Archive for 2007

Healing From Incest


August 2nd, 2007

By Nella Hahn, LMSW

Introduction

Of all the taboo subjects we encounter there is probably none as dramatic as the topic of incest. Often referred to as the “silent crime,” one out of three girls and one out of six boys will have been abused sexually by their eighteenth birthday, and of those, twenty percent will have experienced an incestuous incident.

Incest is described as sexual activity between family members who are legally and customarily forbidden to marry. This includes blood relatives such as brothers and sisters, parents and children, grandparents and grandchildren, or aunts or uncles with nephews or nieces.

Different cultures ascribe different considerations as to what constitutes incest, such as relation by birth as opposed to adoption or marriage. In some cultures, unrelated individuals who have grown up in the same household and who have engaged in sexual relations are considered to have committed incest.

Incest can occur between same-sex as well as opposite-sex relatives. Incest is a crime in every state in this country. It can occur between people of any age, in any culture, class, religion or gender. Incest is most frequently categorized as a type of abusive behavior since the victim is often a younger relative falling prey to the behavior of an older relative.

Children

Children victimized by incest are generally afraid to disclose what has occurred, sometimes out of fear that they will suffer greater consequences if they tell someone or because they fear that they will not be believed. They may fear that harm will come to the perpetrator if they are believed, or that the perpetrator might retaliate in some other way.

Children are often embarrassed and ashamed about what has occurred. Many children are taught not to tattle, especially on parents, and thus telling exacerbates the guilt that they may feel. Daughters, as they mature, may recognize the triangulation that occurs within their home, and identify with the painful feelings their mothers experience upon disclosure of the crime. The experience can negatively saturate one’s sense of self, one’s relationships, and one’s world view.

A Sense of Loss

It is not possible to experience incest without experiencing a sense of loss, whether loss of youth, loss of self-esteem, or loss of trust. Many incest survivors experience problems in intimacy. They may have trouble expressing how they feel for fear of being devalued. It is not unusual for victims to develop problems with eating such as anorexia, bulimia, or obesity.

An incestuous childhood can destroy an individual’s self-esteem by creating unrealistic views of who they are. Incest victims frequently suffer from depression. They may live with an unrelenting negative self-image regardless of how they are viewed by others. They may feel unworthy and unlovable, in fear that if their story were known they would not be accepted by others. Incest, rather than their deeds and accomplishments, begin to define the individual. Many incest survivors describe feeling that their character is severely blemished and that they must maintain secrecy in order to keep others from discovering how bad they really are.

Empathy

Victims must focus on themselves, attempting to bring normalcy into an otherwise chaotic existence. Yet, it is not unusual to hear victims of incest express strong concerns for the abuser, recognizing the underlying emotional deficits of the perpetrator. Although this is not a typical approach to the incest experience, many victims express concerns about the person who victimized them. For instance, it is not unusual for a sister to speak kindly of a brother who may have tormented her for years, all the while cognizant of the abuse he himself may have received.

Victims may express empathy for the parent/wife/sibling of a person accused and even convicted of this heinous act. Victims of incest frequently worry about the punitive actions imposed upon the abuser; sometimes because they themselves believe they are responsible for what happened, or sometimes because they understand the forces that may compel some individuals to commit crimes against human nature.

Methods of Healing

Healing begins when the silence is broken. Although seemingly a frightening task, especially after years of concealment, it is possible to reach out to others. Some methods of healing include:

  • Locating a support group. Sharing your story in a safe environment is a start. The group process is a powerful course of action offering safety and protection. Check with local hospitals or mental health clinics to find a nearby group.
  • Exploring reading material offered by national incest survivors groups. There is much free literature online as well as locations of local support groups.
  • Tell your story. It is an important step in leading to self-confidence. It will also help others by letting them know that they are not alone, empowering all involved.
  • Relearning to trust. Allowing yourself the opportunity to trust is one of the first steps in eliminating isolation and despair.
Conclusion

There are no easy answers or solutions to the crime of incest. But one need not live a life of isolation, resentment and loathing; feelings that only serve to stir up more negativity. It is not necessary to forgive the abuser, but it is necessary to forgive one’s self. The survivor has done nothing wrong. If the survivor chooses to forgive the abuser it does not mean that all negative feelings about the experience are forever banished.

Feelings are cyclical and even years after a victim has “forgiven,” events may occur that stir up feelings of resentment and loss once again. Dealing with incest is a difficult task, but there are ways that enable survivors to begin the process of healing and recovery. The important thing to bear in mind is that even though trust and self-esteem may have been shattered, they can be rebuilt. It takes time and work but the reward is that the process of reclaiming your life will begin.

Nella Hahn is a New York State Licensed Social Worker whose clinical practice is in the Hamptons, New York. In addition to having received her MSW from Hunter College School of Social Work, she received her Bachelors in Psychology from Marymount Manhattan College as well as a Certificate in Bioethics and Medical Humanities from Albert Einstein College of Medicine. While completing her degree in psychology, she worked as a rehabilitation specialist at the Brain Injury Day Treatment Program of Rusk Institute for Rehabilitation Medicine where she assisted individuals who had sustained traumatic head injuries, as well as their families. Nella Hahn is an affiliate member of the New York State Society for Clinical Social Work as well as a member of the National Association for Social Workers.

