24 HOUR CRISIS LINE: 083 484 9409  
Tel: 021 852 5620 Fax: 086 519 4358   
Email: help@crisiscentre.org.za  
Helderberg Hospital Lourensford Road Somerset West  
Western Cape South Africa 7129
  
Rape Survivors
  QUICK LINKS...
 
Incest Survivors
  QUICK LINKS...
 
 
ARTICLE
 

Child sexual abuse

First of all a person who has experienced trauma in childhood or in their teenage years is not strange – and is also not alone. But most important - they don't have to struggle with this for the rest of their life.

When trauma, such as sexual abuse, inappropriate touching or witnessing sexual interaction between others happens to us as children, we tend to cope with the resulting problems in various ways. Often people try to forget about these things – but somewhere deep in their brain they know that something weird happened to them. Child sexual abuse is such a traumatic violation, that its victims often forget that it occurred or block out some period of their early years or a particular person or place in their memory. But the emotional scars live on, confusing in their seeming meaninglessness. Almost all also feel that they are different to other people, feel that they are carrying an awful secret and that they cannot tell anyone. Ongoing problems with relationships, sex, trust, touch, addictions, paralysing depression, and guilt can, when the cause is unknown, feel crazy and out of control. There are real reasons for these unrelenting difficulties. In fact, these problems are actually desperate attempts to cope with the impossible pain.

You might wonder why something so small could cause such problems. The answer is complicated but has to do with the fact that our emotions are not developed enough when we are children and even teenagers to deal with such an invasion into our bodies. We have feelings about it, but we do not know how to process what has happened to us in our minds. Children are not able to process the event(s) like an adult does. As a result children develop complex coping methods to numb the pain and block the event from their thoughts. No matter who abused the child or teenager, how often, or what the nature of the abuse was the damage is incurred immediately.

As we grow up and become adults these coping methods that helped us survive as children can become self-destructive and damaging to our lives and relationships. This is not fair, just as the sexual abuse is not fair. The perpetrator leaves us with long-term problems. When the initial sexual abuse happens it is the perpetrator who is in the wrong and chooses to commit a crime. The perpetrator is fully responsible for anything they do to us. Nothing we did or did not do makes the sexual abuse our fault. Most survivors sit as adults with a large number of problems such as trust issues, anger issues, boundary issues and relationship problems to name just a few and all they want is to be normal, but as hard as they try to fix their lives up, there is always something that they almost "can’t" control that causes them to fail and mess things up or keeps them stuck in a pit of depression.

Many of the people we help with the same kind of problems are in their 60’s and one was even in her 70’s. People say that things getting harder to fix the longer we wait, this is true because our problems create more problems. For example, a lady sexually abused as a child has boundary problems in almost all cases and this leads to entering into relationships that are often abusive - emotionally, sexually, physically etc. This then adds to their problems and their pain. If you look at a list of all the different things that survivors of childhood sexual abuse can battle with you can see that most of these things will cause pain and difficulties in life. We can stop this in our own life and get over the depression, the anger and the other troubles we might have.

Whenever someone experiences trauma, she or he will go through several different stages. The five listed here are most typical, but there may be others too. A person will spend varying amounts of time in any one stage (it can be years). Some stages may be skipped altogether; many people recycle back and forth in random and varied order through them. With the help of a counsellor trained in working with childhood sexual abuse we can start to heal.

DENIAL STAGE

In order for a child to survive abuse, she or he must accept the blame. Children cannot comprehend the idea that the people responsible for their very survival are sick and incapable of taking proper care of them. Incest victims often used denial systems that sound like any of these: "My situation wasn’t that bad", "He only did it once", "He never penetrated me", "I already dealt with it", "I already forgave", "He was sick", "He’s dead now", "It happened a long time ago".

Denial systems helped us survive as children, but they became ropes that hung us as adults. Denial continues our feelings of isolation because we are incapable of trusting ourselves or anyone else. If we shut off feelings of pain and anger, we shut off all our feelings including joy, love, compassion, etc. It is imperative not to stay stuck in denial because one can’t get over a loss if one refuses to acknowledge its reality. If a sexual abuse survivor is going to recover well from the impact of the sexual abuse, s/he must let her/himself remember the incident(s) and feel whatever s/he is feeling inside.

ANGER STAGE

When we recognise our pain, anger naturally follows. Anger is healthy and as appropriate response to pain. The sense of unfairness, irretrievable opportunities, loss of innocence, feelings of being exploited, realising that he got away with it, questions like, "Why should I be hurting still?" are all common responses and they make us feel angry. We need to find healthy and appropriate targets for our anger.

Some beat on inanimate objects, some do physical activities, some write uncensored letters or plan confrontations (then burn it), some cry, some talk, some scream (into a pillow or blanket). By doing these things, we’re proving to ourselves that we can control our anger; anger isn’t controlling us. By allowing ourselves anger, we avenge our pain.

