stressed and uncertain than is necessary. In more complex cases, a habitual assumption of subordination renders the person more stressed and uncertain than necessary, and their habitually submissive posturing continues to attract genuine negative attention from one or more of the fewer and generally less successful bullies still extant in the adult world. In such situations, the psychological consequence of the previous bullying increases the likelihood of continued bullying in the present (even though, strictly speaking, it wouldn’t have to, because of maturation, or geographical relocation, or continued education, or improvement in objective status).

Dissociation -the common factor in all types of post-traumatic syndromes- is facilitated by violation of boundaries by relational omission and intrusion as represented by distinct effects and consequences of childhood neglect and abuse.

He loves me so he hurts me To try and make me good. It doesn't work. I'm just too bad And don't do what I should. My memory has so many different sections and, like all survivors, there are so many compartments with so many triggers. I'll remember a smell which reminds me of a man which reminds me of a place which reminds me of another man who I think was with a woman who had a certain smell — and I'm back to square one. This is the case for most survivors, I believe. When we try to put together our pasts, the triggers are many and varied, the memories are disjointed — and why wouldn't they be? We were children. Even someone with an idyllic childhood who is only trying to remember the lovely things which happened to them will scratch their head and wonder who gave them that doll and was it for Christmas or their third birthday? Did they have a party when they were four or five? When did they go on a plane for the first time? You see, even happy memories are hard to piece together — so imagine how hard it is to collate all of the trauma, to pull together all of the things I've been trying to push away for so many years.

Dissociative identity disorder is conceptualized as a childhood onset, posttraumatic developmental disorder in which the child is unable to consolidate a unified sense of self. Detachment from emotional and physical pain during trauma can result in alterations in memory encoding and storage. In turn, this leads to fragmentation and compartmentalization of memory and impairments in retrieving memory.2,4,19 Exposure to early, usually repeated trauma results in the creation of discrete behavioral states that can persist and, over later development, become elaborated, ultimately developing into the alternate identities of dissociative identity disorder.

It is lonely behind these boundaries. Some people-particularly those whom psychiatrists call schizoid-because of unpleasant, traumatizing experiences in childhood, perceive the world outside of themselves as unredeemably dangerous, hostile, confusing and unnurturing. Such people feel their boundaries to be protecting and comforting and find a sense of safety in their loneliness. But most of us feel our loneliness to be painful and yearn to escape from behind the walls of our individual identities to a condition in which we can be more unified with the world outside of ourselves. The experience of falling in love allows us this escapetemporarily. The essence of the phenomenon of falling in love is a sudden collapse of a section of an individual's ego boundaries, permitting one to merge his or her identity with that of another person. The sudden release of oneself from oneself, the explosive pouring out of oneself into the beloved, and the dramatic surcease of loneliness accompanying this collapse of ego boundaries is experienced by most of us as ecstatic. We and our beloved are one! Loneliness is no more! In some respects (but certainly not in all) the act of falling in love is an act of regression. The experience of merging with the loved one has in it echoes from the time when we were merged with our mothers in infancy. Along with the merging we also reexperience the sense of omnipotence which we had to give up in our journey out of childhood. All things seem possible! United with our beloved we feel we can conquer all obstacles. We believe that the strength of our love will cause the forces of opposition to bow down in submission and melt away into the darkness. All problems will be overcome. The future will be all light. The unreality of these feelings when we have fallen in love is essentially the same as the unreality of the two-year-old who feels itself to be king of the family and the world with power unlimited. Just as reality intrudes upon the two-year-old's fantasy of omnipotence so does reality intrude upon the fantastic unity of the couple who have fallen in love. Sooner or later, in response to the problems of daily living, individual will reasserts itself. He wants to have sex; she doesn't. She wants to go to the movies; he doesn't. He wants to put money in the bank; she wants a dishwasher. She wants to talk about her job; he wants to talk about his. She doesn't like his friends; he doesn't like hers. So both of them, in the privacy of their hearts, begin to come to the sickening realization that they are not one with the beloved, that the beloved has and will continue to have his or her own desires, tastes, prejudices and timing different from the other's. One by one, gradually or suddenly, the ego boundaries snap back into place; gradually or suddenly, they fall out of love. Once again they are two separate individuals. At this point they begin either to dissolve the ties of their relationship or to initiate the work of real loving.

