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While a psychiatric diagnosis can serve a purpose in treatment plans, it should not become a tool to discredit a person's disclosure of abuse.
Lee Ann Hoff Violence and Abuse Issues: Cross-Cultural Perspectives for Health and Social Services
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While a psychiatric diagnosis can serve a purpose in treatment plans, it should not become a tool to discredit a person's disclosure of abuse.

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As survivors and procreators, we unravel stories that at their root are not dissimilar from the habitual behaviors seen in nature. But as beings who know they will die we digress into episodes and epics that are altogether dissociated from the natural world. We may isolate this awareness, distract ourselves from it, anchor our minds far from its shores, and sublimate it as a motif in our sagas. Yet at no time and in no place are we protected from being tapped on the shoulder and reminded, __ou__e going to die, you know._ However much we try to ignore it, our consciousness haunts us with this knowledge. Our heads were baptized in the font of death; they are doused with the horror of moribundity.

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Being Scared-off by EvilLastly, we deny the presence of evil because we are terri_d by the horrendously hurtful, cruel, and bloody kinds of evil people tell us about__f we are willing to listen. This was poignantly brought home during an interdisciplinary case conference involving a resident who was counseling for the _st time a woman who had been sexually abused. As we worked with him, it became clear that he was resisting entering what he called the 'psychic cave" of her sealed__ff experience from which she was shouting for assistance. Because of his resistance, he was not providing her the support and guidance she so desperately needed, and he was not facilitating her working through the abuse and hurt that were continuing to impact her life. As he was confronted about this at one point in the conference, he stated tearfully: "I'm afraid if I help her move into her memories. I will have to go with her, and if I go with her, my view of the world as a basically good and safe place will be shattered. I'm not sure I can handle that for myself, or be able to think about the fact that my wife and kids may be more vulnerable living in this world than I can be comfortable believing" (Means 1995, 299).

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J. Jeffrey Means

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Ritually abusive groups also convince children that something evil has been put inside them. For example, a child is made to believe he or she has a "black heart" - seeing the abuser holding an animal heart and then feeling severe chest pain while it is supposedly inserted. In "brain transplants", the brain of an abuser or of a despised animal such as a rate is supposedly put into a child. Children are told that they are demons or monsters or aliens, or internal copies of an abuser whose "seed" has been implanted by rape.Ch29, p324

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