Rosenblum: Scars of psychological abuse run deep

  • Article by: GAIL ROSENBLUM , Star Tribune
  • Updated: October 23, 2014 - 12:14 PM

The little boy, maybe 3, was running up the hill of a city park. It was a pristine day and I thought at first that he was playing a game of hide-and-seek with the young man and woman I assumed were his parents.

But the couple, barely in their 20s, kept running away. I heard them laugh as they ducked behind trees. The little boy rushed toward the vast emptiness, frantic, crying, desperate to find them. This wasn’t a game. This was torment.

Over the years, and it’s been so many years, I’ve thought about that little boy. He returned to me recently as I reviewed a groundbreaking study published by the American Psychological Association.

The title: “Unseen Wounds.”

We are in the middle of a crucial dialogue about what it means to truly protect our children from harm. The Adrian Peterson story is pushing us to define what is and is not physical abuse. The heartbreak of 4-year-old Eric Dean of Starbuck, Minn., killed by his stepmother despite more than 15 abuse reports, demands policy change around reporting of physical violence.

On another front, long-awaited resolutions in the clergy sex abuse scandal are moving us away, at last, from institutionalized denial, and may encourage more victims of childhood sex abuse to come forward.

“Unseen Wounds” challenges us to spread our critical arms wider still.

The study, soon to be published, revealed that psychological abuse — difficult to define and rarely addressed in prevention programs — is often more harmful to children than sexual or physical abuse.

Children who have been psychologically abused suffer the highest rates of depression, social anxiety, attachment problems and substance abuse, the study found.

It’s important to state that any form of child abuse is the worst form of child abuse. This is no contest where parents get to pick the least harmful option. All three must be eliminated, through early childhood education and mental health support programs, better screening and more willingness on all of our parts to reach out and help instead of sitting back and judging.

But even lead author Joseph Spinazzola was surprised by what his team uncovered.

“We see the damage done to our clients, and it looks different,” said Spinazzola, referring to chronic insults and humiliation. Abuse for his study’s purpose included bullying, terrorizing, coercive control, severe insults, debasement, threats, shunning and isolation.

(This does not include yelling at our kids on occasion, for which the best remedy is taking a breather, then apologizing.)

“The unseen scars that come from being told repeatedly, ‘You’re ruining my life,’ ‘You’re just like your father,’ ‘I wish you were never born’ — the effects of that hostility and scorn can be lifelong,” Spinazzola said.

Those scars include difficulty in developing healthy relationships, and becoming parents who dispense the same hostility to their own children.

While the American Academy of Pediatrics in 2012 identified psychological abuse as “the most challenging and prevalent form of child abuse and neglect,” many professionals, caregivers and parents continue to dismiss its unique risks and consequences.

Where’s the proof if there are no physical wounds? This study could change some minds.

Spinazzola and colleagues at the Trauma Center at Justice Resource Institute in Brookline, Mass., analyzed data from more than 5,600 youths from 2004 to 2010, making it one of the largest studies of its kind. The average age was 11, many with lifelong histories of more than one type of abuse.

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