Scattered pieces

Today, two articles were published by the Sunday Star Times which highlight a troubling aspect regarding the recent changes in ACC guidelines (or clinical pathway)… ACC advisor silent on links to sex abusers and Conflicting interests?

Reading these articles has left me with questions…

• How much influence have the ideologies of Bert Potter (a convicted pedophile), indirectly had on ACC Sensitive Claims Unit policies?
• If ACC commissioned research directly from Felicity Goodyear-Smith, why?  What was the motivation, considering her stance and ideologies were well known at the time of the later studies.
• Why did ACC commission research from a GP, rather than psychologists, psychiatrists or clinical psychologists?
• Why did ACC commission research from a person who was a founding member of a group dedicated to defending those accused of sexual crimes (Casualities of Sexual Allegations – COSA), and who has been used as an expert witness defending the accused?
• Why did ACC commission research from someone who could later argue “that gonorrhoea in pre-pubescent children was not necessarily an indicator of sexual abuse”? (see Conflicting interests? and What is the evidence for non-sexual transmission of gonorrhoea in children after the neonatal period? A systematic review)
• My knowledge of the tertiary sector, would indicate that the research was directly commissioned.  However, if ACC commissioned the research from The University of Auckland, and they assigned the research to her… why was it assigned to her and why did ACC commission more research without any provisos that she not be involved in further research associated with sexual abuse?
• In the research where Ethic Committee approval was needed, what was disclosed about any conflicts of interest regarding the study?  Not only of the main researcher, but also other people involved in the study.

But, the most important question…

What is ACC going to do with this information?

One step was the appointment of the review panel, who are looking at the changes in policy and their impact on claimants… but this was instigated by a Dr Nick Smith under pressure from the opposing political party and public pressure in the form of survivor rallies and news stories about the suicide of women refused ACC funded counselling (see Denied help for sexual abuse, dead days later).

It also seems hard to believe that ACC didn’t know the type of research, or outcomes that would be produced, when the book First do no harm: The sex abuse industry, was published in 1993.  So the ideologies were well known before the 2003 and 2005 ACC research was commissioned.  So, may be the more appropriate question is…

What is ACC going to do, now that this information is public?

On a personal note… One of the arguments put forth by Felicity Goodyear-Smith, is that children seek out sexual contact with adults as part of a consensual act.  I find this the greatest insult.  I initiated sexual contact with adults, I know this and carry the shame and confusion as a result.  But, well before I did this, I had been forced into sexual situations which were beyond my ability to cope or understand them.  I was abused.  I was used.  I was stripped of my humanity and treated as a plaything.  I was so sexualised by the time that I initiated the contact, that I didn’t know what the appropriate sexual boundaries were.  I thought that it was “normal” to play those games.  I also found that it was over more quickly if you acted a certain way.  It hurt less.  It was also one way to get a sense of power, in an otherwise powerless situation.  So one statement, treated as generalised fact, can hide a huge range of issues and problems.  There are no simple answers when it comes to child sexual abuse… well, there’s one simple answer – it’s wrong… morally, ethically and legally wrong.

I’d like to thank Tim Hume, Barrie Leslie and Kyle MacDonald for speaking out.  I know there are others, not named in the articles who contributed, so would like to thank them as well…

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Now playing: The Feelers – Stand Up
via FoxyTunes

I’m writing this entry from a hotel by the beach… Out one window is the view of a bay, out the other is a glimpse of the ocean…  It’s beautiful.

I wish my state of mind matched the beauty surrounding me, but it doesn’t.  Instead it’s a floating mess of past and present memories…  It’s a harsh reminder that no matter how far I run, the problems will follow me until I work them through.

I hate that.

I knew it was risky coming to the beach, but I didn’t realise the memories and issues it would throw at me.  A combination of being in a hotel; by a beach similar to the one where I grew up; and the psychiatric assessment on Tuesday, has opened old wounds.  To top it off, the free cable channels in the hotel are the Rugby ones… just typical!  Why couldn’t they be the kids, movies or arts channels… why????

