Healthcare Training Institute - Quality Education since 1979
CE for Psychologist, Social Worker, Counselor, & MFT!!
In the previous section, we discussed three types of dreams: trauma dreams, freedom dreams, and resolution dreams.
In this section, we will discuss the child's feelings of guilt and responsibility and the child's beliefs regarding treatment of the child in the role of victim. We will also look at the use of externalizing abusive messages.
As you are aware, how a trauma is defined or interpreted by the child's parents and therapist determines how the child views the event. If the child's feelings of guilt and responsibility are dealt with effectively, the child ideally will feel that his or her parents or therapists are letting them know "It wasn't your fault."
Gloria, age 15, had been sexually abused by her older brother, Tony beginning when she was 8. At the time, Tony was 16 and had sexual contact with Gloria on a regular basis over four years. When Gloria was 12, she refused to go along with Tony's demands and he then proceeded to rape her on two occasions. Tony's third attempted rape ended by Gloria stabbing him with a pair of scissors.
♦ When Gloria had turned to her parents
for help, she was asking for their support on many levels.
How Gloria's trauma was defined or interpreted by her parents made the trauma one of the fundamental building blocks of her personality. This was evidenced by Gloria's involvement at age 15 with an older boy, John, age 19, who beat her and forced her to take Ecstasy, on several occasions. Gloria's parents thought she was too young to be dating a boy John's age, so she began seeing him secretly. She began to receive failing grades in most of her classes. Gloria was fired from her babysitting job after she was caught sleeping while the children were outside playing.
Now that we've seen
the beginnings of Gloria's beliefs that violence equals love; let's look at how
to reframe the guilt and responsibility that is the basis of her belief. As you
know, a child's beliefs surrounding the trauma are crucial to the child's construct
of self and view of reality.
I found most probably like you, that the cognitive therapy method of externalizing abusive messages is beneficial to helping sexual abused clients to address and grow past their feelings of guilt and responsibility. With Gloria externalizing helped her to understand the trauma in such a way that it would no longer be incorporated into her construct of self. The key to accomplishing this task... was to assist Gloria to externalize the trauma from her constructs of her present and future self. A goal in my sessions was to clearly define the abuse events as something wrong that was done to her, in short, it was not her fault.
I showed her that her belief that "I am the sort of person that these things happen to" had been internalized. I stated, "What do you think of the idea that you are acting out of the belief that you are the sort of person that abusive things happen to by allowing John to abuse you?"
♦ Creating Affirmations
Would the construction of an affirmation be beneficial to your Gloria during his or her next session? Would replaying this section, section 2, be beneficial?
asked Gloria to list three harmful patterns that she experienced. I stated to
Gloria, "Sorting out what helped you, from what affected you negatively,
is part of moving from awareness to assessment to change." To facilitate
this process from awareness; to assessment; to change, I asked Gloria to answer
--1. The first was to give an example of how the patterns of abuse functioned in her family. Gloria stated, "We grew up dreading my father's humiliating criticisms."
--2. Second, after discussing family patterns, I asked Gloria to state specifically how these patterns of abuse affected her attitudes and behaviors. Gloria stated, "Now, when I'm afraid I may be wrong, I don't take the risk to say or do anything for fear of being criticized."
--3. Thirdly, after asking Gloria about a pattern of abuse and how this pattern affected her attitudes and behaviors; I asked Gloria to state how the pattern of abuse blocks her growth or harms her relationships with others.
Gloria stated, "I feel this pattern of my father's humiliating criticisms is holding me back from standing up to people when I need to be more forceful, like with my boyfriend John. I didn't want to do the drugs and a lot of times I didn't want to have sex with him, but his cuts and criticisms were so much like my father's voice, I just couldn't stand up to him."
Would it be beneficial to your Gloria to discuss family patterns of abuse, outside of sexual abuse; how these pattern effect his or her attitudes or behaviors; and how these patterns sever to block her growth; to reinforce the concept that "It's not his or her fault."
In this section, we discussed how the child's feelings of guilt and responsibility and their beliefs affect treatment of the child victim. We also looked at how the use of externalizing abusive messages could benefit your client.
The next section will discuss projection and introjection in the desexualization of childhood sexual abuse, as well as the use of a "Positive Retrospection" exercise.
Peer-Reviewed Journal Article References: