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	<title>Growing Beyond Trauma &#187; Sexual Assault Trauma</title>
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	<description>Resources to recognize, understand, and heal trauma responses.</description>
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		<title>Trauma: Incest</title>
		<link>http://bodyconversations.com/blog/2010/04/trauma-incest/</link>
		<comments>http://bodyconversations.com/blog/2010/04/trauma-incest/#comments</comments>
		<pubDate>Mon, 26 Apr 2010 21:58:30 +0000</pubDate>
		<dc:creator>Dr. Babbel</dc:creator>
				<category><![CDATA[Building Trust]]></category>
		<category><![CDATA[PTSD]]></category>
		<category><![CDATA[Resources]]></category>
		<category><![CDATA[Sexual Assault Trauma]]></category>
		<category><![CDATA[Types of Trauma]]></category>

		<guid isPermaLink="false">http://bodyconversations.com/blog/?p=203</guid>
		<description><![CDATA[Incest as a form of abuse can be challenging to define, as it differs from culture to culture. Perceptions of incest vary across societies, and the degree of taboo around incest—not to mention the legal ramifications—depends largely on where you are from. In some cultures (and eras), marrying your first cousin is a perfectly acceptable [...]]]></description>
			<content:encoded><![CDATA[<p><img class="alignright size-thumbnail wp-image-211" src="http://bodyconversations.com/blog/wp-content/uploads/2010/04/SmallSadBoyincest-150x150.jpg" alt="" width="150" height="150" />Incest as a form of abuse can be challenging to define, as it differs from culture to culture. Perceptions of incest vary across societies, and the degree of taboo around incest—not to mention the legal ramifications—depends largely on where you are from. In some cultures (and eras), marrying your first cousin is a perfectly acceptable practice.</p>
<p>In this article we&#8217;ll focus on the contemporary Western attitude toward and definition of incest. According to<em> Incest: The Nature and Origin of the Tabo</em>o, by Emile Durkheim (tr.1963), &#8220;The incest taboo is and has been one of the most common of all cultural taboos, both in current nations and many past societies.&#8221;</p>
<p>Incest is a type of sexual abuse that can (but does not always) include sexual intercourse, sexually inappropriate acts, or the abuse of power based on sexual activity between blood relatives.  The important thing to remember is that incest is a form of <a href="http://bodyconversations.com/blog/2010/03/childhood-sexual-abuse/">sexual abuse</a>.  As a form of abuse, it is highly damaging to a child&#8217;s psyche and most often results in prolonged Post Traumatic Stress Disorder (PTSD).</p>
<p><a href="http://www.feminist.com/">Feminist.com</a> says that &#8220;Incest and sexual abuse of children take many forms and may include sexually suggestive language; prolonged kissing, looking, and petting; vaginal and/or anal intercourse; and oral sex. Because sexual contact is often achieved without overt physical force, there may be no obvious signs of physical harm.&#8221;</p>
<p>Incest is a reprehensible form of abuse not just because it is cloaked in shame and stigma, but because this type of sexual abuse (like many other types of abuse, unfortunately) affects young victims by implicating and damaging their primary support system. This can be very confusing for children who have been taught to be wary of strangers, but to trust in family.  Because they are in the beginning stages of developing their value systems and trust models, the betrayal of incest can be utterly confusing, if not permanently damaging, to a child&#8217;s delicate psyche.</p>
<p><strong>Statistics<span style="font-weight: normal; "> </span></strong></p>
<p>The statistics on incest are extremely difficult to pinpoint because most cases of incest are never reported due to the intense level of shame associated with this type of sexual abuse. Aside from the misdirected shame that victims of incest often feel, there is increased pressure to keep it a secret because of fear of disrupting the family dynamic or experiencing blame or anger from other family members. However, it&#8217;s believed that the most common form of incest happens between older male relatives and younger females.</p>