Early Childhood Development - Your Options - How Do I Know If My Child Is Transgender?


July 12th, 2007

By Stephanie Brill and Caitlin Ryan, PhD, ACSW

What Is Transgender?

Everyone has a gender identity. Gender identity is our internal sense of being male or female. For most people, our basic awareness that we are male or female matches our physical body. When we’re born, people decide if we’re male or female based on our genitals. But for children and adults who are transgender, their basic sense of being male or female – their gender identity – does not match their body. So a transgender person may have a male body, but feel inside that they are female. Or a transgender person may have a female body, but feel inside that they are truly male.

Can a Child Be Transgender?

Children and adolescents can be transgender, just like adults. In fact, a small percentage of all children are transgender. Children understand gender differences from a very early age. And transgender children strongly identify with the other gender, often from age two or three. Because we don’t talk about transgender people with children, adolescents or even adults, children who are transgender lack basic information about who they are, and struggle with feeling like they were born in the wrong body. And adults typically react as if there were something wrong with these children, as well.

In truth, there is nothing wrong with these children. But since very few people understand that it is natural for a small percentage of the population to be transgender, people don’t know that you can have male genitals and still be female or have female genitals and be male.

Transgender children who express their “real” gender identity can become extremely unhappy and depressed when adults try to prevent them being their true selves. Being transgender is not the cause of their distress. Instead, not being understood and feeling like there is something wrong with them causes them to suffer. And pressure to change their core sense of who they are causes emotional suffering, as well.

What Makes a Child Transgender?

Many parents are concerned that something they did made their child become transgender. This is not true. Nothing that a parent or anyone else does can change a child’s gender identity. Being transgender is not caused by divorce, neglect, wishing you had given birth to the other sex, using fertility drugs to conceive, encouraging your child to play sports too often or not enough, or other parental thoughts, behaviors or experiences. We don’t know exactly why some people are transgender. But science is showing that transgender children are most likely born that way, right from the start. Even before children can verbalize their sense of gender, they start to tell us who they are through their play and choices for clothing, hair styles, and toys. Once they are old enough to talk, transgender children strongly insist that they are “really” a boy, or “really” a girl.

Why Can’t My Child Be “Normal”?

Transgender children and adults have always existed throughout history in a wide range of cultures. In our society, until recently, few parents spoke openly about having children with gender identity “problems.”

In the past, parents with transgender children tried to force their children to conform with their expectations of what is “appropriate” behavior for males and females. From very early ages, these parents would try to make their children behave according to their child’s biological gender. Although these parents were trying to help their children fit in with their peers and with social norms, their transgender children were severely traumatized by being forced to deny and change their true nature.

Over time, medical and mental health providers have learned how best to support transgender children and their families. Parenting approaches have changed, and more parents and doctors understand how to support children with special needs. We now understand that all children need the love and support of their families and the adults in their lives to thrive.

How Should I Respond?

Research shows how parents and caregivers should respond to having a transgender child. The most important thing parents can do to promote their child’s well-being and to reduce their risk is to love and accept them. This means allowing them to live in ways that make them happy — just as you would with any child. For example, let your transgender child play with the toys they enjoy. Let your transgender child dress and wear their hair in the way that is most comfortable for them.

Supporting your child’s transgender behavior is not easy. But research shows that by loving and accepting your children as they are, you can help them lead happier, healthier lives – and literally save their lives.

In families where parents highly pressured their children to conform to gender expectations, young people were five times more likely to report symptoms of depression, nearly four times as likely to attempt suicide and to use illegal drugs, and twice as likely to be at high risk for HIV infection, compared with those who parents did not pressure them to conform.

How Can I know If It’s a Phase?

Most people have a sense of their gender identity between ages two and four. If your child expresses a transgender identity since early childhood, it is unlikely they will change their mind as they age. Their sense of themselves will only deepen. For example, a 12-year old child who has consistently stated that he is a girl since age three will most likely remain transgender throughout life.

Where Do I Get Help, Support, and More Information?

Parents and family members of transgender children need information and support to raise a child in a way that others don’t always understand. However, you are not alone. There are thousands of families doing the same thing and facing the same challenges as your family. Here are some resources to help you get started.

Resources for Families and Providers
  • Gender Specturm Education and Training: Education, resources and training to create a more gender sensitive and supportive environment for all children.
  • Gender Odyssey Conference: National conference for families with gender variant and transgender children.
  • Family Acceptance Project: Research on LGBT adolescents and young adults and their families. Developing family education materials, and assessment and intervention materials for providers.

  • To see social worker Caitlin Ryan’s interview for the ABC Television News Program 20/20 story on transgender children broadcast in April 2007, click here.
  • To see the entire ABC News 20/20 story on transgender children entitled Facing Rejection, click here.