Many people with Dissociative Disorders are very creative and used their creative capacities to help them cope with childhood trauma.p55

Like Jocelyn, Survivors often think: * That’s just the way I am * I’m not lovable, that’s why I keep having disastrous relationships * I’m not very clever, that’s why I didn’t do well at school * I’m a loner * I’m a weak person * I’m not very nice * I was a difficult child Many survivors find it difficult to accept that being sexually abused as a child can continue to affect them many years later. It may seem too fantastic, or too frightening an idea to believe. David Finkelhor, an American researcher, has tried to explain how sexual abuse affects a child and leads to long-term problems. He suggests four ways in which childhood sexual abuse causes problems: 1 Traumatic Sexualization 2 Stigmatization 3 Betrayal 4 Powerlessness

The lie that Asians have it good is so insidious that even now as I write, I’m shadowed by doubt that I didn’t have it bad compared to others. But racial trauma is not a competitive sport. The problem is not that my childhood was exceptionally traumatic but that it was in fact rather typical.

Other personalities are created to handle new traumas, their existence usually occurring one at a time. Each has a singular purpose and is totally focused on that task. The important aspect of the mind's extreme dissociation is that each ego state is totally without knowledge of the other. Because of this, the researchers for the CIA and the Department of Defense believed they could take a personality, train him or her to be a killer and no other ego stares would be aware of the violence that was taking place. The personality running the body would be genuinely unaware of the deaths another personality was causing. Even torture could not expose the with, because the personality experiencing the torture would have no awareness of the information being sought. Earlier, such knowledge was gained from therapists working with adults who had multiple personalities. The earliest pioneers in the field, such as Dr. Ralph Alison, a psychiatrist then living in Santa Cruz, California, were helping victims of severe early childhood trauma. Because there were no protocols for treatment, the pioneers made careful notes, publishing their discoveries so other therapists would understand how to help these rare cases. By 1965, the information was fairly extensive, including the knowledge that only unusually intelligent children become multiple personalities and that sexual trauma endured by a restrained child under the age of seven is the most common way to induce hysteric dissociation.

Early traumatization is a major risk factor for more severe symptoms that persist over time. Thus childhood traumatization plays a central role in the development of trauma-related disorders in children and adults.

Dissociation is the ultimate form of human response to chronic developmental stress, because patients with dissociative disorders report the highest frequency of childhood abuse and/or neglect among all psychiatric disorders. The cardinal feature of dissociation is a disruption in one or more mental functions. Dissociative amnesia, depersonalization, derealization, identity confusion, and identity alterations are core phenomena of dissociative psychopathology which constitute a single dimension characterized by a spectrum of severity. Clinical Psychopharmacology and Neuroscience 2014 Dec; 12(3): 171-179 The Many Faces of Dissociation: Opportunities for Innovative Research in Psychiatry

Although the idea has been around for ages, most depressed people do not really comprehend it. If you feel depressed, you may think it is because of bad things that have happened to you. You may think you are inferior and destined to be unhappy because you failed in your work or were rejected by someone you loved. You may think your feelings of inadequacy result from some personal defect—you may feel convinced you are not smart enough, successful enough, attractive enough, or talented enough to feel happy and fulfilled. You may think your negative feelings are the result of an unloving or traumatic childhood, or bad genes you inherited, or a chemical or hormonal imbalance of some type. Or you may blame others when you get upset: “It’s these lousy stupid drivers that tick me off when I drive to work! If it weren’t for these jerks, I’d be having a perfect day!” And nearly all depressed people are convinced that they are facing some special, awful truth about themselves and the world and that their terrible feelings are absolutely realistic and inevitable. Certainly all these ideas contain an important gem of truth—bad things do happen, and life beats up on most of us at times. Many people do experience catastrophic losses and confront devastating personal problems. Our genes, hormones, and childhood experiences probably do have an impact on how we think and feel. And other people can be annoying, cruel, or thoughtless. But all these theories about the causes of our bad moods have the tendency to make us victims—because we think the causes result from something beyond our control. After all, there is little we can do to change the way people drive at rush hour, or the way we were treated when we were young, or our genes or body chemistry (save taking a pill). In contrast, you can learn to change the way you think about things, and you can also change your basic values and beliefs. And when you do, you will often experience profound and lasting changes in your mood, outlook, and productivity. That, in a nutshell, is what cognitive therapy is all about. The theory is straightforward

