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Abuse Victims Widely Misdiagnosed

Some authorities say that up to 60 Her real problem had been nightly incest
percent of psychiatric patients, both at the hands of her biological father,
in-patient and out-patient, report the rejection by her mother as a result,
childhood histories of physical or sexual and constant debasing comments by both
abuse or both. This estimate excludes parents and both sisters all of her life.
emotional abuse and neglect. Not even her head-banging, a dead
My experience confirms that very many giveaway for sexual abuse, was noticed.
patients are suffering from PTSD Another woman was in treatment for thirty
(posttraumatic stress disorder) as a years for depression and a "borderline
direct result of childhood maltreatment. personality disorder," ten of these years
But they do not know what their real with the same psychiatrist. When the
problem is. decade had passed, he remarked, "I really
Psychologists and psychiatrists know what don't think I can help you."
to expect in the way of symptoms with war Never was her sadistically violent
veterans: PTSD. We know as fact that the tormentor, her husband, ever seen or even
experiences of war can produce in even asked about. She in no way had a
the strongest individual the borderline personality disorder, but she
constellation of symptoms that therapists was indeed suffering from PTSD as a
should recognize as trauma. But for some result of life-long abuse.
reason, we have only begun to make this None of her therapists had been
same connection with people whose lives interested in causality. A disinterest in
have been a "war." root cause is, in my opinion, the
One woman, who spent nearly 20 years in greatest weakness in the mental-health
therapy, first with an educational professions.
counselor, then three psychiatrists, plus We have clung so closely to the medical
a family therapist, found herself with model that emotional disturbances of most
suicidal feelings right up to the time any kind have historically been seen as
she entered our group for domestic abuse. free-standing, as though they had arisen
One psychiatrist, an analyst, spent two from an infection, from a vacuum, or from
years asking her, "What do you think?" nowhere.
Another psychiatrist gave her open How this mentality has survived is a
prescriptions for highly addictive drugs, mystery, when in any other science the
and the third psychiatrist wanted to use principle of cause and effect rules.
electroconvulsive therapy, probably the Put another way, for every action there
worst possible treatment for trauma is a reaction. Molest, torture,
survivors. The family therapist ordered humiliate, or neglect a child severely
her to draw a family geneology chart. enough, and PTSD or similar symptoms will
None of the above professionals seemed be the reaction. For this reason, the
determined to find the cause of her treatment of domestic abuse is the
suffering; they just had their favorite treatment of child abuse, and both are
ways of treating symptoms. the treatment of trauma.




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