The fall-out from the psychiatric assessment on Tuesday has been severe.  I made many mistakes, thereby giving ACC lots of ammunition to use as a way of apportioning away responsibility to other issues.  In fairly typical fashion, I’m beating myself up for it.

I won’t know the results of the assessment for several months.  The psychiatrist assured me that he would recommend that I continue to get ACC funded therapy.  But, I was honest about my level of dysfunction and self-injury, so ACC might decide in peer review that I need to be in the hospital system or forced into DBT.  Then there’s the issue of determining my level of impairment… this is a brutal system, and one that has been harsh for me in the past.  I’m expecting it to be just as harsh this time around…  This will have little to do with the assessing psychiatrist, and more to do with the peer reviewers at ACC.

The assessing psychiatrist understood DID, he really “got” it… One of the last questions he asked was how long we’d been talking, B had just come forward again, so thought it had just been a few minutes… it had been over an hour.  B then noticed that the sunlight had moved across the floor… she forgot to check the agreed upon marker of time before answering him…

One of the things we did to try and ease the stress of the assessment, was to produce a summary of our life.  It was harsh to see our SA experiences summarised in a dozen bullet points on half a page.  That summary was difficult to write… one line alone took 4 hours… we finally admitted in writing that the father abused us.  It is now on our ACC records.  That makes it official… scary… overwhelming… disgusting… shameful… ugly…

Sorry, I know this is disjointed…

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Now playing: Blindspott – Phlex
via FoxyTunes

Note: This entry may trigger due to issues around suicide being discussed.

I’ve been fairly open about my levels of suicidal ideation on this blog over time. But the last week or so, I’ve been dancing around the subject. The reason why… on the 2nd and 3rd of August I tried to commit suicide.

I’m still trying to make sense of the attempts, and the triggers which precipitated them.

The main things I remember about Monday, are that I didn’t work my usual late shift, and that I was very tired… very, very tired. So tired, that it made perfect sense to come home, empty a pill bottle into my hand and swallow them down with a caffeine drink.

I vividly remember looking at the pile of pills in my hand, and thinking… “This will help me sleep”.

This terminology is significant… “This will help me sleep”. Usually, my suicidal ideation and intent is termed “running away”, so I wonder if the change in phrasing was an indication that different ones were driving the attempt, or whether I was just really tired?

In the past, whenever there has been even a suicidal gesture, a protector has come forward and immediately called for help. But not this time. This time, I climbed into bed and waited for sleep. That was at about 6pm. The next thing I remember, is waking in a panic at 2.45. I wasn’t panicking about the pills that were now well absorbed into my system…  Oh no, I was panicking because I wasn’t sure if it was morning or night, and I was worried about missing work!

The details are fuzzy, but somehow we ended up in ER. ER’s always seem so bright… so well lit… super bright… I know this is a medical necessity, but it’s also about our fears. We hate hospitals. We feel ourselves get smaller, younger and more tongue-tied in hospitals… It’s hard to hear what people are asking of us, and we become more robotic.

As an indication that there was still come cognitive thinking happening, we’d remembered to bring our iPhone with us. Hours of playing Boost 3D, Euchre, Hell’s Kitchen… Anything to try to keep calm! Then the unspeakable happened, the iPhone battery ran out… This tipped the scales back to crazy.

• We removed the lure ourselves and went to the nurses station, asking to leave. They took us through to the observation lounge instead. Yay… power points for recharging the iPhone :)
• WPT came and visited us in the ER, and we brushed him off… told him we were fine and not to worry about us…
• When we were assessed by the psychiatric team… I say “assessed”, but to the system, it felt like a grilling.  They asked about family relationships, abuse history etc.
• By the end of the assessment, angry protectors were up front and they ripped up the discharge papers as we walked away from the nurses station.

Yes, we were released with no follow-up or safety options mentioned.