Many of the clients who come through my door have never had a safe enough relationship. Repetition compulsion drives them to unconsciously seek out relationships in adulthood that traumatically reenact the abusive and/or abandoning dynamics of their childhood caretakers

Brain scans prove that patients who’ve sustained significant childhood trauma have brains that look different from people who haven’t. Traumatized brains tend to have an enlarged amygdala—a part of the brain that is generally associated with producing feelings of fear. Which makes sense. But it goes further than that: For survivors of emotional abuse, the part of their brain that is associated with self-awareness and self-evaluation is shrunken and thin. Women who’ve suffered childhood sexual abuse have smaller somatosensory cortices—the part of the brain that registers sensation in our bodies. Victims who were screamed at might have an altered response to sound. Traumatized brains can result in reductions in the parts of the brain that process semantics, emotion and memory retrieval, perceiving emotions in others, and attention and speech. Not getting enough sleep at night potentially affects developing brains’ plasticity and attention and increases the risk of emotional problems later in life. And the scariest factoid, for me anyway: Child abuse is often associated with reduced thickness in the prefrontal cortex, the part of the brain associated with moderation, decision-making, complex thought, and logical reasoning. Brains do have workarounds. There are people without amygdalae who don’t feel fear. There are people who have reduced prefrontal cortices who are very logical. And other parts of the brain can compensate, make up the lost parts in other ways. But overall, when I looked at the breadth of evidence, the results felt crushing. The fact that the brain’s cortical thickness is directly related to IQ was particularly threatening to me. Even if I wasn’t cool, or kind, or personable, I enjoyed the narrative that I was at least effective. Intelligent. What these papers seemed to tell me is that however smart I am, I’m not as smart as I could have been had this not happened to me. The questions arose again: Is this why my pitches didn’t go through? Is this why my boss never respected me? Is this why I was pushed to do grunt work in the back room?

When a child is traumatized, something more discrete and more specific happens than a general loss of capacity for love and work. An ever-present, ever-draining abscess forms. The child goes on living an ordinary life. But if something touches the traumatic "abscess," the child hurts.

The indignity of being Asian in this country has been underreported. We have been cowed by the lie that we have it good. We keep our heads down and work hard, believing that our diligence will reward us with our dignity, but our diligence will only make us disappear. By not speaking up, we perpetuate the myth that our shame is caused by our repressive culture and the country we fled, whereas America has given us nothing but opportunity. The lie that Asians have it good is so insidious that even now as I write, I'm shadowed by doubt that I didn't have it bad compared to others. But racial trauma is not a competitive sport. The problem is not that my childhood was exceptionally traumatic but that it was in fact rather typical.

All our family acquaintances have followed the same path: their youth spent trying to make the most of their intelligence, squeezing their studies like a lemon to make sure they'd secure a spot among the elite, then the rest of their lives wondering with a flabbergasted look on their faces why all that hopefulness has led to such a vain existence. People aim for the stars, and they end up like goldfish in a bowl. I wonder if it wouldn't be simpler just to teach children right from the start that life is absurd. That might deprive you of a few good moments in your childhood but it would save you a considerable amount of time as an adult - not to mention the fact that you be spared at least one traumatic experience, i.e. the goldfish bowl.

SELFHOOD AND DISSOCIATION The patient with DID or dissociative disorder not otherwise specified (DDNOS) has used their capacity to psychologically remove themselves from repetitive and inescapable traumas in order to survive that which could easily lead to suicide or psychosis, and in order to eke some growth in what is an unsafe, frequently contradictory and emotionally barren environment. For a child dependent on a caregiver who also abuses her, the only way to maintain the attachment is to block information about the abuse from the mental mechanisms that control attachment and attachment behaviour.10 Thus, childhood abuse is more likely to be forgotten or otherwise made inaccessible if the abuse is perpetuated by a parent or other trusted caregiver. In the dissociative individual, ‘there is no uniting self which can remember to forget’. Rather than use repression to avoid traumatizing memories, he/she resorts to alterations in the self ‘as a central and coherent organization of experience. . . DID involves not just an alteration in content but, crucially, a change in the very structure of consciousness and the self’ (p. 187).29 There may be multiple representations of the self and of others. Middleton, Warwick. "Owning the past, claiming the present: perspectives on the treatment of dissociative patients." Australasian Psychiatry 13.1 (2005): 40-49.

