We all know that ending a secreted abuse and getting public support is an important element of healing. Indeed, it is nice when society comes to the rescue as they did to victims when the world trade towers fell. When victims sense they are supported there is more opportunity for resilience, heroism, and healing.

But alas, many of the people I work with on an Outpatient Psychiatric Unit do not enjoy such support. Many lead lives of poverty and neglect due to what is presumed to be the medical illness of the mind. Many have done stints standing on the corner with a cardboard sign and are used to be seen in a negative light. Imagine the constant digs or exclusionary put-downs they may receive from their community of origin. Many choose to withdraw from the world. It is as if society has managed their crisis by tying them down to their beds like African-American, male Katrina-victims. Progress toward healing is slow.

As a worker in the system, I have come to feel that many of our clients get dehumanized when we focus on behavioural control rather than freedom from abuse. Focusing on behaviour can point out what is wrong with the person and make it unsafe to talk about the ways they have been hurt. I feel weeding through hurts helps a person gain acceptance and healing.

Perhaps this focus on behaviour happens because of the way our institutions define human suffering as being part of a medical mental illness. Thinking you have an illness may feel good at first but often make problems worse down the line. Some who suffer may feel, they have been born with a diseased mind all along. They may feel this way, for example, with a label of schizophrenia because many people with a disease model mentality may treat them that way.

I believe that when trauma is hard to detect or complex, the mental health system assigns blame inside the scientific sanctity of the individual. This can result in things like multiple diagnostic labels, use of forced medication as a punishment, restraints, solitary confinement, psychiatric incarceration, and, eventually, permanent warehousing.

As a psychotherapist, I have found that understanding these problems as signs of micro abuse that accelerate with stigma and exclusion to be vital to being able to connect with participants in our program.

Understanding the Role of Sexual Trauma in my own Life:

Like many psychotherapists, my first client has been myself. I admittedly have lived experience with a long list of psychiatric labels including recurrent depression, anorexia, bulimia, ADD, dyslexia, schizophrenia, and now that I have recovered, schizoaffective disorder.

I have spent decades in therapy and received care that emphasized the illness narrative. I have taken pharmacies of detrimental pills even though I have come to a place where I believe I get some help from small doses. I have even been referred to as permanent warehousing in a state hospital in Montana.

I am writing to demystify the role that complex trauma has beneath the surface for so many of our most defamed, dehumanized, and marginalized people.

How Controlling Behavior May Lead to Re-traumatization Instead of Help:

It is true I have had an ongoing suspicion that I was sexually abused. Particularly when locked up for extended periods of time for an eating disorder, and most recently for schizophrenia, my suspicion that my suffering had sexual abuse behind it escalated. I went through a phase of clothing myself while bathing post-latency that was always hard to understand. My sense of shame associated with my body was suggestive to me.

Yet, I once had a female therapist confront me about secreted accusations I had made against my mother on an inpatient unit. At the time I was confronted, I could not remember the real incidents of sexual abuse that I experienced. I just stopped confiding in the therapist in any meaningful way. This really added to my sense of shame. It’s true I recovered, but I lead a limited life of work and torment.

Without knowing that I once was abused, it becomes that much harder to discern triggered re-traumatization, from abuse. People who don’t realize that their suffering is due to trauma are often unable to do this. They may repeatedly feel abused a gazillion times and it becomes hard to see how the community might come to the rescue. Instead, we get cast as not taking responsibility for our own problems that are generated by our defective genes.

The Importance of Vigilantly Assessing for Disassociation:

I have always been aware that I disassociate. I think it is a good idea for therapists and mental health workers to assess for disassociation. It is a simple question but may need to be teased out a bit to accurately assess for it.

Though I had been in therapy my whole life, I only had one therapist take note and get suspicious about the disassociation I described. What I have come to realize by listening to others is that if a person has experiences of disassociation, there is the possibility of incidents of distressing events that they may have forgotten.

An example of a disassociation I experienced was when I was alone scouting a trail. I stepped within six inches of a rattlesnake, a childhood obsession of mine. The rattle made me run even though I knew better. Then I became aware that I lost track of time. Finally, one of my peers on the Outward-Bound course came and found me staring off into space and I grounded myself.

