Determining factors in Recovery from Rape and Sexual assault

(Rape Trigger warning)

I was rather disturbed to read a recent newspaper article stating that certain sections of the police force in the UK had been encouraging rape victims to drop cases in order to keep statistics on the good side. READ.  This is horrifying and makes a mockery of the “serve and protect” stance taken by law enforcement.

Rape should never be encouraged and certainly not in these times where one cannot pick up a newspaper without reading about some vile act committed in one country or another. Anyone who has been raped,whether male or female will attest to the trauma experienced, the overpowering of will, the helplessness, the violation and the long, hard road to recovery. Some never recover (as I know from my clients) and spend their lives dealing with the ongoing effects of being attacked . So to have the very institution that is responsible for catching the offenders to allow them to walk free (and maybe do it again) is scandalous at best. I can only imagine how the victims are feeling…liked being raped again.

When rape occurs, recovery is difficult even if the victim is treated properly after the assault and how the victim is dealt with by police, hospitals, doctors and family and friends determine how long the recovery process is. Burgess and Holmstrem READ MORE studied 109 women who attended the Boston City Hospital in 1974 complaining of rape. They collected their data at the time of initial presentation at the hospital and again 3 months later. They documented the “rape trauma syndrome”.  They found two phases of adjustment following rape or attempted rape. They call these the acute phase and the long-term reorganisation phase, both of which are stress reactions to a life threatening situation.

Immediately following the rape they found that an equal number of women had an “expressed” style where they showed feelings of fear by crying, smiling, sobbing or a “controlled” style where the woman was calm and subdued. The primary emotion expressed by victims is one of fear. Most all say that they felt they were going to be killed or badly injured. They reported that in the reorganisation phase women develop increased motor activity, changing their jobs, home or lifestyle as a defensive reaction to the assault. Nightmares relating to the life threatening nature of the assault and the powerlessness and alienation are common. The development of phobic reactions to situations reminiscent of the rape also occur. Some mistrust of men with subsequent avoidance and hesitation, along with a variety of sexual difficulties may develop. Victims are often concerned about the effects of the rape on their close interpersonal relationships wondering how this will affect them.

Interestingly in the same report, the authors looked at the factors that determine a victim’s ability to cope and readjust after the attack. I quote directly from the report :

The way the woman is treated as a victim may also influence her ability to cope.

This includes treatment by:

1)  The police. Of necessity the police are required to question the victim thoroughly. If this is not explained to her she may perceive that she is not believed and this can reinforce feelings of guilt and self blame.

If she is unable to accurately describe her assailant or recall details of the attack, this may reinforce feelings of low self worth and inadequacy.

2) Hospital service.  If the victim is treated in an impersonal manner then the feelings of depersonalization are reinforced. If hospital staff offer judgement comments on her behaviour then feelings of guilt can be produced.

3) The courts. The above comments apply here as well. The cross examination can seem like a repeat of the rape experience.

4) The circumstances of the assault can affect the victim’s coping capacity.

Whilst a victim’s response to rape may follow a predictable pattern, each individual’s circumstances provide differences that will affect their coping capacity and reaction. The fact that a victim’s psychological adjustment to rape, is in part determined by the social systems that impinge upon them, indicates a need for a widespread community response to ensure that those systems are both responsive to victim’s needs, and used to their maximum therapeutic capacity and this includes the above mentioned police force.

Dr. Nicholas Jenner is a Counseling psychologist in private practice working with individuals,couples,  groups and companies globally. Online therapy is, in my experience, effective for treating a number of major conditions. Are you having issues that you need to talk through? I have a range of plans that can help you get the help you need.  Online Therapy details : Here …… Take advantage of the “online therapy” tester. Try the first three sessions for free. Contact me for more details.

 

CBT : Choose to be happy!

There are many things that determine our lives for better or worse. Parents play a huge role of course, our environment, influences and peers also play a role . Out of this melting pot comes a mixture that either leaves us happy, depressed, seeking constant perfectionism or leading an unfulfilled life doing things that we would rather not. Nothing is perfect and we all have to accept things in a sense of give and take and if we are generally happy most of the time, that is usually enough for most people. A difficult question for many people is how do you know when you have reached this point of contentment where life is as good as it can be? In our constant search for “something new and better”, do we run the risk of overlooking what we already have and creating thought patterns and beliefs that stop us having the ability to be happy? During these unstable and difficult times, the happiness industry is booming.  The bookshops are full of self-help advice. Hedonistic happiness, the Buddhist route to happiness, being happy in your body, achieving spiritual peace, finding happiness through austerity and frugal living, contagious happiness through positive thinking. We all now have the opportunity to be truly happy, whatever book we choose to buy and study.

One view is that the way we interpret what happens to us has a greater impact on our quality of life than the events themselves. A Swiss psychologist, author and teacher, Yves-Alexandre Thalmann, cites the metaphor of the glass that’s either half full or half empty.