BARGAINING STAGE

When looking at the abuse, we can feel very desperate. We may make pleas that sound like any of these: "God help me now and I’ll be a better person", "God if you give me children, I’ll be a really good parent", "I’ll work through the incest, but don’t ever let me be raped!", "If you get me out of this, I’ll never be promiscuous again". Pleas and promises are common ways of trying to escape the complex problems of incest.

DEPRESSION STAGE

The denial, anger, and bargaining have not removed the horrible reality of incest. The deep sense of loss is still there. There is a tremendous mourning process. We need to mourn the fantasy family, our innocence, lost time, our habit of avoiding intimacy, and emotional closeness, isolation, re-victimisation; the list seems overwhelming, because it seems endless. The magnitude of the recovery process itself is incredibly depressing.

ACCEPTANCE STAGE

Acceptance says that incest is not a handicap; it’s an inconvenience, a temporary setback. We will not minimise or rationalise the trauma and pain incurred by us as victims, but we know that we can come through this tragedy without irrevocable emotional damage. We may even be stronger at the conclusion of this problem.

We know and believe in our hearts that we were innocent victims. We know that we didn’t control the abuse. We don’t have to convince anyone else of our innocence. We truly love the child inside us; we believe her and we treat her with respect. Inside, we have merged both parent and child. We are not powerless anymore. Recovery is possible. We can bloom where we’re planted. Incest is one part of our lives, only one part!

Recovery is a process; eventually we will settle in acceptance. Until then, we must remember that patience is something that we give ourselves today, and that this too shall pass.

Any sexual contact, covert or overt, between a child and a trusted individual, damage the child, whether these contacts included suggestive remarks, pornography, touching or fondling, acts of sexual aggression or torture.

These need to be dealt with assertively. These contacts scar virtually all facets of victims’ lives since we are left with little or no self-esteem. At least one out of five boys and one out of three girls will be abused before they reach the age of eighteen. The child’s emotional growth will be arrested at the age of the first attack, and the victim will probably not begin to recover until adulthood, if ever (often due to staying in the denial stage).

Anyone can be a victim of sexual abuse. Anyone can be an abuser, especially if the perpetrator is perceived by the child to be in authority, including father, grandfather, uncle, mother, brother, friend of the family, aunt, teacher, clergy or another child – the list is endless.

Some of the social maladjustment’s arising from sexual abuse are alcoholism, drug addiction, self-injury, prostitution, promiscuity and sexual dysfunction. Eating or sleeping disorders, migraines, back or stomach pains are just a few of the physical consequences that we may suffer. Food, sex, addiction to exercise or something else, alcohol and/or drugs deaden painful memories of the abuse and obscure reality temporarily. If we perceive obesity to be unattractive, and if we believe we were abused because we were attractive, we may overeat in a misguided attempt to defend ourselves from further sexual assault. "I felt like throwing up" is a common response among victims, and bulimia is a way of acting out that feeling. Anorexia can be another form of self-punishment, eventually leading to the ultimate self-victimisation, suicide.

A number of emotional problems may emerge from the abuse, including inability to trust, perfectionism, phobias, avoidance of both intimacy and emotional bonding. The denial system that insured our survival as children now prevents us from enjoying unencumbered adulthood’s. We don’t trust our own perceptions; we were forced to become an expert in disbelieving our own senses. We tried to convince ourselves that we overreacted and that nothing really terrible happened: "My daddy would never REALLY hurt me". When reality is too painful for children’s minds, we learn to fictionalise. It is extremely painful to give up the fantasy family since children see themselves either in reflected glory or disgraced shadows.

Therefore, we sometimes make excuses for the abuser: "He was drunk at the time", "He had it rough as a child." We take responsibility for the assault(s): "I was too attractive", "I was too sexy." The abuser probably reinforced our own nagging guilt and questions we had concerning our own innocence.

Essentially, we defend the perpetrator by minimising, rationalising and taking on the blame. If we continue to use these coping mechanisms as adults, we are set up to be abused in current relationships. With a support group or counsellor, we can learn to accept the fact that we were abused rather than loved by the abuser. We can learn to seek out only healthy, loving relationships. We have been accustomed to accepting only crumbs, believing that we do not deserve anything better.

We may have parenting problems, always second-guessing decisions, which is another result of distrusting our own perceptions. We may: avoid parenting altogether, try to be a perfect parent or repeat the abuse. The worst possible consequence is when we perpetuate the abuse onto the next generation.