Another time, my best high school friend made a pass at me after communicating in metaphoric manners that were suggestive that he might have been tripping on acid. I came to at several points to find myself hiding in the house. At one point I heard him talking to my mother when she returned to the house. He was talking about gay marriage and, somehow, I had gotten down into the basement again.

And, finally, after being teargassed at the WTO Protest in 1999, and pepper-sprayed directly in the eye, I took a walk and lost track of where I was and what I was doing. Suddenly, I realized I walked past my destination and had been out.

I am now at the point of arguing that these seemingly inconsequential incidents are faint traces that there is a need to explore more. I emphasize that I advocate doing this to help understand oneself instead of vilifying others. For example, my best friend does not deserve to be vilified, and yet the disassociation was real. Though disassociation experience may not seem significant to the daily suffering that gets experienced, I think it is an important indicator of trauma that may accelerate over time if it goes unaddressed.

How I Broke through the Wall:

I took it upon myself to write about starting to disassociate in front of my nephew when he was a bathing cherub in a tub in front of me. I did not fully disassociate and I considered the experience a flashback. I was going outside my body but didn’t leave all the way. This had been happening to me on a few occasions when I was working seven days a week trying to get back on my feet financially after my post-state-hospital period of homelessness.

As I was editing the scene suddenly I got a vague flash of being molested in a bathtub. The girl, my best friend’s sister, was only one year older. I would later remember that she ordered me to take my clothes of and get in the tub with her while our parents were out walking on the railroad grade.

I still don’t remember my response. There is a story that I ate a mothball thinking it was a marshmallow necessitating poison control to be contacted. I was a little old to make such a silly mistake. It’s true I could be wrong, but I connect that action to my response to the tub incident. I do believe that that was the summer I started bathing in my trunks.

When I took this story to my mother, I got an additional answer. “No, you are thinking of the time we caught the babysitter touching you,” she said.

While I continue to have no memory of this incident I remember several occasions when I was around this babysitter later in life. Before I hadn’t been able to understand my piercing feelings, behaviour and memory of those occasions.

“Thank you for telling me,” I stated to my Mom.

“I probably shouldn’t have told you,” she said, “Now you are going to think you have been abused a gazillion times!”

When Hypervigilance and Numbing Seem Like They Are Normal:

Just like the bath with my step-sister might not have been distressing to many untraumatized young boys, there is the possibility that memories of intense hypervigilance may not always be indications of sex abuse. Not all intense memories I have led to recovered memories.

Before I broke through the wall disassociation I could never understand why I got such strong intuition and suspicions. I didn’t realize that I was doing this for a good reason. I often presumed there was something wrong with me. I had to learn to numb out to prevent embarrassing myself worse socially.

I also have a hard time defending myself when I get attacked. When I do defend hypervigilance, I come off too strong and the results never go well. Then, when I am called on to defend myself during a test, I often fail to act because I think it may be hypervigilance.

People who prey on others can see these signs and chose people they can hurt without getting in trouble. This can open a body up to bullying that can become institutional when labels get attached. Powerful mental health administrators have done this to me and I remain marginalized in the county in which I work.

More Meaningful Memories:

When I found out that her brother had sexually abused a childhood friend, I suddenly had a flash and an image. I saw him rape her, became paralyzed with fear and fled. Had I really behaved like that? It seemed like more of an intuitive dream, that a solid reality.

Typical, I thought, for a schizophrenic to hear about sex abuse and think it is all about him. Perhaps some of the readers may think so as well.

However, I do remember visiting the two of them alone in a vacation cabin along the Chatooga River in the Adirondacks. They were skinny-dipping, she with just a shirt on, he in the nude, and me, very attached to my bathing suit. My last memory of the evening involves him standing behind her wrestling her around.

The distinctive flash of a rape and an overwhelming feeling of cowardice and helplessness that overtook me when I should have protected the victim is unconnected to any other part of the evening.

The brother has only admitted to inappropriate touching. So, I acknowledge that even saying the word rape may be inappropriate and unfair. If I considered these flashes reality, there are several other incidents in my life to talk about with other adult men.