When we got home, there was still the need to sleep. I think one of us called the crisis team, but gave a fake name… I remember the crisis person yelling at us that they were sending the Police around. This was the wrong threat to make, as it gave the protectors hope that help was on the way. They became less vigilant…

We sat down at the table with enough pills for a fatal overdose. It was very mechanical and quick. Again, there was a need to have enough pills to “get some sleep”. Once these were consumed, we went to bed. Again, a panicked waking a few hours later and a ride in an ambulance.

This time it was serious… I knew that because of the number of nurses around. I remember looking over when they took my blood pressure, and saying how good it was (53/45). Usually my blood pressure goes through the roof in hospitals due to anxiety (the next day it was 195/146). I asked if I could go home, because my blood pressure was so good, and it was all just a silly mistake…

I remember the nurses being nice.
I remember them wheeling me down corridors to a ward.
I remember a nurse sitting in a chair at the end of my bed all night.

We called the mother, asking her to come up because we needed help. Our cat needed food…

We were kept in for a couple of days, and again had a psychiatric assessment, this one was much more gentle. They asked about safety and stressors. They gave us options – they suggested hospitalisation, or respite. But the psychiatric ward was fairly full, and the respite place would be different to the one I’ve been to previously. Instead, we were released to the mother (a former nurse) at home.

The thing that blew me away about the medical ward, was their compassion and understanding. I was there for an overdose, but they didn’t judge. They had almost no knowledge of mental health issues (I had to tell them how to spell “dissociative”), but they were respectful of me as an individual…

It’s now over a week since the attempts, and I’m still on shaky ground. Last night, R was very present. I know it was him, because I could clearly see what he wanted – to be wearing just jeans, standing in the middle of the road, in the pouring rain, arms up, yelling (in pain, release, anger???).

I’m very aware that I’m still walking along the cliff edge. One little push will send me over.

It’s times like this that I realise how amazing the people around me can be… WPT came to see me in hospital (twice); while my blog friends have been a steady, calm voice of reason when I needed it desperately… thank you!

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Now playing: The Freshman – The Verve Pipe
via FoxyTunes

Please note that this may trigger.

It feels like I’m falling into a black hole…

Over the weekend, the dissociative fog was still hanging over me… everything very detached and unreal… Then, in acts of what I can only consider self-sabotage and self-injury, I sought out ways to break through the fog.  It wasn’t smart, it wasn’t pretty, and if it hadn’t been for a good friend, it probably would have led to some seriously stupid actions on my part.

It started off in the morning by going to the shops and buying some L&P, Salt and Vinegar chips and lollie cake… otherwise known as food triggers from my childhood.  I didn’t consciously buy these things, but they were amongst my groceries when I got home.  This stirred things up internally, but I didn’t really think much of it… the dissociative fog was still keeping everything very separate and numb.

Then, in actions that were so stupid, they’re ridiculous… I read an article about ACC’s mishandling of a clients psychological reports… I watched a 20/20 special on CSA… then one on a religious sect in America… then, to top it off, I read several blogs that talked about either consensual sex, or CSA…

Stupid, totally stupid…  That whole concept of telling others to take care and look after themselves… totally lost on me.

After reading a blog about consensual sex, I lost it…  Flashbacks came through like a freight train…  Sounds filled my head… and the smells… the smells… stomach churning, repulsive smells.

I have no idea which young one it was who carried the memories, but she was hurting so much…  The blind panic, the inability to breathe, the need to run…  The overwhelming confusion, the pain…

Too much… just too much.

What does my head in about the memories, is why didn’t I say anything about what was happening?  Why wasn’t my behaviour picked up as being odd by my teachers or doctors?  Was I that good at hiding it all?  Maybe I was, I don’t know… Maybe being part of a white middle class family meant that those sorts of things weren’t meant to happen to me?

Yesterday I remembered a new piece in the puzzle as to why I didn’t tell…  At the rugby club where the father was manager, they had regular raffles.  Each of those raffles had to be drawn in the presence of the Police.  Each time there was a draw, the father used to take me to the Police Station.  I remember that the Police used to joke with me that if I was bad, they’d have to lock me up.  They showed me the cells.  Put me in them and closed the door, so I’d know what it was like.  I know they did this in jest and teasing.  It wasn’t meant to be abusive.  The always laughed and teased the blonde haired girl tagging along with her father.

