Category Archives: Abuse

DPW approved training for child abuse prevention at BTS


New child abuse reporting rules are now in effect in Pennsylvania. These rules not only make changes for licensed therapists and for those seeking licensure, but also clarify mandated reporting for volunteers who work with children. These changes directly impact both paid church staff and all volunteers such as Sunday School teachers, youth group leaders, and the like.

BTS will be offering a DPW approved training on child abuse reporting and prevention at our Hatfield campus on June 15, 2015, from 6pm to 9pm. To register, click the link above.

Sign up now for this incredibly cheap and important training. June may feel like a long way off but we know our space is limited and will fill up quickly. Only $5 for alumni and $10 for the general public.

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Knowledge vs. information: When trauma stories change you


Last night in our Advanced Global Trauma Recovery Institute (GTRI) course web conference, we were discussing the weight of listening to trauma stories. This conversation spawned from our delving rather deeply into the systemic torture, trauma, and loss of identity occurring in post-WWII eastern Europe (specifically in Romania). We considered the question

What should we do when we are overwhelmed with the weight of trauma stories around the world? Especially, what are we to do when we can do little to nothing about the new stories we hear every day? How do we respond to temptations to despair?

Knowing or just information?

During the web conference, Diane Langberg pointed out the common phenomenon that sometimes we hear of atrocities but do not really know about them. We hear information on the news about various tragedies (e.g., ISIS, Boko Haram, shootings, suicides, etc.) and sometimes fail to process it. One of our students reminded us of a bit of dialogue in Hotel Rwanda between the hotel manager and an American journalist,

Paul Rusesabagina: I am glad that you have shot this footage and that the world will see it. It is the only way we have a chance that people might intervene.

Jack: Yeah and if no one intervenes, is it still a good thing to show?

Paul Rusesabagina: How can they not intervene when they witness such atrocities?

Jack: I think if people see this footage they’ll say, “oh my God that’s horrible,” and then go on eating their dinners.

Not far from the truth, right? However, when someone takes the time to really listen to trauma stories, something changes in that person; they are no longer able to go about their life as the did in the past. When we choose to sit with stories of pain, we gain knowledge that changes our view of the world. For example, when we take new individuals to Rwanda, we often hear, “I remember hearing about the genocide….but I didn’t know. I knew but I didn’t know what I know now.” The same thing happens when individuals are willing to learn about racism, domestic violence, gender based sexual violence and the like.

When you see something in detail, you can’t unsee it. You will be changed.

I know…now what?

Once you know, really know, the depth of suffering of a community, you are changed. That knowing often creates deep pain, especially when we can do nearly nothing about it. So, now what? What can we do? Here are a few things that may be overlooked as insignificant

  1. Listen. Wait, didn’t we already do that? What good is hearing more about the story if I can’t do anything about it? No, listening is part of the solution. Individuals and communities who are enabled to tell their trauma story benefit from repeated truth-telling. They benefit from “being seen and heard.” It matters that those from outside cared enough to come and hear of the pain. Do not underestimate how such listening may empower a trauma survivor to move towards healing.
  2. Lament. Laments are conversations with God about the brokenness before you. Whether done in private or in public, these laments help us to communicate to God what we find intolerable, to ask God to do what is impossible, and to look closely for his response. Laments hand the problem back to God. “Do something Lord!” Laments also tell victims that their pain is real and not merely an emotional weakness on their part.
  3. Look for seeds of healing. If you are hearing a story of tragedy, then you are also hearing a story of survival. While being careful not to dismiss losses and pain, we can also point out signs of life, of resistance, of resilience. These seeds do not deny the damage being experienced. Jeremiah’s plaintive sigh, “Yet this I call to mind and therefore have hope: because of the Lord’s great love we are not consumed…” does not undo his previous tears, “I remember my affliction and my wandering, the bitterness and the gall. I well remember them, and my soul is downcast within me.”
  4. Do one thing. If you are in direct contact with the person who is suffering, you can check in with them, find out what would be helpful. If you are not in direct contact, then do any number of “one things.” You can pray daily. Ask not only for restoration and justice but also for God to direct your response. You can tell one person about what you have learned. You can look for ways to identify how the seeds of the same tragedy might be in your own environment and not just “over there.” You can give an alternative points of view when you hear someone speaking naively about the situation. Start a conversation with friends.
  5. Remember. Look to find God’s view of the situation. How does He feel about injustice, whether minute forms in us or the massive ones we see on television? What reason might God have for waiting to bring all things under his control?