Years later I had rescue fantasies and psyched myself up to respond to rape scenes. This happened at a time when I took a job in a lawless section eight housing project; and used community activists and the press to fight the management company, the police and the black market dealers against all odds. This is an action that caused the police and my parents to attempt to institutionalize me in a state hospital.

Is it possible that my objectionable behaviour of using the press to out real murder and mayhem was simply an unconscious expression of ongoing existential guilt from unrealized events? Is it possible that some of my schizophrenia was exacerbated by real government monitoring? For a year the only job I could maintain was an arranged job at an Italian Deli through which I thought I was being persecuted by the Italian Mafia. When I stopped acting persecuted and started being thankful for a nine-dollar an hour job, I was able to return to professional job opportunities.

“The first question that gets asked shouldn’t be what is wrong with you, it should be what happened to you?”—Jackie Dillion

I think therapists have a responsibility to assess for incidents of abuse. This is not about potentially wrongly vilifying people like the brother above, it is about healing and changing behaviour. For healing, even heinous acts need to be emotionally accepted, yet never forgot. It involves constant intuitive listening and questioning and remembrance of patterns on the part of a psychotherapist. What is far more common in psychiatry these days is the focus only on symptoms and behaviours associated with mental illnesses. It becomes easy to become part of the problem for many when blame is assigned within the genetic codes and neurotransmitter cocktails of the individuals.

Overemphasizing these concepts without acknowledging the role of trauma promotes stigmas and generalizations. This not only orients us towards not considering traumatic occurrences, it makes it highly likely that we will re-traumatize sufferers and further marginalize them.

I believe that when therapy is governed with an illness narrative mentality, money gets made, and many of the recipients lose support and wind up deprived, impoverished and defeated. The mental health system becomes much more a system of control and ongoing abuse when things are as such.

I would advise someone who is suffering and receiving psychiatric care not to underestimate the role that trauma may have in their suffering. Learning about this and honouring it yourself can help you make meaning of your suffering. Unfortunately, if our communities don’t understand or teach us about trauma, we need to do this for ourselves. I believe this is when psychotherapy can be helpful. However, when psychotherapists maintain the psychiatric illness mentality, therapy can go on for years without understanding underlying complex trauma.

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Warning: Graphic Content

“I have heard real stories,” said my female therapist, “of men doing graphic and horrible things to women. I don’t think based on what you just told me, there is any justification for any accusation whatsoever. I think you have been saying a lot of hurtful things.”

I figured my mother who was paying for these forced sessions put the shrink up to this confrontation. I never did bring the issue of sexual abuse up.

It is true I have had an ongoing suspicion that I was sexually abused. Particularly when locked up for extended periods of time for an eating disorder, and most recently for schizophrenia, my suspicion that my suffering had sexual abuse behind it escalated.

It was also true that in the state hospital I had just gotten out of, I had made rash accusations.

I can only recall making the accusation against my mother to my best college friend who had a nefarious past of drug dealing and a grandiose mafioso mentality while manic. When I confided in him that I had alerted the press in a section eight housing authority complex, he threatened me. With this feeling I had been led into this role I was playing as a whistle-blower all along, I’d fled towards Canada until the police intercepted me.

From the phone in the State Hospital, without knowing his level of responsibility for the fact that I was there, I told him what had transpired between myself and my mother in a provocative manner.  I told him he was lucky to have a family who cared about him when he had faced going to a state hospital for bipolar disorder. I’d also said, “Friends don’t threaten each other!”

“I think it is time for me to visit your mother,” my friend said.

Scared for my mother, I called to warn her.

“You shouldn’t make such accusations about Joe being in the mafia,” my mother said, “He really does care about you!”

When I later asked my Mom where she had heard about my provocative accusation, she told me she forgot.

At the time the female therapist confronted me, I could not remember the real incidents of sexual abuse that I experienced. I just stopped confiding in her.

Initially, shit just happened when I was a teen, built up and I just distracted from the pain through starvation. The incident with my Mom was just one of many. People like me who don’t realize that their suffering is due to trauma are often unable to discern abuse from re-traumatization. They may attract a long list of psychiatric diagnoses. They may feel abused a gazillion times and it becomes hard to see how any community might come to the rescue.