I look at my mother, connected by a breath of glimmering hope, her red and shadowed eyes reveal that some element of our whole being has been lost and, somehow, thrown away. Sob-gasp, sob-gasp, sob-gasp. Slowly, that feeling within me fades. But wisps of it stay with you, locked in the chambers of your mind, always.

There is something about being loved and protected by a parent (or guardian) knowing that I can be loved for who I am, not what I can do, or might one day become. Unfortunately it’s not usually like this in every single situation. From time to time, my parents made mistakes during my childhood. Possibly I was the mistake, or unwanted. But I don’t know. I had every material thing that I could have ever wanted, but there was still something missing, as if I felt distanced from my parents, or misunderstood, in the ways that they treated me. At times, I had felt completely loved and accepted by my parents, but for one reason or another, they were unable to care for me, provide for me, in some ways that would have been very important. Sometimes I feel like I am trying to make up for the experiences in life that were absent when I was a child.

You care, you really care for me!” “Of course,” Eric said. “How could you doubt it?” But it was not easy to believe that anyone cared for me; I sometimes failed to realize, I think, how much my parents cared for me. It is only now, reading the letters they wrote to me when I came to America fifty years ago, that I see how deeply they did care. And perhaps how deeply many others have cared for me—was the imagined lack of caring by others a projection of something deficient or inhibited in myself? I once heard a radio program devoted to the memories and thoughts of those who, like me, had been evacuated during the Second World War, separated from their families during their earliest years. The interviewer commented on how well these people had adjusted to the painful, traumatic years of their childhood. “Yes,” said one man. “But I still have trouble with the three Bs: bonding, belonging, and believing.” I think this is also true, to some extent, for me.

... the silent client may be experienced as withholding, oppositional, and sulking or as holding the therapist "hostage" in ways that elicit resentment and other negative responses. Because it is not unusual that relational and other forms of traumatization began when the client was preverbal, he or she may not have words. The lack of access to emotions or to words to describe them is known as alexithymia and is a common response to trauma. What the client is likely to have instead is somatosensory, behavioral, dissociative, and relational manifestations that therapists must seek to understand and translate into words, a process that involves hard work and intense focus.

There are two types of memory frequently experienced by individuals who have had overwhelming trauma that has been suppressed psychologically or chemically. The first is general memory, experienced as an adult, in which there is a natural recall of early events. The other is the memory that is often associated with post traumatic stress syndrome (PTSS). The person suddenly smells, sees and feels as though he or she is actually living the event that took place months or years earlier. Many soldiers who survived horrifying combat experiences have PTSS. This has frequently been discussed in terms of Vietnam veterans who suddenly mentally find themselves in the jungle, hiding from the enemy or assaulting people they see as a threat. The fact that they have not been in Vietnam for decades and that they are experiencing the flashbacks in shopping malls, at home or at work does not change what they are mentally reliving. But PTSS has existed for centuries and has affected men, women and children in the midst of all wars, horrifying natural disasters and other traumatic experiences. This includes physical and sexual abuse when growing up. the PTSS Cheryl was experiencing more and more frequently, in which she found herself seeing, feeling and re-experiencing events from her childhood and adolescence had become overwhelming. She knew she needed to get help.

Interestingly, traumatic stress early in life (abuse, for example) greatly increases the risk of IBS in adulthood. This implies that childhood trauma can leave an echo of vulnerability, a large intestine that is hyperreactive to stress, long afterward.

Enhanced by our powerful brains, something as artificial and arbitrary as a deadline can easily be mistaken for a death-threat, triggering our traumatic memories of childhood helplessness, which in turn trigger the mindless reflex of the stress-response.