“Our brains are programmed to make sense of everything around us and that happens to us. We spend our lives interpreting facts,’ he explains. ‘These interpretations, positive or negative, generate corresponding emotions. These emotions determine our behaviour, the way we see life, and our relationships with others.’ For example, if it’s raining, you could say to yourself, ‘That’s today ruined,’ and be in a bad mood all day. Or you could say, ‘Great, it’s a chance to spend a cosy day at home,’ and this lighter mood will be much easier for those around you to live with”

As a CBT therapist, I work on the basis that our thoughts play a huge role in the way we see life and consequently how happy we are. While we should be very careful about dismissing negative thoughts completely, a programme of looking at things rationally can really help us to accept and find happiness in what we have…increase self-esteem and be more assertive. All cognitive behavioural approaches are based on the same idea: that our phobias, relationship difficulties and even our addictions are often linked to ‘cognitive distortions’ (or false beliefs that we have turned into facts) that we need to do something about. This is a practical way of looking at increasing happiness in what can be a routine and rather stressful everyday life. It has nothing to do with the Hedonistic pursuit of ultimate happiness which tends to be very individual (and material). When you appreciate what you have, what you have appreciates in value.  Being grateful for the good things that are already evident in your life will bring you a deeper sense of happiness.  And that’s without having to go out and buy or acquire anything new.  It makes sense.  You will have a hard time ever being happy if you aren’t thankful for what you already have and are able to recognise it.

When it comes to “thinking ourselves happy”, I wonder how many people place that responsibility on other people’s shoulders. I have always been of the opinion that nobody can change the way we feel or our lives except ourselves. We are truly responsible for everything we feel and consequently do. This is what led Thalmann to develop his theory based on an apparently simple premise: why not select the positive interpretations, which boost our wellbeing, and focus exclusively on them? ‘It’s a question of using free will to put our own spin on hard facts,’ he says. ‘Facts can’t be altered, as much as we might wish they could, but their significance is not contained within them – that is the story we tell about them. So you might as well link facts with plausible favourable explanations. I call it telling yourself nice stories.’

According to the results of a long-term study in Germany, happiness has more to do with our personal choices than it does with our genetic make-up. An international group of researchers analysed data gathered by the German Socio-Economic Panel Survey (SOEP) from its widespread study of 60,000 Germans over 25 years. They found that altruistic goals were more important than money, and that focusing on family, social activities, exercise, religion, and working the right amount were good choices to ensure happiness. The results show that it’s easier for people to become unhappier due to terrible life events, and much harder for people to improve their satisfaction with life by making the right choices – but that’s the area the researchers are most excited about.

“What’s new in our study is we are looking at choices you have, and what we demonstrate is choices makes the difference,”

Dr. Nicholas Jenner is a Counseling psychologist in private practice working with individuals, couples, groups and companies. Apart from seeing clients face-to-face, Dr Jenner also runs a thriving online therapy business bringing help to those who are housebound or located in rural locations where therapy is difficult to find. For more information , follow the link to his website HERE

Want to know more about Dr Nicholas Jenner? Check out what his clients say….HERE

Online Therapy : How Dream analysis can be a Therapeutic Aid

One thing that has astounded me since I started advertising my online therapy business is the amount of times I get asked to analyse a dream, equally from clients and one-off emails from non-clients. This is perhaps a total coincidence but whether we consider online or traditional therapy, the analysis of dreams is an added tool in a therapist’s bag.

When we are under stress, anxious or worried, sleep is one of the first things to be affected and many complain of broken sleep or the inability to fall asleep. When trauma has occurred in our lives, we are sometimes afraid of sleep, conscious of the nightmares and flashbacks that could follow. However, it is universally recognised that obtaining sleep, and good sleep, is essential for strong physical and mental health. As a therapist, I am very interested in a client’s sleep patterns as they can give a good indication of troubled times (or not). I also believe that what we do when asleep is an equally important source of information, that is the analysis of dreams. The interpretation of dreams in psychology was first pioneered by Freud himself. He believed that dreams are the window to the subconscious. He famously quoted in his work The Interpretation of Dreams (the definitive text was published in 1955), “The interpretation of dreams is the royal road to knowledge of the unconscious activities of the mind” , something that I truly adhere to.