What I have come to believe is that if a person has experiences of disassociation, there is the possibility of incidents of forgotten events.

An example of a disassociation I experienced was when I was alone scouting a trail. I stepped within six inches of a rattlesnake, a childhood obsession of mine. The rattle made me run even though I knew better. Then I became aware that I lost track of time. Finally, one of my peers on the Outward-Bound course came and found me staring off into space and I grounded myself.

Also, after being teargassed at the WTO Protest in 1999, and pepper sprayed directly in the eye, I took a walk and lost track of where I was and what I was doing. Suddenly, I realized I walked past my destination and had been out.

Much later, after the state hospital incident, I disassociated in front of my nephew when he was a bathing cherub in a tub in front of me, I was going outside my body but didn’t leave all the way. This had been happening to me on a few occasions when I was working seven days a week trying to get back on my feet financially.

In fact, when I did write about this occasion, during an editing session I suddenly I got a vague flash of being molested in a bathtub. The girl, my best friend’s sister, was only one year older. I would later remember that she ordered me to take my clothes of and get in the tub with her while our parents were out walking.

I didn’t remember my disassociated response, I only remembered the hands disappearing beneath the suds. There is a story that I ate a moth ball thinking it was a marshmallow necessitating poison control to be contacted. I was a little old to make such a silly mistake. It’s true I could be wrong, but I connect that action to my response to the tub incident. I do believe that around that time I started bathing in my trunks.

I do recall becoming very angry at my best friends’ sister for not choosing the kind of ice cream I wanted when it came to selecting ice cream for her birthday celebration. I recall experiencing a lot of disapproval for that strange show of selfishness.

When I took this story to my mother, I got an additional answer. “No, you are thinking of the time we caught the babysitter touching you,” she said.

While I continue to have no memory of this incident I remember several occasions when I was around this babysitter later in life. Before I hadn’t been able to understand my piercing feelings, behavior and memory of those occasions.

“Thank you for telling me,” I stated to my Mom.

“I probably shouldn’t have told you,” she said, “Now you are going to think you have been abused a gazillion times!”

It’s true that the bath with my step-sister might not have been distressing to many untraumatized young boys. Now, however, I have some explanation for my suffering.

Before I broke through the wall disassociation I could never understand why I got such strong intuition and suspicions. I didn’t realize that I was doing this for a good reason. I often presumed there was something wrong with me.

Perhaps now I can better understand and accept why I get uncomfortable in bars and socially withdraw. Maybe now I can understand why I withdraw in trauma trainings with other therapists. When we are all learning emotional freedom techniques, for example, I am unable to benefit from them. Now, I know I am on my way to disassociating in these contexts.

Now I understand why I always have a hard time defending myself when I get attacked. I am numbing out! Now I know why when I do defend myself, I come off too strong and the results never go well. It is ongoing hypervigilance!

People who prey on others can see these signs and chose people they can hurt without getting in trouble. This can open a body up to bullying that can become institutional when labels get attached. People who appear to be victimized end up being soft targets.

And, so, I understand better how I got in some other hard-to-deal with situations and other disassociated memories. And, so, one day, while hiking with my father on a visit back east, I finally got up the courage to ask what had happened to our family friend who was a few years older than me and had dissociative identity disorder.

When I found out that her brother had sexually abused her, I suddenly I had a flash and an image. I saw him over top of her, became paralyzed with fear and fled. Had I really behaved like that? It seemed like more of an intuitive dream, that a solid reality.

Typical, I thought, for a schizophrenic to hear about sex abuse and think it is all about him. Perhaps some of the readers may think so as well.

However, I do remember visiting the two of them alone in a vacation cabin along the Chatooga River in the Adirondacks. They were skinny-dipping, she with just a shirt on, he in the nude, and me, very attached to my bathing suit. My last memory of the evening involves him standing behind her wrestling her around.

The distinctive flash of what I saw and an overwhelming feeling of cowardice and helplessness that overtook me is unconnected to any other part of the evening.