I need to ask, are you afraid of spiders?" Nicholas blinked, suddenly caught off guard, "Yes, I'm afraid of spiders." "Were you always?" "What are you, a psychiatrist?" Pritam took a breath. He could feel Laine's eyes on him, appraising his line of questioning. "Is it possible that the trauma of losing your best friend as a child and the trauma of losing your wife as an adult and the trauma of seeing Laine's husband take his life in front of you just recently..." Pritam shrugged and raised his palms, "You see where I'm going?" Nicholas looked at Laine. She watched back. Her gray eyes missed nothing. "Sure," agreed Nicholas, standing. "And my sister's nuts, too, and we both like imagining that little white dogs are big nasty spiders because our daddy died and we never got enough cuddles." "Your father died?" asked Laine. "When?" "Who cares?" Pritam sighed. "You must see this from our point of - " "I'd love to!" snapped Nicholas. "I'd love to see it from your point of view, because mine is not that much fun! It's insane! It's insane that I see dead people, Pritam! It's insane that this," he flicked out the sardonyx necklace,"stopped me from kidnapping a little girl!" "That's what you believe," Pritam said carefully. "That's what I fucking believe!" Nicholas stabbed his finger through the air at the dead bird talisman lying slack on the coffee table.

DID is understood as a developmental failure by a traumatized child - younger than age 5-6 to establish a unified sense of self across states and contexts. Repeated severe traumatic experiences, primarily at the hands of caregivers, disrupt unification of self through the creation of extreme states.

One hundred twenty-nine women with documented histories of sexual victimization in childhood were interviewed and asked about abuse history. Seventeen years following the initial report of the abuse, 80 of the women recalled the victimization. One in 10 women (16% of those who recalled the abuse) reported that at some time in the past they had forgotten about the abuse. Those with a prior period of forgetting--the women with "recovered memories"--were younger at the time of abuse and were less likely to have received support from their mothers than the women who reported that they had always remembered their victimization. The women who had recovered memories and those who had always remembered had the same number of discrepancies when their accounts of the abuse were compared to the reports from the early 1970s. Recovered memories of abuse in women with documented child sexual victimization histories. Journal of Traumatic Stress. 1995 Oct;8(4):649-73.

While focus has been on child exploitation and sexual abuse at a global, I cannot stop expressing the importance of having conversations within our very own families. Conversations of actions. Conversations of awareness. Conversations of safety. Conversations of protection. Conversations of transparency. Conversations of accountability. Conversations of consequences. Conversations of support. Kids grow into adults and are often left to tackIe the effects of trauma on their own. When someone comes out, stop asking them why they waited. Or, call them a liar. Or, say they are crazy. Or, treat them like they are the abuser. Or, keep them ostracized as the outcast. These familial defense mechanisms only continue to add to the trauma and abuse. We need to create a culture within our families where our children - and children turned adults - don't feel so voiceless and unprotected when confiding in their truth. It's never too late to have these difficult conversations. Please have them.

I'll always remember being called by my mother who beckoned me to look at the screen where a young man was being tortured by the church. Bag over his head, rolling on the ground, crying, suffocating, vomiting while the congression continues yelling chants, “God will save you!” treating him like the devil's child. It was the first time I’ve ever doubted God. First time I’ve ever heard the terms ‘Gays, and ‘Queers.’ I went through a lot in my childhood, but this was the first I’ve ever been so traumatized. My mom tells me they deserved it and the church tries to justify their actions as if it was the most intelligent excuse in the world. At 12 years old, I knew only one thing. I would never be like them.

Why does the nature of the traumatic event exert so much influence over whether what happened will be remembered in words? It appears that sudden, fast events completely overcome any defenses that a small child can muster. Long-standing events, on the other hand, stimulate defensive operations—denial, splitting, self-anesthesia, and dissociation. These defenses interfere with memory formation, storage, and retrieval. When the defenses are completely overrun by one sudden, unanticipated terror, brilliant, overly clear verbal memories are the result. On the other hand, when the defenses are set up in advance in order to deal with the terrors the child knows to be coming, blurry, partial, or absent verbal memories are retained. The child may even develop blanket amnesia for certain years in the past.

Brain scans prove that patients who’ve sustained significant childhood trauma have brains that look different from those of people who haven’t.[8] Traumatized brains tend to have an enlarged amygdala—a part of the brain that is generally associated with producing feelings of fear. Which makes sense. But it goes further than that: For survivors of emotional abuse, the part of their brain that is associated with self-awareness and self-evaluation is shrunken and thin. Women who’ve suffered childhood sexual abuse have smaller somatosensory cortices—the part of the brain that registers sensation in our bodies. Victims who were screamed at might have an altered response to sound. Trauma can result in reductions in the parts of the brain that process semantics, emotion and memory retrieval, perceiving emotions in others, and attention and speech. Not getting enough sleep at night potentially affects developing brains’ plasticity and attention and increases the risk of emotional problems later in life. And the scariest factoid, for me anyway: Child abuse is often associated with reduced thickness in the prefrontal cortex, the part of the brain associated with moderation, decision-making, complex thought, and logical reasoning.