 

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Filed under Abuse, christian counseling, christian psychology, Christianity, Post-Traumatic Stress Disorder, trauma

Turn the other cheek? Does this apply to abuse victims?


The Christian Scriptures teach followers of Jesus to forgive as we are forgiven, to love our enemies, and to turn the other cheek rather than seek revenge when mistreated. Does this mean that victims of domestic violence and abuse need to, sometimes quite literally, take it on the chin without seeking protection or justice?

There are a good many resources out there right now that help teach Christians how we should respond to domestic violence and abuse. If you want some in depth argumentation why victims do NOT need to just take it, you can consider my top 3

  • Leslie Vernick (website and books)
  • No Place for Abuse (Book, and when you follow the link, notice the many suggested books on the same topic; books by Brancroft, Roberts, Crippen, and more!)
  • G.R.A.C.E (website with information about the moral requirement to report child abuse)

Rather than repeat the good advice in these resources–biblical foundations for protecting victims and calling out offenders–I want to point you to an older resource given to me in the past week. Older resource as in from 1840! Henry Burton, in chapter 22 (“The Ethics of the Gospel”) of his Expositor’s Bible: The Gospel of St. Luke discusses the application of Luke 6:27f to those inside the community of Christ as well as to “enemies.”

First he reminds readers to love enemies,

We must bear them neither hatred nor resentment; we must guard our hearts sacredly from all malevolent, vindictive feelings. We must not be our own avenger, taking vengeance upon our adversaries, as we let loose the barking Cerberus to track and run them down. All such feelings are contrary to the Law of Love, and so are contraband, entirely foreign to the heart that calls itself Christian. (p. 344-5)

I suppose his words capture most Christian teaching on what it means to love our enemies and to use the Golden Rule as our measure for how we respond. And yet, listen to his very next sentence:

But with all this we are not to meet all sorts of injuries and wrongs without protest or resistance. (p. 345)

Did you catch his point between the double negatives? We MAY and OUGHT to meet all injuries with resistance and protest. Burton goes on to answer why we should resist wrongs done to ourselves and to those around us,

We cannot condone a wrong without being accomplices in the wrong. (ibid)

There you have it. Complicity with evil, especially evil within the community of Jesus, is tantamount to approval and support of that evil act. Thus, telling a victim of abuse to “turn the other cheek” is essentially the same as abusing the victim yourself.

Burton extends his argument in the following way,

To defend our property and life is just as much our duty as it was the wisdom and the duty of those to whom Jesus spoke to offer an uncomplaining cheek to the Gentile [outsider] smiter. Not to do this is to encourage crime, and to put a premium upon evil. Nor is it inconsistent with a true love to seek to punish, by lawful means, the wrong-doer. Justice here is the highest type of mercy, and pains and penalties have a remedial virtue, taming the passions which had grown too wild, or straightening the conscience that had become warped. (ibid)

He completes his thoughts on this by reminding the reader that none of this justice seeking activity (to the point of excommunication if necessary) negates forgiving when the offender repents. We still love, we still forgive, we still treat others by the Golden Rule. But we do not avoid justice and protection seeking behavior, both for the sake of the one being harmed and for the one doing the harm. Both need rescue. The means of rescue differ for sure and may not be viewed as rescue when it comes in the form of sanctions and restrictions. But to look away from abuse and cover it up with “turn the other cheek” does not do right by the true meaning of love.

 

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Filed under Abuse, biblical counseling, christian psychology, Christianity, Uncategorized

Overspiritualizing invisible wounds?