There are people, of course, who believe that dreams hold no particular value and are just a re-run of recent events in our lives, much like when we would watch a film we have shot on a camcorder, that they are just a repository for information received through the senses or are some kind of “white noise”, similar to that hum give off by electrical equipment. On many levels, this could well be true. Our brains need to find an efficient way of filtering and storing valuable information, ready for the next day’s onslaught of even more. We can liken this to spring cleaning in the sense that some things are used and some things stored away for the future. The question is, what happens to the stored information? It is stored in the subconscious just as we store household things away in the attic. When this is added to the existing information present there from the influences. belief systems and experiences gained as we grow older, we have a melting pot of information that goes to making up the vast, murky, mostly uncharted place we call the subconscious. If we see the brain as some form of large computer that is continually fed during waking hours, we could imagine that dreams perform two functions : the correct sorting and processing of information and the presentation of new ideas needed for the dreamer to fully function. To do this. it gets most of its input from our subconscious mind during our sleeping hours as this is the only time that we do not place limitations on our conscious mind, allowing elements of the subconscious to come through. This process is often associated with nightmares but can also be on a more positive note. There have been many recollections of solutions to problems being found while dreaming or in deep sleep.

The analysis of dreams in therapy is not advocated by all therapists and this depends mostly on point of view and personal opinion. I, for one, believe we need to use everything at our disposal to help the client understand and ultimately recover health. Dreams, in my opinion, serve a number of purposes but not least by showing us that we are attempting to achieve a goal that is , at present unattainable, telling us that we need to focus on how we handle emotions such as anger, fear, jealousy or pain or such issues as spirituality and sexuality. Though this is not an exact science and interpretations can be wrong but a simple breakdown of the dream can glean valuable information concerning the conscious and subconscious thought patterns of the dreamer. Initially, the situation or the environment that the dream took place in is significant. A good example is a school:  a learning environment. Then the emotions being felt in that situation gives an understanding of the dream framework, just as a theater group sets up a stage for a play. The important part is then to decipher various symbols and sub-plots that occur and the participants involved. We should also realise that a dream can relate to various themes going on in our lives and a simple explanation is often not enough to truly reveal the secrets involved.

Nightmares and Flashbacks

When we have a nightmare or flashback to a traumatic event, we are showing a depth of emotion rarely experienced in waking mode. Nightmares are usually associated with our psychological reaction to fight or flight, yet we rarely get to this point and huge relief is felt when we wake and realise that it was not real. Nightmares tend to arise from six sources.

1. Childhood memories of intense emotions associated with loss ( or birth trauma)

2. Childhood fears and anxiety, especially in the case of dysfunctional attachment to parents.

3. PTSD where basic survival is threatened, even when the traumatic event is long past.

4. A fear of the unknown which could have been absorbed as a child. Yet again, the need for basic survival.

5. Serious illness with the natural fear of death.

6. A sense of foreboding of doom to come. This is a concept not fully understood as yet but what seems true is that humans have an innate cognitive ability to predict future events while sleeping.

People who have nightmares are more likely to suffer recurring dreams in the same situation, with the same emotions but participants disguised and often invisible. In these cases, analysis of dreams in therapy is extremely helpful to break habitual responses and change attitudes and anxiety.

Dr. Nicholas Jenner is a Counseling psychologist in private practice working with individuals, couples, groups and companies. Apart from seeing clients face-to-face, Dr Jenner also runs a thriving online therapy business bringing help to those who are housebound or located in rural locations where therapy is difficult to find.

Online Therapy details : http://www.therapy-for-leaders.com/buy-online-therapy

Look out for my SPECIAL OFFER  HERE

What your “couple type” says about your relationship

Do you find yourself taking on a certain role in every relationship you are in? The truth is most of us take on set roles in our relationships whether we realize it or not. Although we like to think that every relationship is unique, in fact experts have identified six different ‘couple types’ that we all fall into. This is determined by experiences growing up and a recent article in Psychologies magazine stated ” ‘so often when we’re in a new relationship, we think of it as a fresh page, and we tell ourselves: “I’m going to do it my way. But, of course, when we’re children, we absorb information like sponges — we can’t help but take on board how our parents behaved and what went on in our own family.”

The article suggests that we often copy the type our parents were and actively seek partners who can recreate this, leading to disharmony in a relationship when this is not so. Experts believe that if couples can define their type and understand the differences, many more relationships could be saved. The six types identified are:

Cat and Dog

We all know couples where the thought is, why are they together? Somehow it seems to work. This couple enjoys the thrill of fight and make-up and their relationship survives due to the passion (and sex) involved. If, however, there are problems, it becomes “the relationship from hell” as the underlying insecurities that define this relationship type come to the surface, making breaking up difficult and extremely messy.

Pursuer-Distancer

This type is defined by the constant pursuit of affection from a partner who seemingly is not interested. The cycle can turn the other way if a lack of interest is noted by the distancer. Both are afraid of being seen as “needy” by the other but often end up totally dependent.

Parent-Child

Often seen in couples with children where the other partner also becomes “a child” due to lack of self-esteem or is at a vulnerable stage in life, for example, a busy executive on a sabbatical or a workaholic who loses his job. Driven by the need to nurture and be nurtured, it can go wrong when the “parent” starts to control and the “child” partner feels stifled.

