Animal attacks can be terrifying for children (and adults) and have long term effects

Post Traumatic Stress Disorder (PTSD) is a common long-term effect of being a trauma victim, and victims of animal attacks are no exception to this rule.

It is well documented in child welfare reporting that the majority of reported animal attack cases in the U.S. are on children.  According to The Center for Disease Control and the American Veterinarian Association, the highest reported incident rates involve 5-9 year olds, and 77% of those injuries are to the face, neck, and head. This, of course, is particularly terrifying for children, especially considering that the family dog is the aggressor in nearly half of the attacks.

Medical attention is usually the very first action taken when a child is bitten or attacked by a dog or other animal. A dog attack can cause lacerations, punctures, crush injuries, nerve damage, sprain and strain of muscles, infection… and of course, emotional distress.

A 2004 study found that over half of (studied) animal attack victims had symptoms of post-traumatic stress disorder 2 to 9 months after sustaining a dog bite injury. (Citation: Peters, V. et. al. Post-traumatic stress disorder after dog bites in children. J. Pediatrics, 2004, 144, 121-122.)

It’s therefore important that children (and anyone) who have been attacked by animals and exhibit PTSD symptoms are given follow-up psychological treatment.

Peter Levine, an expert in the field of healing trauma with a technique called somatic experiencing, names the following symptoms as common ones in the wake of an animal attack:

• excessive fear
• feeling that the world is a dangerous place
• anxiety
• sensitivity to sounds or light
• difficulty sleeping
• difficulty in defending oneself
• stuck in a pattern of compulsive attack or rage
• stuck in a pattern of running away (difficulty with commitment)
• helplessness
• frequent re-enactments

Interestingly, Levine makes the connection that we are all in fact animals, and that “the involuntary and instinctual parts of the human brain and nervous system are virtually identical to those of other mammals.” He goes on to explain how our own reaction to trauma mimics the Fight, Flight or Freeze response that wild animals instinctually use to survive.

However, it’s important to remember that we are not just animals.

The difference between people and animals lies in the prolonged state of the reaction to an attack. When an animal is no longer in danger, it is able to easily shake off the energy of fear and self-defense. This allows animals to return to their normal state of functioning pretty quickly. On the other hand, people who experience PTSD will suffer the negative effects of an attack long after the attack is over.

Animal attack victims suffering from PTSD may handle threats by reacting inappropriately aggressively (the “fight” response). They may, on the other hand, be in a constant hypervigilant state that prompts them to flee even the most minutely anxiety-provoking circumstances (such as hearing a dog bark in the distance). And in particular, animal attack PTSD sufferers tend to cleave to the “freeze” mentality, opting to numb out or check out when presented with stressful situations, rather than deal with them directly.

Studies show that traumatic events can actually result in neurological damage in children.

Reduced hippocampal activity in children with PTSD can affect their memory permanently.  In one study, “Children between the ages of 10 and 17 were divided into a group with a confirmed diagnosis of post traumatic stress disorder (arising from a variety of traumatizing events) and compared with a group of children with no post traumatic stress disorder. Brain scans (e.g. MRI) were taken simultaneously when subjects completed a test for verbal memory. The test consisted of having subjects read a list of words from one list, then read an additional set of words from another list, and then try to remember which words were on the original list. Compared with children without posttraumatic stress disorder, those with PTSD did poorly on this test, and during testing these subjects also showed considerably less electrical activity in their hippocampus.” (Citation: Carrión, V. et. al., Reduced hippocampal activity in youth with post-traumatic stress symptoms: An MRI study, J. Pediatric Psychology, 2010, in press)

The brutality of nature comes close to home when an animal attacks occurs. Whether it’s the rare tragic incident at a zoo or an all-too-common bite by a neighbor’s dog, being attacked by an animal is a terrifying event that can have lasting effects.

Barking dogs are a very common noise and almost impossible to avoid in daily life. Therefore, victims of animal bite trauma might be constantly reminded of their experience in their everyday lives.

In this article we’ll focus on the contemporary Western attitude toward and definition of incest. According to Incest: The Nature and Origin of the Taboo, by Emile Durkheim (tr.1963), “The incest taboo is and has been one of the most common of all cultural taboos, both in current nations and many past societies.”

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 sexual abuse.  As a form of abuse, it is highly damaging to a child’s psyche and most often results in prolonged Post Traumatic Stress Disorder (PTSD).

Feminist.com says that “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.”

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’s delicate psyche.

Statistics

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’s believed that the most common form of incest happens between older male relatives and younger females.

How incest PTSD manifests

PTSD as a result of incest can result in a variety of coping mechanisms including:

• Self-injury
• Substance abuse
• Eating disorders
• Issues with disassociation
• Promiscuity

How to handle a suspected case of incest

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… and belief.  In other words, the first step is always to believe the victim.