This is why I believed the implied threats that I would be locked up if I ever told.  That I wouldn’t be believed.  That I was the bad one in the equation…

We went into see Allison today, hoping to talk about all of this.  But we talked about a safety contract instead.  I know safety is important, but I’m scared… I could feel the resentment and resistance to the idea of a contract and our behaviour being “controlled” through reward and consequences.  I worry about what the backlash against the contract is going to be.  Allison says she’s expecting a reaction… which is fine for her, she won’t be the one experiencing it.

I feel like an open wound…  I feel like this…  If you close your eyes and listen, it takes you places…

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Now playing: Wilhelm Kempff plays Beethoven’s Moonlight Sonata
via FoxyTunes

I’m stuck… Stuck in a hellish limbo.  I’m derealised, dissociated and generally out of touch with reality.  Memories are flicking through my brain, stinging like needles.  I’m so out of touch.

This is the cause…

Stuck in a memory, and can’t get out.  No matter how much I try.  Half the problem is that the memory won’t form so I can work it through.  Just little fragments darting through my mind.

Want to run.  Want to hide.  Want to…?

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Now playing: Natalie Merchant – My skin
via FoxyTunes

“You sure know a lot about being dirty, bad and evil, don’t you?”

This statement came near the end of my time with the work place therapist (WPT) today.  To put this into context, we’d just been talking about safe internal places and stuffed animals…  We have two internal safe places and both are fairly barren.  WPT asked if there was anything that we wanted to take into the safe places… something like a stuffed toy perhaps?  A young ones immediate response was that stuffed toys weren’t allowed in the safe places.  You see, we are so dirty, disgusting and evil that if we touch a toy, it’s soiled and ruined.  She explained that we can go into the toy store, touch them to check how soft they are, purchase the one we want; but then it’s put on a chest of drawers or on our computer desk (with the price tag still on) and left to never be touched again – except for dusting or photography purposes.

To us, this makes perfect sense; but it confounded WPT.  He asked if the toys ever get lonely… well, aside from the fact that an inanimate object can’t get lonely, we have lots of stuffed toys.  To ensure we won’t be tempted to pick up the toys, they’re placed in groups so they’ll never be lonely.  He then asked about HIS stuffed bear… one he’d had from childhood.  It was well worn, with an eye missing and some of the stuffing leaking out.  What do we think of his bear?  Well again, it makes perfect sense to us… his bear is well loved, beautiful and clean (unless it’s really nasty and needs a wash).  It’s only when we touch it that it would become dirty.  We never touch other peoples stuffed toys, unless forced.

The cause for this thinking could be for a number of reasons – OCD, perfectionism etc… and while I think these are contributing factors, I think the real reasoning goes back to what Katie said in her comment to me in a previous post.  She quite rightly, pointed out how flippantly I assign negative labels to myself.  I know I do this, and have done so since I was a child.  I am/was sensitive, and remember the negatives said to me over anything positive.  When I was called the “mistake at the end”, “strange”, “odd” or “difficult”, that is all I hear.  I take those words into the system and hold onto them.  They define me.

However, the most damaging use of the negative wording, were associated with the abuse I was subjected to.  The abusers said that I was “evil for making [him] do this to [me]“, “a dirty little girl” or “a naughty little girl”.  When this was combined with the mixed religious messages that I grew up with; it resulted in parts of me firmly believing that they are evil, dirty and anything they touch would be sullied.

We are our harshest critics.  We believe we are stupid, useless, ugly, dirty… the list goes on.  We try not to make it too obvious that this is how we view ourselves – we learned very early that some people enjoy playing with those who have low self esteem.  So, we usually present a façade of calm confidence.  We were so good at this during our teen years, that our aunt considered us a stuck-up perfectionist… Our protection system failed us…  We’d taken it too far.