<p><strong>How incest PTSD manifests<span style="font-weight: normal; "> </span></strong></p>
<p>PTSD as a result of incest can result in a variety of coping mechanisms including:</p>
<ul>
<li>Self-injury</li>
<li>Substance abuse</li>
<li>Eating disorders</li>
<li>Issues with disassociation</li>
<li>Promiscuity</li>
</ul>
<p><strong>How to handle a suspected case of incest</strong></p>
<p>The most important thing to remember when dealing with those who have suffered incest (especially if the victim is yourself) is that shame and guilt, while a common response, is not an appropriate one. The biggest immediate help you can offer to a victim of incest is to listen with respect and compassion&#8230; and belief.  In other words, the first step is always to believe the victim.</p>
<p>RAINN (<a href="http://www.rainn.org/">The Rape, Abuse and Incest National Network</a>) has a protocol in terms of who a victim can feel safe reporting an incest situation to:</p>
<ul>
<li>A parent</li>
<li>A teacher</li>
<li>A school counselor</li>
<li>A friend&#8217;s parent</li>
<li>Your doctor</li>
<li>Your minister (or pastor, priest, rabbi, imam, etc.)</li>
</ul>
<p><strong>To report suspected incest to authorities, call Child Protective Services (see this directory: </strong><a href="http://www.rainn.org/public-policy/legal-resources/mandatory-reporting-database">http://www.rainn.org/public-policy/legal-resources/mandatory-reporting-database</a>)</p>
<p><strong>How to report child abuse and incest</strong>: <a href="http://www.americanhumane.org/about-us/newsroom/fact-sheets/reporting-child-abuse-neglect.html">http://www.americanhumane.org/about-us/newsroom/fact-sheets/reporting-child-abuse-neglect.html</a></p>
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		</item>
		<item>
		<title>Oprah:From Traumatic to Famous</title>
		<link>http://bodyconversations.com/blog/2010/03/oprahfrom-traumatic-to-famous/</link>
		<comments>http://bodyconversations.com/blog/2010/03/oprahfrom-traumatic-to-famous/#comments</comments>
		<pubDate>Tue, 02 Mar 2010 18:51:14 +0000</pubDate>
		<dc:creator>Dr. Babbel</dc:creator>
				<category><![CDATA[From Traumatic to Famous]]></category>
		<category><![CDATA[Sexual Assault Trauma]]></category>
		<category><![CDATA[Types of Trauma]]></category>

		<guid isPermaLink="false">http://bodyconversations.com/blog/?p=179</guid>
		<description><![CDATA[Most people who have experienced abuse are ashamed to talk about their story and often feel alone with their experience. I created a category called &#8220;From Traumatic to Famous&#8221; to show that &#8220;anyone can make it&#8221;. It is also an attempt to break the silence and the shame. Read Oprah&#8217;s story-http://oprah.about.com/od/oprahbiography/p/oprahchildhood.htm
]]></description>
			<content:encoded><![CDATA[<p>Most people who have experienced abuse are ashamed to talk about their story and often feel alone with their experience. I created a category called &#8220;From Traumatic to Famous&#8221; to show that &#8220;anyone can make it&#8221;. It is also an attempt to break the silence and the shame. Read Oprah&#8217;s story-<a href="http://oprah.about.com/od/oprahbiography/p/oprahchildhood.htm">http://oprah.about.com/od/oprahbiography/p/oprahchildhood.htm</a></p>
]]></content:encoded>
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		<slash:comments>0</slash:comments>
		</item>
		<item>
		<title>Escape Paralysis</title>
		<link>http://bodyconversations.com/blog/2009/10/escape-paralysis/</link>
		<comments>http://bodyconversations.com/blog/2009/10/escape-paralysis/#comments</comments>
		<pubDate>Thu, 01 Oct 2009 20:50:45 +0000</pubDate>
		<dc:creator>Dr. Babbel</dc:creator>
				<category><![CDATA[Childhood Trauma]]></category>
		<category><![CDATA[Sexual Assault Trauma]]></category>
		<category><![CDATA[kidnapping and hostage survivors suffer from trauma responses such as escape paralysis]]></category>

		<guid isPermaLink="false">http://bodyconversations.com/blog/?p=60</guid>
		<description><![CDATA[This article explains why trauma victims might have difficulties leaving their perpetrators. Escape paralysis might be created by a combination of nervous system
responses, victim's conditioning, dependency, and a phenomenon called trauma bonding.