Another repercussion of sexual abuse is that we often regard authority figures with anxiety. Passivity is comfortable because it is familiar, and we may accept familiar misery rather than risk unfamiliar change. An experiment in learned helplessness was conducted in which dogs were forced to endure painful electric shocks without means of escape. A second group of dogs were compelled to endure shocks and quickly escaped when it was possible. When the first group was shocked again, with escape now possible, they did not leave. They had been conditioned to endure pain. This experiment explains why so many of us are sexually abused as adults by therapists, spouses, counsellors, doctors or bosses. We are accustomed to losing battles and to feeling powerless. We may not believe we can win. Assertion is a difficult concept for sexual abuse victims.

Our inability to trust affects our sexual relationships, too. Women who have been abused by men will often say, "I don’t trust any men, they only want sex." Boys abused by women may feel that all women are threatening. Abused boys may feel compelled to believe they MUST be homosexual. The assaults have sometimes been associated with emotional or physical pleasure, and this fact reinforces the suspicion that we must be homosexual: "Both my uncle and a male teacher were attracted to me, and it feels good, I liked it, so I must be gay." In defence of the abuser, we may say, "I must be gay, and my abuser sensed it, that’s all."

Another result of the conflicting messages of sexual abuse is that many of us confuse sex with affection and love. Many women will say, "The only time my father ever gave me any attention was in bed", "I was special to him then", "I felt loved." Since she desperately needs validation, this woman may become promiscuous. She needs to know that a promiscuous child is often the result, but never the cause of sexual abuse. She believes if someone has sex with her, then that partner automatically loves her. She has confused sex and love.

When the abuse is physically violent, perhaps even painful, we may confuse sex with control and power. A typical comment might be, "When I have sex with someone, I feel like s/he is controlling my body. I feel that as I respond to her/him, s/he is manipulating me, and I am a puppet all over again." We may shut off all sexual feelings and retreat from all sexual contact: we fear everyone that will use and abuse us.

Changing patterns is a slow process, but with a support group or counsellor we can learn that it is possible. It takes tremendous strength for us to put ourselves in a position to examine and feel this pain. We need incredible courage and reliable professional help. At Rape Crisis Helderberg, a 12-step self-help recovery support group is an available resource for adult survivors (... read more). A statement read at the end of each meeting remind us: "The pain is temporary, but denial and its consequences are forever." When we tire of the consequences, and become willing to work diligently on the sexual abuse issues, we are then on the way to living our lives as survivors rather than victims.

There are books that will help, these include:

The The Courage To Heal by Ellen Bass and Laura Davis (CLICK HERE) and to learn healthy boundaries, a boundary course or books such as Boundaries by Dr John Townsend and Dr Henry Cloud will help do this. CLICK HERE for their webpage.
 
Copyright © 2009 Rape Crisis Centre. Designed by Phoenix Sky Designs Home   |   Survivors   |   After Effects   |   About Us
   

After being raped, even if you do not open a case please:

  • Get evidence collected within 24 hours and no later than 72 hours (the police will take you to the rape crisis centre or hospital)
  • Get anti-retrovirals & emergency contraception within 72 hours (anti-retrovirals are free to rape victims at government hospitals)
  • Get antibiotic medication to prevent other sexually transmitted infections
  • Get counselling from a person trained in rape trauma counselling - it is never too late

You can get all of the above free at our office at Helderberg Hospital, Somerset West

Call 083 484 9409 (24 hours a day) or 021-852 5620 (office hours) or write to help@crisiscentre.org.za.

You do not have to go through this alone.

RAPE TRAUMA SYNDROME is a recognised response to rape and sexual abuse and it includes a variety of problems including various long-term consequences, the symptoms are similar to Post Traumatic Stress. Although many rape survivors suffer from the symptoms of Rape Trauma Syndrome, not all survivors respond to rape in the same way. It is important to treat each rape survivor as an individual and to try and understand what the rape means to that particular person. Coping with being raped may also be more difficult if family, friends and colleagues are not supportive and/or blame the survivor. After the shock has passed, some survivors try to act as if nothing has happened. This is their way of trying to block out the rape, because they feel that they won't be able to cope if they let themselves remember what happened to them. However, if a rape survivor is going to recover well from the impact of a rape, s/he must let her/himself remember the rape and feel whatever s/he is feeling inside. When s/he does start remembering and feeling, s/he will also start suffering from symptoms, but these usually improve gradually over time. It often helps a survivor to have counselling if s/he is experiencing symptoms that upset her/him. The effects of rape are long term. Rape survivors never forget being raped, but many learn how to deal with the memory. Studies have shown that the symptoms suffered by a rape survivor three months after a rape usually continue over the next three to four years, although they do seem to improve over time. Sadly South Africa holds the for the highest rapes world-wide. Interpol estimates that over 1 million women are raped each year in South Africa.
We want to help you to "PUT THE PIECES TOGETHER AGAIN".