The brother has only admitted to inappropriate touching. So, I acknowledge that even suggesting the word rape may be inappropriate and unfair. I have taken myself closer to this flash and tried to remember visual details. I realize in doing this there were sleeping bags on the floor and that I saw no direct flesh. And yet I felt a sense of penetration internally. But the sense that I could only flee in cowardice connects to other times I acted in similar manners and the shame is enormous.

If I considered these flashes of disassociated memories to be true, there are several other incidents I had with adult men who were significant in my life that were suspicious.

These events help explain why all those years later when I was working in the section eight housing project, I used to walk in the evenings around a lake having rescue fantasies in which I physically psyched myself up to respond to rape scenes. I took these walks to relieve stress while I was using community activists and the press to fight the management company, the police and the black-market dealers against all odds. This is action that caused the police to attempt to institutionalize me in Montana.

I have come to understand that if I am to heal from my psychiatric labels of depression, anorexia, bulimia, schizotypal personality disorder, dyslexia, ADD, schizophrenia, schizoaffective disorder (now that I am in “recovery”) and perhaps dissaociative disorder I am going to have to accept that I will not know if all my conglomerate sex abuse incidents are true but accept that they may be part of my journey and are possible in the world. I, personally, cannot vilify people who are hurt and use it to perpetrate. To move past these types of incidents, I must forgive so many deeds that seem so strikingly wrong to me. I see them in a variety of things on a regular basis.

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“Wow, I just took a shit and it was this big!” John Bulushi

I feel sorry for my English professor who wanted to put my essay up for an award! The glare I gave him and the lack of response: it was, at its best, very rude.

The fact is, I only learned it bothered him because my best friend who was fifteen years older than me got an invite to the professor’s house for dinner. My friend who had a lifetime of experience using and dealing drugs reported that the professor had called his cute, sleeping hound a beast repeatedly throughout the night and talked about how alcohol was his drug of choice while toasting his guest’s sobriety. However, my friend reported, when it came to me, the professor admitted that he just didn’t know what to say.

“I think I know what that kid’s problem is,” the professor had conceded.

I gave my favorite sociology professor the same look when he announced that my paper was one of the few 100% papers he’d ever given out.

Okay, so I am the sort who spends a lot of time trying to understand my own warped behavior. Maybe that’s one of the reasons I have taken to writing in the first place.

Ready to Break into the Social Media Market?

But, oh-me, oh-my, the sudden dilemmas of a writer like me who has squandered away his life, sitting on his work without sending it out to be published. What does it mean to suddenly be exposed to a social media market when you are just poking your head out after all these years?

Sure, I have a life-sustaining professional guise, but I have no kids, make no friends and tolerate no dinner parties. I have always worked more than full-time to stay out of the mental hospital and off the streets. I write to survive instead of dealing with my domestic responsibilities!

And suddenly I am looking out on a landscape that requires a blog and a brand. There is the implied presumption on the web that you have friends and loved ones who will become fans. Suddenly, I must make friends—lots of them—in order to sell them a book that took me seven years to write. Now I must write blogs that people want to read or there is no point. I wonder if write-to-live authors I love, like Salinger or Bukowski, would even be welcome anymore!

Voices Who Only Live-to-Write?

Maybe you’ve heard what I have: “most writers are voracious readers!” To me that sets up the expectation that writers are supposed to live to write! That’s what many of the publishing outlets want us to do. “Get to know our audience and then write for them,” they imply. Sometimes I wonder if the whole idea of journalism operates in this way. Outsiders go and learn about the lives of others, write, and so the public who has privilege can have their little tyrannical judgments validated.

My question: is when we live to write in this manner and then write to publish, what happens to the reality of the rest of us? How does the masses of stories that I hear at the urban psychiatric ward where I work become so invisible? How do the shootings in the inner-city pass on without being mourned by the mobs of traffic that siphon into the city to work?

I want to write-to-live. I want to extend my truth. I am a psychotherapist who works in the inner-city. Why can’t I write about that? In eeking out an existence, I want to strengthen what I experience and live a truer life.

Does the social media era support the practice of just telling people more of what they want to hear? Is it all only about reading the kinds of facts that make us feel good about ourselves?