Couldn’t they see we were just trying so hard to make up for our dirty, evilness?  We had to be perfect in order to try to counteract all that had happened.  We had to be perfect to try and ensure that no one would see us…

You have to be invisible
If you’re invisible, no one can see you
No one can hurt you if you aren’t there

This is an enduring message that I have lived with for most of my life.  It comes from a young one, and has been one of the driving influences in my life.  During my healing, people have tried to point out to me that by being invisible, we are also invisible to those who want to help us.  I think this new way of thinking is starting to sink in.

At the moment, I’m getting lots of little pieces of the puzzle of my life being thrown at me.  It’s difficult to put them into a place or context.  But I am becoming increasingly aware of how they have impacted on my thinking and being.  Some of the enduring patterns of thinking are starting to be identified, examined and questioned.  I’m both excited and terrified…

And the red dog… I found out today that one of the young ones used to stare at our red stuffed toy dog while we were being abused.  She could look, but not touch…

Another reason why we find it difficult to touch stuffed toys.

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Now playing: Sarah McLachlan – I Will Remember You [Live]
via FoxyTunes

The last two days have been kind of rough.

Heading into Thursday, I was feeling good and had managed to pull myself onto some sort of steady ground.  That all fell apart late Thursday afternoon, when I got an email from the other team leader, calling into question the quality of my work.  That email sent me plunging back into self-doubt, self-hatred and all the other associated negative thinking.  My cynical friend told me to forget it; but it was such a back-stabbing insult that I couldn’t brush it off.  To make it worse, my own team leader wasn’t around to reality check the content of the email, and I didn’t want to run to the manager about it.  This spun me out to the point where I knew I wasn’t safe to drive home.  I stayed on at work for a couple of hours, before driving home and losing most of the evening to the dissociation.

Then, on Friday morning during my drive to work, we went past a “hurt” cat in the middle of the road.  I always dread this sort of thing; not only does it stir up the system because an innocent animal has been hurt, but it’s a trigger for some of the younger ones.  Like a deer caught in headlights, we can never look away… we started reciting “it’s just a jumper that fell out of a car”, hoping that this will change how we see the cat… it doesn’t.  This means we now have adult parts smarting from the insult to our work, and young ones upset that an innocent cat has been hurt.

So we’re now driving down the road reciting out loud “it’s just hurt, it’s ok, it’ll get up soon and the people who love it will come get it and take care of it”.  There was also a promise that we wouldn’t drive home that way, just in case it hadn’t been moved.

Work on Friday is mostly a blank… I know we had a morning tea for the two new people, and that the manager made a triple layer banana and pineapple cake (which did a rather spectacular topple over during the cutting process).  I also know I played around with the iPhone app kooaba, as we’re looking at new ways to try to deliver information through technology such as QR codes and visual recognition apps.  This was fun because we were going around the library, taking random photos of books, CDs and DVDs to see what information kooaba would return.

Then it came to the drive home… all the way up the street where we should have turned off to avoid going by the stretch of road where the cat had been hurt, we were consciously thinking of turning.  Then there was this little mind fit, and we were suddenly past the turn off.  I could hear the panic, but there was also this firm voice telling me to stop being so silly, that there will be nothing there, and it will all be fine.

Thankfully the cat was no longer there, but that didn’t matter, the panic had set in.  We were switching all over the place and I could feel our throat closing up.  Little Michelle came forward full force, meaning that we couldn’t really drive, talk and only barely functioned enough to get home in one piece.  Because we live in a high fenced section, no one saw us getting out of the car shaking like a leaf and stuttering about it hurting.

We got inside, fed Winnie, turned on all the lights, curled up in the corner of the lounge and tried to ease the shaking.  I had no real sense of what was happening, but there were obviously body memories.  The throat was closed off, and no matter how hard I tried, I could barely stutter.  I managed to take some anxiety medication and send the following email to Allison…

turn all the lights on an hide
turn all the lights on an hide
turn all the lights on an hide
turn all the lights on an hide
turn all the lights on an hide
turn all the lights on an hide
turn all the lights on an hide

hide got to hide
he’ll find us

I think we finally went to bed at about 8am (it was naturally light by then) and slept for a couple of hours.