When someone suffers an obvious injury to a leg it is clear to us that this injury limits prior capacities for walking, running, standing, and other things we do with our legs. If the injury is slow to heal, would we be likely to tell them to act as if the injury never happened? No. We can see the injury, its effects, and we recognize that recovery may be limited. We would be unlikely to judge the person for failing to run like they had prior to the accident. Of course, physical wounds will prompt spiritual concerns, from “where was God…?” to trusting God for the future even while continuing to experience pain symptoms and the inability to complete tasks that used to be easy.

But what about the wounds we can’t so easily see?

Sadly, I think we spiritualize them and do judge others for having them. Take for example a victim of abuse or trauma that results in a diagnosis of Posttraumatic Stress Disorder. We see no obvious wound. The body looks sound and fit. So, the anxiety we see, the hesitancy to trust others, the mental confusion, the inability to sleep well…these symptoms must be primarily evidence of a spiritual problem, right?

Wrong, at least in part. While we rarely see the damage done to victims of trauma, changes to the brain are nonetheless present. Here’s a couple of things we think we know about trauma and the brain:

  • The brain is an adaptable organ and use-dependent. Activity along neural pathways can become more efficient with practice (i.e., the more something happens, the easier it is for the brain to respond). So, certain pathways and structures in the brain become more easily activated
  • Observing activity brain scans in those who suffered severe traumas such as child abuse, we see evidence that the part of the brain that processes emotion seems to be routinely overactive. Likewise, the part of the brain that provides conscious analysis of where we are in time and space, seems underactive when emotional processing increases. This activity problem (too much in some areas, too little in others) appears to cause individuals to relive/re-experience trauma and have less capacity (in the moment of reliving) to talk back to their feelings (analyze what is happening) or explain it to others
  • Along with these structures, hormone feedback systems appear to produce fight/flight hormones in the presence of triggers

Simplistic as my points above are, I hope you can see that a person has little conscious control over these reactions in any given moment. Now, there are things that can be done to help the brain adapt and respond better, but the fact of being triggered is not the result of not trusting God.

So, consider the multiply-traumatized man in your church who reacts negatively to well-intentioned requests to join a small group or to be prayed over with the laying on of hands. Is this because they do not trust God, are sinfully fearful, or evidence of invisible wounds of PTSD? I suspect some would be inclined to assume this man had a spiritual problem. In fact he may, but the reaction he is having is most likely not that problem.

A Better Question

Recently I asked my students to consider this question: What does faithfulness look like for the Christian who is suffering pervasive panic? Does it mean an absence of fear? Forcing themselves into situations that will flood them with panic? How would you answer this question? Are the evidences of fear in your life a sign you do not trust God? Can you acknowledge fear and still trust God? What does that look like for you?

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Join me in Brazil, March 23-27, 2015!


UPDATE: Conference registration cut in half! Now only costs $250 instead of $500.

I will be attending and speaking at the 2015 General Assembly of the World Reformed Fellowship in Sao Paulo, Brazil (March 23-27, 2015) on the topic of recovery from child sexual abuse. Boz Tchividjian, Diane Langberg, Jim Gamble (N. Ireland) and Beatri Kruger (S. Africa) will also be covering topics such as preventing child abuse, sex trafficking and counseling.

These conversations are important everywhere, but this audience will be representing Reformed church communities worldwide, and that makes it very important conversation since churches worldwide need to keep talking about abuse that takes place within Christian environments. ! If trauma and abuse aren’t your cup of tea, there are parallel tracks covering everything from transdenominational ministry, Islam, church ministry and sexuality, church planting, and prosperity gospel.

See WRF GA Assembly for more information about the conference program and how to register for the conference.

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Why are we surprised when we hear of systemic abuses?


Today on my ride home I heard a sports commentator discussing a recent abuse scandal on a high school football team. While the commentator did not dispute the evidence of abuse, he asked another whether he had ever heard of such behavior before by a football team. It seemed he was a bit surprised a team or a coach would tolerate systemic abuses of other teammates.

Why are we surprised when an organization tolerates harm done by one set of members to another set of members?

