Feature

What we get wrong about trauma

Trauma and mental health are public health issues, and people with media platforms have a responsibility to get it right.

thoughtful young woman

The heat is rising within me, in much the same way it rises around me. The life inside—and outside—of me ends here. Source: Getty Images

Originating in the medical sciences, where it referred to physical injury, the term “trauma” is now often used in popular and scholarly discussion to refer to psychological injury. While consistently find sexual assault is a major risk factor for traumatic illness, it’s often assumed pre-existing mental illness is the cause of the allegation itself.

Arguments around the truthfulness of assault claims can hinge on stereotypical portrayals of people living with mental illness as untrustworthy witnesses to their own experience.

The recent sexual assault allegation against Attorney-General Christian Porter, which he has strenuously denied, has been accompanied by relating to memory and the mental health of Porter’s now deceased accuser. Some journalists have pointed to her mental health status in a manner designed to , and to suggest her allegation was a post-hoc confabulation.

The complainant’s bipolar diagnosis, her seeking mental health care, her fragmented journal entries, and her accessing a book on the neuroscience of trauma have been emphasised as evidence she invented her account or was suffering from .

This type of argument reflects longstanding myths that prevail within journalism and the community about trauma, memory and mental illness. Below, we tackle three key misunderstandings.

1. Trauma and bipolar disorder aren’t mutually exclusive

Apparent links in media commentary between a bipolar diagnosis and false allegations of sexual assault reflect a misunderstanding of the diagnosis.

People with experience significant fluctuations in mood, including low depressive states and active “manic” states. A have found childhood trauma increases the risk of developing bipolar disorders, and contributes to the severity and complexity of symptoms, including earlier age of onset, and increased suicidal ideation and substance abuse. One found they were significantly more likely to report sexual assault in childhood or adulthood than patients with a depressive illness. This evidence suggests sexual assault is a risk factor for developing bipolar, and people with a bipolar diagnosis may be more vulnerable to sexual assault.

Bipolar has been in research into the relationship between sexual assault and mental illness, and these findings underscore the need for further exploration.

2. “Recovered memory therapy” doesn’t exist

The psychiatrist Bessel van der Kolk authored a bestselling book, . This book was noted in the journal of Porter’s alleged victim. Media commentators have repeatedly reported it as .

Within the field of trauma studies, this book is not considered controversial and is not associated with “repressed” or “recovered” memory theories or practices. Furthermore, “recovered memory therapy” is a fallacy.

“Recovered memory therapy” is a pejorative term invented in the early 1990s to describe trauma therapy. People who use the term claim a significant number of therapists use improper techniques designed to “recover” forgotten or repressed memories of sexual abuse, which creates “false memories” and false allegations. However, there is no therapy called “recovered memory therapy”, and the term has been described by trauma experts created by advocates of people accused of sexual offences.

In 2004, the Victorian health regulator initiated an inquiry into “recovered memory therapy” (RMT) at the urging of “false memory” activists. The inquiry “reports of the practice of RMT are often based on speculation” and “there is no reliable evidence for the practice of RMT” in the state. The inquiry demonstrates how inflated claims of RMT have been advanced in Australia despite a lack of evidence.

, “best practice” trauma therapy has focused on establishing emotional and physical safety, processing and narrating experiences of trauma, and moving forward from abuse and violence.

3. Memory error and journalling are not necessarily evidence of false allegations

Some coverage has focused on specific details of the victim’s allegation with the implication that any discrepancy of detail invalidates the claims.

Details matter in establishing the legitimacy of claims. But demands a rethink of public and legal understanding of memory. According to , memory is commonly perceived as “akin to a video recorder”. But, they argue, memory is fundamentally “imperfect and is susceptible to distortion and loss”. They conclude “there needs to be greater education and awareness of memory processes in judicial settings and in daily life”.

Dori Laub, eminent Israeli-American psychiatrist and Yale University Professor, recalled a woman describing her experience at Auschwitz for the Video Archive for Holocaust Testimonies at Yale in his . The woman said four chimneys exploded and went up in flames during the Auschwitz uprising. When he presented this interview at a cross-disciplinary conference, historians pronounced her recollection incorrect; only one chimney had blown. Her memory was fallible, unreliable, and therefore inadmissible.

Laub, the psychoanalyst who interviewed the woman for the video, disagreed. He said: “The woman was testifying not to the number of the chimneys blown up, but to something else, something more radical, more crucial: the reality of an unimaginable occurrence.” Accuracy regarding the number, he maintained, “mattered less than the occurrence” and therefore, the woman’s testimony stood as “historical truth” despite her factual error.

The private journal entries of Porter’s alleged victim have been exhibited by some journalists as lacking coherence, and a reference to her initially overlooking the assault in the hope of marrying Porter . Many sexually assaulted people know their abuser. Being bonded to an assailant to any degree can increase the common traumatic shock symptoms of denial and minimisation.

Journalling is often less than coherent. It’s not intended to be read but to help process highly complex personal experiences. Many women .

Media coverage has been integral to driving social change and highlighting the plight of victims and survivors of sexual violence.

However, the media also harbours to developments in trauma science, reflecting personal and professional biases as well as common attitudes and misunderstandings in the community.

Commentary reinforcing existing stigmatisation of traumatic and mental health conditions negatively affects a significant proportion of the Australian population.

Journalists should consult professionals with trauma expertise and when reporting on sensitive issues such as the impact of trauma on memory, according to . Trauma and mental health are public health issues, and people with media platforms have a responsibility to get it right.

, Adjunct Lecturer in Writing, and , Scientia Associate Professor of Criminology,

This article is republished from under a Creative Commons license. Read the .

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6 min read
Published 24 March 2021 9:37am
Updated 24 March 2021 9:53am
By Michael Salter
Source: The Conversation


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