RAINN (The Rape, Abuse and Incest National Network) has a protocol in terms of who a victim can feel safe reporting an incest situation to:

• A parent
• A teacher
• A school counselor
• A friend’s parent
• Your doctor
• Your minister (or pastor, priest, rabbi, imam, etc.)

To report suspected incest to authorities, call Child Protective Services (see this directory: http://www.rainn.org/public-policy/legal-resources/mandatory-reporting-database)

How to report child abuse and incest: http://www.americanhumane.org/about-us/newsroom/fact-sheets/reporting-child-abuse-neglect.html

Emotional abuse can be overt, such as intimidation, threats, verbal abuse, berating, belittling, or constant yelling. Or it can be more subtle, such as neglectful behavior, manipulative withdrawal of affection, or repeated disapproval.

In any case, emotional abuse eventually corrodes a child’s self-confidence and self-trust, leaving them in judgment of their perceptions and at the mercy of the abuser. Emotional abuse can cut to the very core of a child’s psyche, leaving them confused, scared, and damaged in ways that can ultimately be even more traumatizing than those of physical abuse.

National Child Protection Clearinghouse refers to emotional abuse as “the hidden form of maltreatment.” With child victims of emotional abuse, parents or caregivers are obviously the most common abusers.

It’s important to note that emotional abuse goes beyond verbal abuse. Emotional abuse can impact a child’s self-worth and is a basic threat to their healthy human development. And, because it can be one of the most difficult types of abuse to detect, its malignant effects are insidious.

Ways that emotional abuse can manifest
(source: www.findcounseling.com)

• Belittling
• Coldness
• Corrupting or exploiting
• Cruelty
• Extreme Inconsistency
• Harassment
• Ignoring
• Inappropriate Control – lack of control, over control, and inconsistent control
• Isolating
• Rejecting
• Terrorizing

How does emotional abuse impact a child?

Emotional abuse has an impact on a child’s cognitive, emotional, psychological and social development.

Typical behavioral changes may include:

• Withdrawal
• Depression
• Anxiety
• Aggressive behavior

The National Society for the Prevention of Cruelty to Children (NSPCC) has this to say about how the effects of emotional abuse can have a powerful hold on victims: “… the effects are damaging and long lasting. They can lead to serious behavioral, learning, emotional or mental disorders. All of which affect the child’s chances of developing into a healthy, well-adjusted adult.”

AmericanHumane.org says, “Although the visible signs of emotional abuse in children can be difficult to detect, the hidden scars of this type of abuse manifest in numerous behavioral ways, including insecurity, poor self-esteem, destructive behavior, angry acts (such as fire setting and animal cruelty), withdrawal, poor development of basic skills, alcohol or drug abuse, suicide, difficulty forming relationships and unstable job histories.”

Not all bad days constitute emotional abuse

All parents have their bad days. The occasional negative attitude or action does not make for an abusive caregiver. Emotional abuse is based on a pattern of behavior that takes place over at least a one-year period of time, and often in conjunction with other types of abuse.  However, it’s when emotional abuse is found in isolation that it can be truly dangerous, because it is inherently hard to identify… and to handle legally. Because issues surrounding emotional abuse can seem open to interpretation, they can be hard to pinpoint and remedy.

Just like with sexual abuse, most parents who abuse their children emotionally were themselves emotionally abused as children. This is why it’s important that adults who believe they were emotionally abused as children seek counseling in order to thwart the pattern before they unwillingly repeat it with their own children and loved ones.

Sexual abuse is a particularly sinister type of trauma because of the shame it instills in the victim. With childhood sexual abuse, victims are often too young to know how to express what is happening and seek out help. When not properly treated, this can result in a lifetime of PTSD, depression and anxiety.

The trauma that results from sexual abuse is a syndrome that affects not just the victim and their family, but all of our society. Because sexual abuse, molestation and rape are such shame-filled concepts, our culture tends to suppress information about them.

In the U.S (according to childtrauma.org), one out of three females and one out of five males have been victims of sexual abuse before the age of 18 years. And according to the American Academy of Experts in Traumatic Stress (AAETS), 30% of all male children are molested in some way, compared to 40% of females.

One of the most startling statistics unearthed during research into sexual abuse are that children are three times as likely to be victims of rape than adults. Stranger abuse constitutes by far the minority of cases. It is more likely for a child to experience sexual abuse at the hands of a family member or another supposedly trustworthy adult.

Sexual abuse is a truly democratic issue. It affects children and adults across ethnic, socioeconomic, educational, religious, and regional lines.

Exactly what constitutes “sexual abuse” when it comes to children?

The Incest Survivors Resource Network states that “the erotic use of a child, whether physically or emotionally, is sexual exploitation in the fullest meaning of the term, even if no bodily contact is ever made.” It’s important to notice this clause about “no sexual contact.” Often, victims of sexual abuse will try to downplay their experience by saying that it “wasn’t that bad.” It’s vital to recognize that abuse comes in many shapes, colors and sizes, and that all abuse is bad.