Whenever an organization (football, school, fraternity, or religious community) seeks to best the competition, limits membership, rejects all who would support other groups, maintains secrecy a strong hierarchy, you have a recipe for systemic abuse. Look closer at this recipe:

  • A population of individuals who deeply desire inclusion, who want to be in the inner circle
  • A population of individuals already in the inner circle and feeling mighty proud of it
  • Everyone feeling the need to protect the organization over individual needs/concerns
  • Secrecy about decision-making processes
  • Leadership who will maintain the hierarchy and encourage fears over what might happen if the system breaks down.

We know hazing and abuse happens on sports teams, fraternities, military units, and any other organization with these above-named features. It is more natural than we would like to admit.

This does not mean that all popular organizations, all private clubs are abusive. Rather, only without significant effort, individual abusive acts will morph into systemic abuse through complicity.

What significant efforts reduce the possibility of systemic abuse? Here are a few for starters:

  • Transparency of leadership and decision-making processes
  • A culture of protecting the weak over the strong
  • A culture of inclusion and collaboration with outsiders
  • A culture of servant-leadership and true mutual submission
  • A willingness to listen to inside and outside critique

He who wants to be first, must be the least of all.

Do we believe this? Or do we believe that associating with bigger, more prestigious groups will bring us value?

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Filed under Abuse, Christianity: Leaders and Leadership, church and culture

Conference Opportunity: Redeeming the Impact of Sexual Abuse (10/31-11/1)


the%20change%20seminar%20flyer-001[1]I have the privilege of participating in the Change Seminar at the end of this month. Designed for survivors, family members, church leaders, friends, and clinicians, this Friday afternoon/Saturday seminar will Feature myself and Mary DeMuth and her husband, Patrick. Mary, author of Not Marked: Finding Hope and Healing After Sexual Abuse, will be speaking on church communities and their role in helping victims and their families recover. She will be speaking Saturday, November 1 from 9-2. I will be speaking on Friday afternoon, October 31, on the topic of making the church a safe place for trauma survivors (those who have been trafficked, sexually abused, or have PTSD from other causes.

To register: www.chelten.org/changeseminar or call to 21.5.646.5588.

For those of you in the Philadelphia area, you can’t get continuing education for much cheaper than this: 6 CEs for $100 (NBCC approved). If you don’t need CEs then the price is even lower, $45 for couples, $35 for couples if one is a ministry leader, $25 for individuals.

Isn’t it time the church became know for the leading edge of caring for (and preventing!) sexual violence?

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Thoughts on Gary Haugen’s “The Locust Effect”


Over 2 billion people live on less than 2 dollars a day. If you doubled the population of the United States you would have the number of people who live on less than a dollar a day. As Gary Haugen points out, if you are reading The Locust Effect: Why the End of Poverty Requires the End of Violence (Oxford, 2013) or are reading this blog, you are not likely to be a member of the extreme poor. And if you aren’t a member of the extreme poor you probably wish you could do something to improve the lives of the most impoverished. The poor need clean water, food, housing, jobs, affordable healthcare, and education among other things.

But Haugen says all of those needs pale to a greater need: the need to stop the plague of “lawless violence.”

Opportunities for education, jobs, healthcare, quality food and water will evaporate or will not be accessed if poor do not have protection from violent forces–security, law enforcement, and a just judiciary.

The book challenges the reader to stay with the problem of poverty and violence as it travels across the globe to recount story after story of vulnerable men, women, and children whose governments fail to (a) protect them from sexual violence, bonded labor, property theft, and (b) defend them or seek justice after becoming prey. Frankly, it would be easy to either turn away from this problem since it is too large for anyone to solve or to just keep offering some form of help (food, water, job creation–all of which are needed and good!) without confronting the epidemic of violence.

Sexual Violence

There are many forms of violence a poor person can face. Their livelihood, home, and communities can be destroyed. But sexual violence doesn’t just take those things but also eviscerates the soul. Haugen recounts that in some locations as many as 68 percent of girls report experiences of sexual abuse. Some 6 to 11 million individuals are trapped in the sex trafficking industry. Some 1 billion women are known victims of sexual abuse. For most readers, this is not new news.

But consider for a minute that somewhere’s between 6 and 50 million people (Haugen tells us to read that as MEN) pay for sex each day. Remember that buying sex is likely supporting violence (pimps, prior sexual abuse, etc.). Look at the problem of sexual violence a different way–the percentage of men who have EVER paid for sex ranges from 15 percent to 85 percent (depending upon the country).