Saturday had been good… we’d talked to a friend and took some pictures of the stuffed toy we got for the young ones as their reward for going through the divorce proceedings…

This made me think that tonight was going to be easier… the fear seemed to have eased.  But it’s now 1am Sunday and all the lights are on again.  Little Michelle is ok as long as all the lights are on.  We’re also ok as long as we don’t even think about going to bed.

One of the big problems with this scenario, is that it opens us up to further dissociation and self injury.  We’re so switchy and shaky…

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Now playing: Missy Higgins – Where I Stood
via FoxyTunes

I learned from an early age that my family needed to be protected.  In my childlike way, I saw them as being unable to handle the secrets I held, or even to be able to deal with daily problems.  I saw the family around me, as being a swirling mass of chaos, and the only way to bring some control and calm to the situation, was for me to be a silent rock.

While this sounds very egocentric, it meshes with some of the basic principles of childhood development.  Dunn (1991, as cited in Claiborne & Drewery, 2010, p. 157), discuss how children as young as two attempt to comfort their mother when they see her distressed.  While Lewis (2002, as cited in Santrock, 2007, p. 340), talk about the development of shame and guilt for not meeting societal expectations in children as young as two and a half.  So it makes developmental sense, that by the time I was first abused at the age of three (nearly four), I could understand (in a childlike way) the implications of telling.  I could grasp the idea that it might either hurt someone else, or bring shame on myself for not meeting my mothers expectations – after all I was told at the event that it was “bad”, “dirty”, “wrong” and “naughty”… all very emotive words to a sensitive child.

Reading the literature on dysfunctional families, it also becomes clear that the need to protect my family meant that I lost sense of appropriate boundaries (Kerig, 2005).  It meant that I became enmeshed in the problems of some of my family (father, sister and one of my brothers) and held other members of my family quite distant from myself (mother and other brother).  Throughout the family, there was almost no boundaries where I was concerned.  My other siblings were able to create some sense of boundaries, but I seemed unable to do so.  This is possibly because of the age gap between us  – there is a five year age gap between myself and the next oldest child, but only four years difference between my other siblings combined.  It could also be because I was a difficult baby/child and I didn’t emotionally attach securely to anyone, with the associated developmental impact (Claiborne & Drewery, 2010, p. 49-51).

At this point, the intellectual part of me is happy with the theory as it helps to explain why we got where we did… the cynical part of me notes that we never had a chance… while the emotional part is screaming in pain…

So what does all this theory mean?  On one level, it helps to explain why we ended up in a dysfunctional family and were an easy target for abuse… we had no concept of what an appropriate boundary was; we were used to protecting others; and we didn’t really understand that it was wrong, because we didn’t understand where we ended and the rest of the world began.  On another level, there’s pain… total and utter pain… it doesn’t matter why it happened, it happened and it hurt.

In the midst of writing this post, I’ve seen the work place therapist.  In that one hour “talk” we did a sociogram of three people – my neighbour, the mother and sister.  It was incredible and awful…  On the floor we placed whiteboard magnets for each person in relation to myself…

First, was my neighbour, who was placed about 5cm from my marker… she was safety, freedom and acceptance.  But she was also shame and pain… I once overheard my neighbour, the mother, the sister and my neighbours daughter discussing how good it was that I wasn’t around because I was so annoying.  She was the safest thing I had outside of the teachers at school.

Second to be placed, was a marker for the mother, who was about 15cm away from my marker… she was not to be trusted, to be protected, consumed with the problems of my sister and joked about me being the mistake at the end.

Third to be placed, was my sister’s marker… this is where the lack of boundaries really showed… I told the work place therapist that she should be placed on the other side of the room, and on top of my marker.  There was nothing in-between, she was either invading my space or ignoring me.  She controlled many aspects of my life.  We shared a room for many years and she invaded my space so often, in so many ways.