Outcomes of sexual abuse

The most common effect of sexual abuse is Post Traumatic Stress Disorder. Symptoms can extend far into adulthood and can include withdrawn behavior, reenactment of the traumatic event, avoidance of circumstances that remind one of the event, and physiological hyper-reactivity.

Another legacy of sexual abuse is that children abused at any early age often become hyper-sexualized or sexually reactive. Issues with promiscuity and poor self-esteem are unfortunately common reactions to early sexual abuse.

Substance abuse is a common outcome of sexual abuse. In fact, according to the AAETS, “specialists in the addiction field (alcohol, drugs, and eating disorders) estimate that up to 90 percent of their patients have a known history of some form of abuse.”

Specific symptoms of sexual abuse:
(citation, the American Academy of Experts in Traumatic Stress)

• Withdrawal and mistrust of adults
• Suicidality
• Difficulty relating to others except in sexual or seductive ways
• Unusual interest in or avoidance of all things sexual or physical
• Sleep problems, nightmares, fears of going to bed
• Frequent accidents or self-injurious behaviors
• Refusal to go to school, or to the doctor, or home
• Secretiveness or unusual aggressiveness
• Sexual components to drawings and games
• Neurotic reactions (obsessions, compulsiveness, phobias)
• Habit disorders (biting, rocking)
• Unusual sexual knowledge or behavior
• Prostitution
• Forcing sexual acts on other children
• Extreme fear of being touched
• Unwillingness to submit to physical examination

Studies have shown that children who experience sexual abuse tend to recover quicker and with better results if they have a supportive, caring adult (ideally a parent) consistently in their life.

Because most child sexual abusers were once abused themselves, it’s crucial for victims of sexual abuse to seek counseling and care so that they don’t end up repeating the pattern themselves.

“The location of the dividing line between the concepts of shame, guilt, and embarrassment is not fully standardized.^[4]

According to cultural anthropologist Ruth Benedict, shame is a violation of cultural or social values while guilt feelings arise from violations of one’s internal values. Thus, it is possible to feel ashamed of thought or behavior that no one knows about and to feel guilty about actions that gain the approval of others.

Psychoanalyst Helen B. Lewis argued that “The experience of shame is directly about the self, which is the focus of evaluation. In guilt, the self is not the central object of negative evaluation, but rather the thing done is the focus.”^[5] Similarly, Fossum and Mason say in their book Facing Shame that “While guilt is a painful feeling of regret and responsibility for one’s actions, shame is a painful feeling about oneself as a person.”^[6] Following this line of reasoning, Psychiatrist Judith Lewis Herman concludes that “Shame is an acutely self-conscious state in which the self is ’split,’ imagining the self in the eyes of the other; by contrast, in guilt the self is unified.”^[7]

Clinical psychologist Gershen Kaufman’s view of shame is derived from that of Affect Theory, namely that shame is one of a set of instinctual, short-duration physiological reactions to stimulation.^[8][9] In this view, guilt is considered to be a learned behavior consisting essentially of self-directed blame or contempt, with shame occurring consequent to such behaviors making up a part of the overall experience of guilt. Here, self-blame and self-contempt mean the application, towards (a part of) one’s self, of exactly the same dynamic that blaming of, and contempt for, others represents when it is applied interpersonally. Kaufman saw that mechanisms such as blame or contempt may be used as a defending strategy against the experience of shame and that someone who has a pattern of applying them to himself may well attempt to defend against a shame experience by applying self-blame or self-contempt. This, however, can lead to an internalized, self-reinforcing sequence of shame events for which Kaufman coined the term “shame spiral.^[8]

One view of difference between shame and embarrassment is that shame does not necessarily involve public humiliation while embarrassment does, that is, one can feel shame for an act known only to oneself but in order to be embarrassed one’s actions must be revealed to others. In the field of ethics (moral psychology, in particular), however, there is debate as to whether or not shame is a heteronomous emotion, i.e. whether or not shame does involve recognition on the part of the ashamed that they have been judged negatively by others. Immanuel Kant and his followers held that shame is heteronomous; Bernard Williams and others have argued that shame can be autonomous.^[10][11] Shame may carry the connotation of a response to something that is morally wrong whereas embarrassment is the response to something that is morally neutral but socially unacceptable. Another view of shame and embarrassment, though, is that the two emotions lie on a continuum and only differ in intensity.”

More on http://en.wikipedia.org/wiki/Shame

Compulsive behavior is behavior which a person does compulsively—in other words, not because they want to behave that way, but because they feel they have to do so.

Mental health professionals have identified signs of compulsive behavior in various disorders such as:

1. Obsessive–compulsive disorder – obsessive, distressing, intrusive thoughts and related compulsions which attempt to neutralize the obsessions.
2. Drug addiction – a condition where a person takes a drug compulsively, despite potential harm to themselves, or their desire to stop. More at http://en.wikipedia.org/wiki/Compulsive_behavior

http://ptsd.about.com/od/glossary/g/hypervigilance.htm