Sit with that number for a bit. You want to stop sexual violence? Yes, we need law enforcement willing to investigate and charge sex offenders. Yes, we need a judiciary system willing to provide justice through convictions and sentencing. But, if we really want to stop sexual violence, we have to deal with demand side of the equation.

Trauma the Multiplier of Violence and Poverty

Gary’s book addresses some of the colonial roots of violence in the developing world (i.e., government and law enforcement built for the ruling/colonial class, not for the local population). While I have not finished the book, I’m wondering about how he sees the impact of trauma on this whole problem. As most recognize, traumatized people tend towards learned helplessness and thus are much more vulnerable to future violent acts against them. And Haugen acknowledges this problem, if briefly (pp 105-106). He identifies the fact that “unrestrained violence” leads to traumatic reactions that will hinder the capacities to take advantage of available resources.

While all true, the problem of trauma is likely causing problems not just for the vulnerable poor but also effecting the entire system (police, judiciary, and government). Trauma often causes individuals to stop thinking of the future. Instead, individuals make impulsive, self-protective decisions that may hinder future opportunities (e.g., drug use stops triggers but harms future health). The same can be true of systems (bribery to survive now, but destructive to safety and stability.

The book ends with a number of ways to address the problem of global violence so make sure you read to the end. But I encourage you to think about ways to respond to BOTH trauma and faith deficits. Check out the work the Trauma Healing Institute as an example of grassroots, lay level response to these two problems.

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Roger Goodell wants to “get it right”: What has to change in the NFL to stop domestic violence


In a press conference today  Roger Goodell apologized for mishandling recent domestic violence scandals and provided specific ways he and the NFL planned to rectify the situation (e.g., education, training, funding national domestic violence and child abuse prevention organizations).

“I got it wrong in the handling of the Ray Rice matter. I’m sorry for that. Now I will get it right.”

Some of the intended efforts should have a positive effect, both for the NFL and for the larger society. However, if Goodell is serious about changing the culture of the NFL and society, he needs to take a step back from these good ideas and start by identifying the roots of the problem. Without getting the root, this problem will not be solved.

What is the root that has to change? Let me list two that must be addressed:

  1. We have to stop treating women as objects to be sought after and conquered. An object has no feelings and can be used however I wish. It has no rights, no value…unless I give it value. When we treat women as objects, then we only give them value when we chase them. And when they displease us, what is the big deal if we attack and treat without regard to their personhood? Last summer I heard an African man say that his wife was property because he had paid a dowry for her. Sure, she was special property and he took great care of her. But still, she was property and he could do with her as he wished. We in the West may think we are enlightened, but when we engage in domestic violence (and DV is more than physical!) we agree with this man–that our wives and girlfriends are property, something to be controlled.
  2. We have to stop treating top athletes as having special privileges, as individuals who do not need to conform to social rules. When you believe the rules do not apply to you, then why not get revenge when someone irritates you? You won’t be held accountable. When you see an attractive woman, why not do everything you can to get her into bed? Faithfulness, self-control, respect for others…those don’t apply. I have been told that women working for the NFL are nearly tortured by efforts to get them into bed; that it is nearly impossible to do their job due to the sexual harassment. Some may suggest that any woman working for the NFL ought to know what she is getting into and so has no right to complain. Others might acknowledge the problem with a sigh but point out that the warfare culture of football, the lure of fame, youthful temptations brought on by sudden riches, and the insatiable competitive spirit are to blame for these misdeeds. Baloney. Youth, money, fame, and testosterone may make it more difficult to do the right thing but the problem started long before these young men got their first football check. They were treated as gods and allowed to keep playing their sport when they acted out. Winning and being associated with winners tempted us to look the other way. How do I know this happens? Because I’ve been in a locker room before. Inappropriate speech was ignored, even laughed at. If you learn that rules don’t apply as a child, why will you behave when you are older?