Consider these traditional theories of domestic abuse: - Learned helplessness suggest that abused women learn to become helpless under abusive conditions; they are powerless to extricate themselves from such relationships and/or unable to make adaptive choices - The cycle of violence describes a pattern that includes a contrition or honeymoon phase. The abusive husband becomes contrite and apologetic after a violent episode, making concerted efforts to get back in his wife’s good graces. - Traumatic bonding attempts to explain the inexplicable bond that is formed between a woman and her abusive partner - The theory of past reenactments posits that women in abusive relationships are reliving unconscious feelings from early childhood scenarios. My research results and experience with patients do not conform to these concepts. I have found that the upscale abused wife is not a victim of learned helplessness. Rather, she makes specific decisions along the path to be involved in the abusive marriage, including silent strategizing as she chooses to stay or leave the marriage. Nor does the upscale abused wife experience the classic cycle of violence, replete with the honeymoon stage, in which the husband courts his wife to seek her forgiveness. As in the case of Sally and Ray, the man of means actually does little to seek his wife’s forgiveness after a violent episode. Further, the upscale abused wife voices more attachment to her lifestyle than the traumatic bonding with her abusive mate. And very few of the abused women I have met over the years experienced abuse in their childhoods or witnessed it between their parents. In fact, it is this lack of experience with violence, rage, and abuse that makes this woman even more overwhelmed and unclear about how to cope with something so alien to her and the people in her universe.

But a child who was merely pushed aside and disciplined, who never experienced soothing caresses, is not aware that anything like nonexploitative caresses can exist. She has no choice but to accept any closeness she is offered rather than be destroyed. Under certain circumstances she will even accept sexual abuse for the sake of finding at least some affection rather than freezing up entirely. When, as an adult woman, she comes to realize that she was cheated out of love, she may be ashamed of her former need and hence feel guilty. She will blame herself because she dare not blame her mother, who failed to satisfy the child’s need or perhaps even condemned it. Psychoanalysts protect the father and embroider the sexual abuse of the child with the Oedipus, or Electra, complex, while some feminist therapists idealize the mother, thus hindering access to the child’s first traumatic experiences with the mother. Both approaches can lead to a dead end, since the dissolving of pain and fear is not possible until the full truth of the facts can be seen and accepted.

tried to go to a counselor, but it was just too weird. Talking to some stranger about my feelings made me want to vomit. I did go to the library, and I learned that behavior I considered commonplace was the subject of pretty intense academic study. Psychologists call the everyday occurrences of my and Lindsay’s life “adverse childhood experiences,” or ACEs. ACEs are traumatic childhood events, and their consequences reach far into adulthood. The trauma need not be physical. The following events or feelings are some of the most common ACEs: •​being sworn at, insulted, or humiliated by parents •​being pushed, grabbed, or having something thrown at you •​feeling that your family didn’t support each other •​having parents who were separated or divorced •​living with an alcoholic or a drug user •​living with someone who was depressed or attempted suicide •​watching a loved one be physically abused. ACEs happen everywhere, in every community. But studies have shown that ACEs are far more common in my corner of the demographic world. A report by the Wisconsin Children’s Trust Fund showed that among those with a college degree or more (the non–working class), fewer than half had experienced an ACE. Among the working class, well over half had at least one ACE, while about 40 percent had multiple ACEs. This is really striking—four in every ten working-class people had faced multiple instances of childhood trauma. For the non–working class, that number was 29 percent. I gave a quiz to Aunt Wee, Uncle Dan, Lindsay, and Usha that psychologists use to measure the number of ACEs a person has faced. Aunt Wee scored a seven—higher even than Lindsay and me, who each scored a six. Dan and Usha—the two people whose families seemed nice to the point of oddity—each scored a zero. The weird people were the ones who hadn’t faced any childhood trauma. Children with multiple ACEs are more likely to struggle with anxiety and depression, to suffer from heart disease and obesity, and to contract certain types of cancers. They’re also more likely to underperform in school and suffer from relationship instability as adults. Even excessive shouting can damage a kid’s sense of security and contribute to mental health and behavioral issues down the road. Harvard pediatricians have studied the effect that childhood trauma has on the mind. In addition to later negative

