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Such episodes can be disruptive and life-threatening to the patient. The treatment must be paced in a manner that does not consistently overwhelm the patient, and the trauma work must be understood to be only part of an overall therapeutic effort.
At times, other concerns predominate or the patient cannot tolerate dealing with the incest. The relationship that the therapist forms with the patient may prove more crucial than the theories and techniques used in treatment.
Patients may bring and develop trans ferences based on relationships with persons who have hurt and betrayed them. The expectation of sexualization and emotional harm from the therapist may be denied on a conscious level but is often revealed in numerous ways, and usually it is finally acknowledged.
Many therapists have difficulty with being perceived as someone who may exploit, betray, and reject the patient, but this must be tolerated and explored as treatment progresses.
The pervasiveness of shame, guilt, self-loathing, and self-directed disgust experienced by many incest victims cannot be overstated. It is difficult for victims to accept the treatment as well-intended; even if it is, it is difficult for them to accept that it will likely continue to be well-intended as they reveal more deep-seated information.
This is especially pronounced in incest victims who suffer dissociative identity disorder or closely related dissociative conditions.
One of the major concerns during treatment of incest victims is their ongoing rumination over whether their accusations are accurate or whether what has happened is their own fault.
The latter concern is especially prominent in victims of polyincest, who reason that if so many people abused them, it must have been their fault.
When patients realize that facing what has happened may confront them with the irretrievable loss of their relationship with one or more family members, and sometimes with the potential loss of their entire families, the pressure to doubt themselves is profound.
The therapist is always on solid ground when he maintains that whatever might have happened was not the fault of the child who has grown into the patient he is treating.
Although this is not the place for a lengthy discussion of this matter authoritative texts are available 23 , certain principles are useful guides.
The patient will have to come to his or her best understanding, and the therapist is most helpful in facilitating that pursuit of understanding rather than attempting to be an arbiter of a historical truth unknown to him.
Therapists are ill-equipped to distinguish accurate from inaccurate memories on the basis of the information available to them throughout the course of therapy.
Collateral sources are rarely without interests of their own to protect. I was once involved in a forensic case in which the defendant and all members of her family attested that no abuse had occurred in their family.
Because an issue of great importance was involved, the FBI, which had found no evidence of abuse in a cursory investigation, did a more exhaustive inquiry.
Sixteen witnesses to the abuse of the defendant by members of her family were located, including a former neighbor who could see from her third-floor window the defendant being raped by her father in a second-floor bedroom of the house next door.
That observation had been reported to the police but was not acted on. Table 3 summarizes study findings. Finally, with regard to memory, it is useful to remind ourselves that although much has been disputed about recovered traumatic memory when matters of incest have been involved, little concern has been expressed about the situations in which memories of other types of trauma return to awareness after having been unavailable.
It may be useful to review some of the factors that may lead to memory of a trauma becoming inaccessible or being reported as inaccessible for long periods.
Some are noted in Table 4 , drawn from my practice. Bear in mind that the treatment of the incest victim must address not only past problems but current problems as well.
I postulated a connection between their childhood mistreatment and characteristics that predisposed victims to repetitive victimization such as exploitation by their therapists.
Therapy must free the incest victim of the burden of repetitive victimization by addressing the following 4 areas of problematic function:.
However, if approached circumspectly, gently, and with patience, the vast majority of those who have experienced incest can experience considerable improvement and enjoy an enhanced quality of life without succumbing to repeated victimization.
Treating traumatized patients and victims of violence. In: Bell CC, ed. Kluft RP. Reflections on the traumatic memories of dissociative identity disorder patients.
Ramifications of Incest January 12, Richard P. Kluft, MD, PhD. Relevant Topics. By , some form of father-daughter incestuous activity, ranging from minimal to brutal and aggressive, was found in approximately 1 in 20 families that included daughters and their natural fathers, and 1 in 7 families in which daughters resided with a stepfather.
Incest often leads to traumatic bonding, a form of relatedness in which one person mistreats the other with abuse, threats, intimidation, beatings, humiliations, and harassment but also provides attention, some form of affection, and connectedness.
There are so many disincentives to revelation that many incest victims will undergo several rounds of psychiatric treatment before they risk revealing this aspect of their histories.
Appropriate treatment is geared toward each individual patient-not around the problem, the relevant diagnoses, or a particular theoretical model.