How about a new institutional organizing principle? Out with self-promotion (and self-protection) and in with… 

In the past, organizations, including religious ones, often made decisions about mis-deeds of members by delivering consequences when it hurt their image (or more accurately, hurt their bank accounts). If we want to put a dent in the number of cases of violence (that is all we can do, keep offenders from re-offending under our own watch), we will have to stop being so concerned about image and start putting the care of the most vulnerable as job one.

Want to change the NFL and the world about domestic violence. Let us each start with ourselves and let us adopt this often repeated line of Jesus

“Anyone who wants to be first must be the very last, and the servant of all.”

That is all there is. Die to self, love others more than yourself. Thank goodness Jesus didn’t merely give us sage advice but led as an example thereby giving us his power to love beyond measure.

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Filed under Abuse, Christianity, Christianity: Leaders and Leadership

Institutional betrayal: Secret ingredient to PTSD


We live in the world where human frailty and pathology is viewed in individual terms. When we see sickness we imagine that the person must have some weakness in biology, faith, or behavior. Rarely do we think about the role the system or community has played in the development of that person’s pathology. This is true when we think about a person diagnosed with PTSD. We therapists hypothesize about individual factors (personality factors, early childhood experiences (a slight nod to external causes) and neurobiological risk factors) and situation factors (the frequency, duration, and intensity of overwhelming trauma events) when we try to answer the “why” of the development of PTSD in a person.

The problem with this kind of thinking is that it fails to take into consideration of known research that suggests that environmental response to an individual’s trauma experiences may be a determining factor in whether PTSD or chronic traumatic reactions form.

In the most recent American Psychologist (2014, 69:6, 575-587), Carly Parnitzke Smith and Jennifer Freyd write about the concept of institutional betrayal. Traumatologists recognize Freyd’s name as the researcher who developed “betrayal trauma theory”, pointing to the especially toxic form of PTSD caused by those who were supposed to be safe and protective. These begin to examine “institutional action and inaction that exacerbate the impact of traumatic experiences…”

How can an institution betray a victim?

When a person trusts that a system designed to defend, respond, protect, or seek justice will do its job after an interpersonal trauma, and when that system either chooses not to respond (omission) or worse, chooses to lay blame at the feet of the victim (commission), institutional betrayal occurs. Examples include law enforcement accusing rape victims of “asking for it” with their clothing, church leaders allowing offender clergy to “leave with their reputations” or refusal to investigate a case of date rape when the reported offender is an important leader in the community.

In summarizing a couple of studies, Smith and Freyd point out that institutional betrayal after a trauma experience leads to higher rates of dissociation, sexual problems, and health difficulties. This is even more likely when the trauma takes place in an environment where protection of the members is trumpeted (i.e., church or military).

What are the common characteristics of betraying institutions?

Smith and Freyd note several characteristics found in institutions at greater risk for betraying members.

  • membership requirements to define in group identity. This produces a need for members to act in ways to maintain such an identity
  • Prestige (both leaders and institutions). Prestige produces both trust and fear, dependency and power
  • Priorities. “Institutional betrayal may remain unchecked when performance or reputation is valued over, or divorced from the well-being of members.” As the authors note, maintaining reputation as a priority will lead to neglect or attack of those who challenge reputation
  • Institutional denial. Blame a few bad apples, avoid institutional blame or responsibility

Those institutions that do make efforts to prevent abuse within its community may still yet fail to respond well. They may fail to use adequate screening procedures, normalize abuse, fail to utilize or follow appropriate response procedures, punish whistleblowers, and aid cover-ups.

What to do?

Smith and Freyd argue that transparency (about past actions/failures to act as well as power structures) and priority to protect the well-being of all members will move institutions away from the risk of betraying individual members. I would argue that the shift to protect moves from the institution as a whole to protection of the most vulnerable.

Let me recommend a few resources that have appeared here in the past:

  1. Diane Langberg’s 5 part video about narcissistic leaders and the institutions they lead. She too describes systemic narcissism.
  2. Why some spiritual leaders abuse (and systems allow it)
  3. Narcissistic systems
  4. Resources to combat narcissism one person at a time

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Filed under Abuse, personality, Post-Traumatic Stress Disorder, Psychology