The idea that John Lasseter pitched was called “Toy Story.” It sprang from a belief, which he and Jobs shared, that products have an essence to them, a purpose for which they were made. If the object were to have feelings, these would be based on its desire to fulfill its essence. The purpose of a glass, for example, is to hold water; if it had feelings, it would be happy when full and sad when empty. The essence of a computer screen is to interface with a human. The essence of a unicycle is to be ridden in a circus. As for toys, their purpose is to be played with by kids, and thus their existential fear is of being discarded or upstaged by newer toys. So a buddy movie pairing an old favorite toy with a shiny new one would have an essential drama to it, especially when the action revolved around the toys’ being separated from their kid. The original treatment began, “Everyone has had the traumatic childhood experience of losing a toy. Our story takes the toy’s point of view as he loses and tries to regain the single thing most important to him: to be played with by children. This is the reason for the existence of all toys. It is the emotional foundation of their existence.

Chronic abuse and neglect in childhood interfere with the proper wiring of sensory-integration systems. In some cases this results in learning disabilities, which include faulty connections between the auditory and word-processing systems, and poor hand-eye coordination. As long as they are frozen or explosive, it is difficult to see how much trouble the adolescents in our residential treatment programs have processing day-to-day information, but once their behavioral problems have been successfully treated, their learning disabilities often become manifest. Even if these traumatized kids could sit still and pay attention, many of them would still be handicapped by their poor learning skills.22

But it was not easy to believe that anyone cared for me; I sometimes failed to realize, I think, how much my parents cared for me. It is only now, reading the letters they wrote to me when I came to America fifty years ago, that I see how deeply they did care. And perhaps how deeply many others have cared for me—was the imagined lack of caring by others a projection of something deficient or inhibited in myself? I once heard a radio program devoted to the memories and thoughts of those who, like me, had been evacuated during the Second World War, separated from their families during their earliest years. The interviewer commented on how well these people had adjusted to the painful, traumatic years of their childhood. “Yes,” said one man. “But I still have trouble with the three Bs: bonding, belonging, and believing.” I think this is also true, to some extent, for me.

Everybody needs a place where they feel protected, secure, and welcome. Everybody yearns for a place where they can relax and be fully themselves. Ideally, the childhood home was one such place. For those of us who felt accepted and loved by our parents, our home provided this warmth. It was a heartwarming place—the very thing that everybody yearns for. And we internalize this feeling from childhood—that of being accepted and welcome—as a fundamental, positive attitude toward life that accompanies us through adulthood: we feel secure in the world and in our own life. We’re self-confident and trusting of others. There’s the notion of basic trust, which is like a home within ourselves, providing us with internal support and protection. Many people, however, associate their childhood with largely negative experiences, some even traumatic. Others had an unhappy childhood, but have repressed those memories. They can barely recall what happened. Then there are those who believe their childhood was “normal” or even “happy,” only to discover, upon closer examination, that they have been deluding themselves. And though people may attempt to repress or, as an adult, downplay childhood experiences of insecurity or rejection, there are moments in everyday life that will reveal how underdeveloped their basic trust remains. They have self-esteem issues and frequently doubt that they are welcome and that their coworkers, romantic partner, boss, or new friend truly likes them. They don’t really like themselves all that much, they have a range of insecurities, and they often struggle in relationships. Unable to develop basic trust, they therefore lack a sense of internal support. Instead, they hope that others will provide them with these feelings of security, protection, stability, and home. They search for home with their partner, their colleagues, in their softball league, or online, only to be disappointed: other people can provide this feeling of home sporadically at best. Those who lack a home on the inside will never find one on the outside. They can’t tell that they’re caught in a trap.

The narcissistic love match is inherently unstable. Any intrusion of reality can destabilize the relationship, leading to chronic or intermittent conflict, misery, trips to the couple counselor, or traumatic ruptures that bring the union to an end. When the narcissist can find support outside the relationship – career, family, friends, or other interests- that keep him or her feeling pumped up, the pressure on the partner may be minimal. But frustrations at work, job loss or retirement, disruptions in other needed relationships, and losses in status or rewards from other pipelines usually lead to more demands on the partner to pick up the slack. It is the nature of human beings to seek more satisfying solutions to life’s challenges over time and to strive toward a fully realized evolution of Self. Even a seed of emotional health wants to grow. Just as primary narcissism is a transient state in early childhood, so may narcissistic relationships be way stations on our journey to mature love. But sometimes the hard part is figuring out if, when, and how to move on.