What is incest? Longer duration of mistreatment? Frequent mistreatment? Degree of force and intimidation? Onset at a very young age or in latency?
Transgenerational mistreatment? Male perpetrator? Closeness of relationship? Passive or willing participation? Having an erotic response? Self-blame and shame?
Disclosure did not lead to help? Parental blame and negative judgment? Symptoms Incest victims present with a wide range of symptoms and comorbidities.
Emotional incontinence: an inability to contain distressing effects and the urges that accompany them? Dysfunctional self-soothing: use of addictive substances, activities, rituals of self-harm or self-stimulation?
Somatoform dissociation 26 : physical expressions of emotional distress? Comorbidity: the effects of trauma-related conditions, physical and mental?
Sexual dysfunction: inhibitions, dyscontrol, and reenactment-driven compulsive sexuality? Reenacting and revictimization behaviors: efforts to please, charm, withdraw, defy, place self at risk for further trauma, etc?
Special issues Patients may bring and develop trans ferences based on relationships with persons who have hurt and betrayed them.
Table 3: Observations drawn from the literature on trauma and memory 23,27? The details, vividness, and resemblance of a memory to known events do not demonstrate that a memory is accurate or inaccurate?
Neither a fragmentary quality often associated with traumatic memory nor a quality of narrative completeness sometimes linked to inaccurate memory for trauma demonstrates that a memory is accurate or inaccurate?
Neither a dreamlike, unreal, foggy, nor surreal quality to a memory demonstrates that a memory is accurate or inaccurate?
Table 4: Reasons why memories of incest trauma may become inaccessible or be withheld? Familiar mechanisms of defense?
Dissociated storage processes and structures? Conscious coping mechanisms? Guilt and shame? Protection of family members and of the family?
Perceived moral or religious imperative to withhold? Confusion about the reality of events and their meanings? Confusion about the source and nature of and misunderstanding of the meanings of available mental contents; obsessing over the reality of mental material?
Consequences of obfuscation or gaslighting a or promoted reinterpretations of events? Obsessing over the meanings of terms? Deliberate or inadvertent discouragement of reporting by others?
Encouragement to doubt or dismiss memories? Contamination b? Strategic withholding with goals and objectives in mind? Driven withholding, motivated by higher priorities personal or cultural, including defending loved ones a Gaslighting involves providing a person with false information in order to bring that person to doubt his or her perceptions and memories.
References: References 1. Henderson D. Comprehensive Textbook of Psychiatry. Herman JL. Father-Daughter Incest. Courtois CA. Psychological Trauma.
Russell DEH. New York: Basic Books; McNally RJ. Remembering Trauma. Clancy SA. The Trauma Myth. Finkelhor D. Three witches, destined for greatness.
A pureblood who remembers a previous life bound by fate. An orphan who remembers a life of blood and pain.
A muggleborn who knows nothing of the world she has yet to discover. All intertwined by fate, who refuses to let any of them go.
The wards on the house are failing - wards powered by love. Looks like it's time for Lily Potter to have a frank talk with her twin children as to the type of love that drives the protection on their home Lily Potter has been extremely lonely since Harry got married, and happens to see her son with his three wives.
She knows it's wrong, but she doesn't care! Harry's creature heritage leads him to take control of his life, and the women around him.
This young incubus enjoys the pleasures of life, while having a bit of fun along the way. Crossposting from FFN. Harry, his mothers Astra and Lily, and his aunt who is also his mother-in-law , Alura, have a day to themselves when Harry's wives are otherwise occupied.
Something that would not go away; dreamed day and night about this plot for three days. Anita Blake is a trainee federal Auror, and an unbelievable Voodoo witch.
Dana Scully is a biochemical scientist, martial artist extraordinaire, and a so so witch. I'm going to make up backgrounds as has nothing to do with the books or the movies, just like the names.
Same will be for director Bill Mulder. James and Lily have fun with their darling baby boy. He's such a slutty little fuck toy for them.
Harry decides to help his mothers, Astra and Lily, come to an understanding in a very intimate way. Lily Evans-Potter receives her dear son in all of his glory for mother's day.
It will prove to be a very taboo encounter. A curse removes Harry's inhibitions and morals when he lays his eyes on the object of his desires.
Which turns out to be his own mother, teaching charms class, and he plunges the whole class into ruin getting what he wants.
Anonymous commission.
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Ja, es ist die verständliche Antwort