This seemingly simple task brought up so much… W filled in the rest of the memory surrounding what happened after we overheard the discussion about us being so annoying – we got down off the fence and went inside the house to be hurt… We realised how young we dissociated, as we remembered getting a hug from a teacher for correcting a story; but we were depersonalised at the time, as we were so terrified that we hadn’t corrected the story “properly”.

Sophie cried… W was tough… Little Michelle stuttered…

Our work place therapist kept bringing us back to the emotions…

It was difficult, but not overwhelming.

What does all of this mean?  Well, for once I can understand the theory and associate some of the emotions with it.  Yes, I parented/protected those around me… I looked after my family’s needs before my own, I kept the secrets, all the while learning to cope and adapt through the gift/curse of dissociation.  I failed to learn and understand what appropriate boundaries were – physically, sexually, psychologically and emotionally.  I learned to lock away my emotions, and although these emotions hurt to look at and experience, they won’t destroy me – unless I let them (thank you to Meredith for today’s reminder regarding the truth of this statement).

My work place therapist said today that I was a strong child… Right now, that statement is enough for me to believe that I can heal and grow beyond the confined world I find myself in.

References

Claiborne, L., & Drewery, W. (2010). Human development: Family, place, culture. North Ryde, New South Wales, Australia: McGraw-Hill Australia.

Kerig, P. (2005). Revisiting the construct of boundary dissolution: A multidimensional perspective. Journal of Emotional Abuse 5(2/3), 5-42. doi: 10.1300/J135v05n02•02

Santrock, J. (2007). Child development (11th ed.). Boston: McGraw-Hill.

On Tuesday, the New Zealand Herald ran the story of a woman who died (read committed suicide) four days after being declined counselling assistance by ACC (see the whole article here).  It could be argued that there is no link between these two events, but it’s hard not to draw conclusions.  Having been on the receiving end of insensitive letters and shoddy reports from ACC, I know how easy it is to get that last knock which sets off the final downward spiral.  We’ll never know whether this tragedy could have been averted or not.  People within therapy do commit suicide, so there is a possibility, that even with counselling, this would have happened.  But there will always be that… “What if… ?”  I know her children will always wonder and question…

The reason why her claim had been denied, was that ACC determined that she hadn’t suffered a “significant mental injury” due to sexual abuse.  Yet, the counsellor initiating the claim, clearly stated that she was suicidal because of the abuse.  If you’re wondering how this can happen, ACC look at other factors in your life, to see if the symptoms you are suffering from can be attributed elsewhere.  As an example, I am deemed to have grown up in a “challenging” home environment due to having an alcoholic father (among other factors).  When someone grows up in such an environment, it is statistically expected for them to be impaired in some way, for example, children of alcoholic parents are more likely to suffer from depression.  So it would seem that ACC decided in this woman’s case, that her current issues were not due to the sexual abuse.

As an outsider, it’s easy to cite other resources for help that she could have approached instead of the ACC funded therapy – LifeLine, Mental Health Crisis Teams etc.  But in reality, it’s not always that simple.  Speaking from my experiences, when I’ve reached out to the Crisis Lines, their goal is to talk you through that moment and to suggest options for assistance long term.  Often, those options are under-funded and over-stretched.  As an example, if I wanted to see someone through the Mental Health Team, I’d be looking at a six month waiting period – just to be assessed.  When you’re in that pit of hopelessness, six months may as well be 20 years, it seems like an eternity and beyond hope.  This is the reason why the recent changes to the ACC pathways have been so damaging.  The options for someone who doesn’t receive assistance from ACC are limited and often cost prohibitive.  Not many people can afford the cost of therapy; and as it would be considered a pre-existing condition, no private health insurer would accept coverage.

In the same newspaper article that told of this woman’s death, it was announced that there would be a review of the new ACC pathways.  I hope the reviewers seriously look at the Massey Guidelines – the original work, not the slanted way in which ACC has adopted them.  As Kyle MacDonald pointed out, the way ACC have used the Guidelines, is to pretty much ignore them in favour of Goodyear-Smith, Lobb and Mansell (2005).

I also hope that this woman’s death isn’t used for political gain…  She, like so many others who didn’t make it, deserve some dignity.

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