]]></description>
			<content:encoded><![CDATA[<div id="attachment_70" class="wp-caption alignleft" style="width: 160px"><img class="size-thumbnail wp-image-70" title="escape1" src="http://bodyconversations.com/blog/wp-content/uploads/2009/10/escape12-150x150.jpg" alt="trapped" width="150" height="150" /><p class="wp-caption-text">trapped</p></div>
<p>Many people wonder, “Why don’t kidnapping victims like <strong>Jacee Dugard</strong> try to escape when they have the chance? Why do they bond with their perpetrator?” Research shows that these behavioral patterns are typically experienced by sexually assaulted people; abuse, domestic violence, and incest victims; cult members; and those who survive kidnapping and hostage situations.</p>
<p><em>We have to step away from what we think is logical and discover how trauma affects people’s physical and mental health. </em></p>
<p>Additionally, we need to consider that trauma has a greater impact on children than on adults because they are mentally, physically, and emotionally more vulnerable. The underlying cause of many survivors’ behaviors might be physiological and psychological trauma reactions such as escape paralysis, which is created by a combination of nervous system responses, conditioning, dependency, and a phenomenon called trauma bonding.</p>
<p><em>During a traumatic event, such as abuse, assault, or kidnapping, our logic is turned off and our nervous system automatically goes into a survival-mode (“fight, flight, freeze”) response. </em>If we cannot run away or are unable to fight, we go into a freeze state, unable to move or act.</p>
<p><strong>Peter Levine</strong>, a psycho-physiological trauma specialist, explains that this is a leftover state from our animal instinct in which animals pretend they are dead so the perpetrator will lose interest. Additionally, when physical and psychological pain becomes too much to tolerate, the mind distances itself from the experience by numbing the body and the psyche, which is called dissociation. Feelings, emotions, thoughts, and memories are shut off, causing one to lose touch with reality and feel detached or estranged from others. Unfortunately, we cannot override our nervous system by logic alone; it will likely remain stuck in the survival loop of freeze and dissociation unless the nervous system has been regulated and the psychological and physical wounds are healed.</p>
<p><strong>Van der Kolk</strong>, a trauma researcher, says, “<em>Trauma interferes with the ability to meet daily needs and perform the most basic task.</em>”  Therefore, it will be difficult for anyone to perform basic undertakings or think of taking actions to escape or change a situation when one is faced with such traumatic experiences.</p>
<p>Part of feeling paralyzed and avoiding escape may also occur if the perpetrator instills emotional and physical conditioning in the victim, such as fear, threat, or pain. With enough repetition, the brain circuitry becomes conditioned to make certain associations, known as <strong>Hebbian</strong> learning (“cells that fire together wire together”), so that a person may feel too paralyzed to escape, avoid certain behavior, and distrust his/her own judgment. This condition has been known to continue internally in the victim even when the abusive situation is over.</p>
<p>When a victim is dependent for food, shelter, and human interaction, the victim’s escape paralyses might deepen even further. Often, a captor uses a formula to deprive his/her victim of what they need to function (such as safety, sleep, and food) and punishes them with threat, pain, and isolation to create dependency. However, as humans, we tend to stay away from isolation and strive to have human contact. When the caregiver is the perpetrator and the only person with whom to attach, the victim will depend on the bond for survival and become anxiously obedient. This emotional attachment lessens the fear of survival because, if the victim bonds, historical data show that she/he is less likely to be killed. Bonding with tormentors is also known as the <strong>Stockholm Syndrome</strong>, a term that describes victims who attach to their captors and develop loyalty towards them as a way to adapt to the exploitative person/situation.</p>
<p><strong>There are many people who are unable to leave their tormentors as a result of escape paralysis. This behavior might be created by a combination of survival mechanisms including trauma responses, victims’ conditioning, dependency, and trauma bonding. </strong>The good news is that there is hope for survivors. It is not a quick process but, with resources such as support and understanding of family, friends, and community, as well as therapy that addresses the nervous system and the psyche, healing can happen.</p>
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