Interactions with the world program our physiological and psychological development. Emotional contact is as important as physical contact. The two are quite analogous, as we recognize when we speak of the emotional experience of feeling touched. Our sensory organs and brains provide the interface through which relationships shape our evolution from infancy to adulthood. Social-emotional interactions decisively influence the development of the human brain. From the moment of birth, they regulate the tone, activity and development of the psychoneuroimmunoendocrine (PNI) super-system. Our characteristic modes of handling psychic and physical stress are set in our earliest years. Neuroscientists at Harvard University studied the cortisol levels of orphans who were raised in the dreadfully neglected child-care institutions established in Romania during the Ceausescu regime. In these facilities the caregiver/child ratio was one to twenty. Except for the rudiments of care, the children were seldom physically picked up or touched. They displayed the self-hugging motions and depressed demeanour typical of abandoned young, human or primate. On saliva tests, their cortisol levels were abnormal, indicating that their hypothalamic-pituitary-adrenal axes were already impaired. As we have seen, disruptions of the HPA axis have been noted in autoimmune disease, cancer and other conditions. It is intuitively easy to understand why abuse, trauma or extreme neglect in childhood would have negative consequences. But why do many people develop stress-related illness without having been abused or traumatized? These persons suffer not because something negative was inflicted on them but because something positive was withheld.

Kaffman (2009) described childhood victimization as a "silent epidemic", and Finkelhor, Turner, Ormrod, and Hamby (2010) reported that children are the most traumatized class of humans around the globe. The findings of these researchers are at odds with the view that children have protected status in most families, societies, and cultures. Instead, Finkelhor reports that children are prime targets and highly vulnerable, due principally to their small size, their physical and emotional immaturity with its associated lack of control, power and resources; and their related dependency on caregivers. They are subjected to many forms of exploitation on an ongoing basis, imposed on them by individuals with greater power, strength, knowledge, and resources, many of whom are, paradoxically and tragically, responsible for their care and welfare. These traumas are interpersonal in nature and involve personal transgression, violation and exploitation of the child by those who rely on the child's lesser physical abilities, innocence, and immaturity to intimidate, bully, confuse, blackmail, exploit, or otherwise coerce. In the worst-case scenario, a parent or other significant caregiver directly and repeatedly abuses a child or does not respond to or protect a child or other vulnerable individual who is being abused and mistreated and isolates the child from others through threats or with direct violence. Consequently, such an abusive, nonprotective, or malevolently exploitative circumstance (Chefetz has coined the term "attack-ment" to describe these dynamics) has a profound impact on victim's ability to trust others. It also affects the victim's identity and self-concept, usually in negative ways that include self-hatred, low self-worth, and lack of self-confidence. As a result, both relationships, and the individual's sense of self and internal states (feelings, thoughts, and perceptions) can become sources of fear, despair, rage, or other extreme dysphoria or numbed and dissociated reactions. This state of alienation from self and others is further exacerbated when the occurrence of abuse or other victimization involves betrayal and is repeated and becomes chronic, in the process leading the victim to remain in a state of either hyperarousal/anticipation/hypervigilance or hypoarousal/numbing (or to alternate between these two states) and to develop strong protective mechanisms, such as dissociation, in order to endure recurrences. When these additional victimizations recur, they unfortunately tend to escalate in severity and intrusiveness over time, causing additional traumatization (Duckworth & Follette, 2011). In many cases of child maltreatment, emotional or psychological coercion and the use of the adult's authority and dominant power rather than physical force or violence is the fulcrum and weapon used against the child; however, force and violence are common in some settings and in some forms of abuse (sometimes in conjunction with extreme isolation and drugging of the child), as they are used to further control or terrorize the victim into submission. The use of force and violence is more commonplace and prevalent in some families, communities, religions, cultural/ethnic groups, and societies based on the views and values about adult prerogatives with children that are espoused. They may also be based on the sociopathy of the perpetrators.