Writing-to-Live:

When I think about how I discovered writing in high school. it was not about loving books and reading. I loved music, not books. I had no rhythm on the guitar, loved the words I was singing, and had to write a lot a lot of papers to graduate. Somehow, I tired of grading on people’s ears and found the art of word expression satisfying.

I particularly started to work on writing once I suspected that my mother who was on the faculty of our private school, outed all my inpatient antics to her faculty friends. When I finally got discharged from hospitals for male anorexia, it had seemed that news had spread like wildfire straight back to my bully peers. Now the truth about me was distorted, potentially distorted by my parents. Since this was my reality, I wrote creatively to own my life.

Writing became a reason to keep on living. I was at the word processor an awful lot.

I returned to school living at a friend’s house and now my greatest efforts did not even bring me the grades I wanted let alone the awards that I fantasized about. In fact my best essay was turned into the school psychologist and I was formally confronted. I saw it as them threatening to kick me out of school. I still sent the essay out to colleges. I got into some decent ones, but I didn’t want to enter more phony life where grapevines were lies. Instead, I would get together with an older woman and enter a commuter college in the inner-city.

It’s true, due to unrecognized ADD and dyslexia, teachers always found my spelling mistakes menacing. Perhaps they just presumed I wasn’t putting in the effort. Perhaps with my father as their manager and my mother as their reading specialist, no teacher ever knew what to do with me.

I did graduate cum laude, but I graduated believing the concept of grades was more political than based on merit. Research shows this to be a true presumption, but students aren’t supposed to think like that.

You to Go Fuck Yourself!

So clearly my biggest concern in attending college was to send almost all the people I knew the biggest, “fuck you,” I could muster. And, so, the fuck-the-awards, creative writer was born.

There I was three-years later at the kind of school that was not the type that drew out future academics or writers. The career development computer program I took recommended a career in law enforcement. I had too many neighborhood friends at the Korean Deli where I worked insulting the vice squad behind their backs to take the consideration very seriously. As per other students, most couldn’t relate to a clearly anorectic male who would go to no parties and drink no beer.

I’d lived in the library where I diligently outlined everything I read so I could pay attention to it.

I logged so many hours, reading just wasn’t something I was going to keep up with for fun. So much for being the voracious reader and writing about writings of others!

Supporting myself through a master’s program did not give me much time to read for pleasure either. I was faking my way through master’s level work on the social work job and remember looking at the full-time students who even had time to read the paper and thinking they were entitled. The locks to my car were broken and because I had no money or time to fix them, I just entered my car through the back and crawled my way up to the driver seat. I didn’t care what the full-time students said when they laughed and tried to insult me.

While I was, by no means the only one who worked my way through at the school I went to, I was the only one who entered my car in this manner. I missed graduation because I never did get the paperwork in on time.

So, when school was out, I was done with books. I returned to a creative poetry habit and kept my internal buzz alive; but couldn’t find anyone else’s work that I appreciated. I did occasionally frequent poetry readings; but couldn’t read my poetry without quivering.

“I think writing is good for you,” said my shrink of seven years when I brought up the issue, “but that’s it! You are always so disappointed when you share your work, I think there is no need for that.”

I often found my obsessive re-writing hard to stop.

Consider the Reader?

I know people are supposed to be humble about themselves and not bore the reader with irrelevant info. But I write to live. I write to share the truth about other people who are condemned and lied on. I started with an award-winning memoir; but blogging to get recognized in social media markets is a different pickle.

So, I am faced with the same questions we all face. Do I join writer’s groups and start sharing my work and getting feedback, so I can swap likes on Facebook to look popular and loved? Do I spend hours playing with social media, so others will read your posts? Do I start making friends with people who went to school at elite universities and have large twitter following so you can access their readers? Is this even possible when the very reason I write is because people have always rejected me! Is there really time for any of this when you work and commit to ten hours of writing a week.

So, here I am writing another essay for an audience of people who I don’t even know to be out there for sure on social media.

I’ll keep giving myself assignments to try to get published somewhere besides just my blog. I think an audience of working people exists out there, who might respond to my efforts to relate the things I observe. I spend my time living and that’s what I write about. But I guess I can keep going with my write-to-live attitude on social media till I find people who can relate. Nobody’s stopping me.

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