You are the Greatest!

This type is all about adulation. One partner idolizes the other who they see as never wrong and so gives up all of their own ambitions, the classic idol-fan relationship. However,  this is generally done for the sole reason that the “idol” suffers from a lack of self-esteem and the “fan” does their best to bolster this. Works well until the fan needs some attention too, which is why these relationships are usually short-lived as the “idol” seeks out fan after fan in order to boost their ego.

Best of Friends

“This couple seems to share everything — from opinions to hobbies to clothes. ‘These are two individuals who recognize great similarities in each other and are reassured by that,” says Susan Quilliam, Relationship Counselor. Due to insecurity gained by bad experience or lack of self-esteem, this couple presents a strong image and it is difficult for others to come between them. They find security in each other and “often lack the differential spark that creates passion” This could lead to boredom and a lack of excitement in the relationship including a lack-lustre sex-life.

The Adults

Talk about everything, do everything together in a sense of mature dignity. Arguments are dealt with without emotion and without repercussions. This sounds perfect but often the passion is missing and very little is done in a spontaneous manner. This relationship is characterized by routine and no surprises.

What is a Soul Mate?

During a recent conversation with a friend of mine, I was asked if I had found my soul mate and how did I know? The term soul mate is often used in relationships but I wonder if many people actually know what it really means. It might be easier to start by explaining what I think it isn’t. Being soul mates does not mean engaging in win-lose or lose-win relationships where one partner takes and never gives or gives and never takes. It is not expecting a partner to cater for all your needs while neglecting their own. It is love, respect, partnership but much, much more. So what is this elusive thing that everyone searches for and only a few find? It is not something you can label and date like a bottle of wine. It is a feeling and you instantly recognise it when it happens. When you move a relationship onto a higher level, building on love and respect as a foundation, you have the chance to experience one of the greatest things that can ever happen. A soul mate grows with you, allows you to develop while developing and growing with you. Soul mates do not accept win-win situations, a classic compromise, where one loses some things sometime and vice versa, they work together to find an even better solution. Soul mates put the partnership in first position and terms like envy, jealousy, conflict, dishonesty and hidden agenda are alien to them. This sounds like a perfect marriage vow but being a soul mate should not be confused with the daily grind of living together or the euphoria of a new love. Soul mates work hard every day to ensure that the relationship stays alive and vibrant. All sounds very technical but wait until you have that feeling when you know you have someone there that will stick with you through thick and thin, enjoying your successes with you, helping you through tough times and allowing you to do the same. It’s that feeling when spending time together brings on a feeling of ‘ teenager-like’ anticipation and excitement. It is knowing you are making plans together for now and the future and looking forward to spending the rest of your lives together living your dreams.

Dr. Nicholas Jenner is a Counseling psychologist in private practice working with individuals, couples, groups and companies. Apart from seeing clients face-to-face, Dr Jenner also runs a thriving online therapy business bringing help to those who are housebound or located in rural locations where therapy is difficult to find.

Online Therapy details : http://www.therapy-for-leaders.com/buy-online-therapy/

Determining who you are!

The way we behave, interact with others and perceive the world  is generally based on our personality. Personality is a multi-faceted concept and is caused and influenced by many factors, attitude, upbringing, environment and influences all play a part.

It is, however, very easy to blame our behaviour and the things that happen to us on this. ” My parents were like this” or ” people from my culture always act this way”. What many of us fail to realise is that we have it in our power to remove the shackles of our conditioning and become a person living on a different level. We attach ourselves to these generalisations because it helps us to deal with everyday life and to occasionally blame others for our misfortune is easier than taking responsibility. Additionally, by putting the emphasis on others, we give ourselves the upper hand by saying “I am right”, that means someone must be wrong.  However, we are all solely responsible for the our thinking patterns, behaviour and responses. By changing the way we think about something, we can make an active decision to go our own way. Separating the thought from the situation allows us to say ” I choose not to behave that way or think that way”. By doing this we are making an active decision to determine who we are.

Sometimes, though we react instinctively to stressful and negative situations without giving ourselves a chance to plan a response. It is maybe easier to look at this process in a model of ABC as used as the basis for Cognitive Behavioral Therapy. It looks something likes this .

A.    Can be seen as the trigger or stimulus for the reaction. When it comes, our minds are flooded with impulses from the past, from real and imagined events and our own interpretation of the event as seen through our “window of reference”.

C.     This is our behavior, feelings and thoughts that seemingly arise from the stimulus at A. Many people believe that A causes C because everything happens so quickly but there is a determining factor that comes between. This can be seen as …….

B.    This is our belief system that determines what really happens at C. It can be an area of healthy or unhealthy thoughts . Healthy thoughts are associated with want, like, prefer and desire. Unhealthy beliefs are inflexible, rigid and are based on must, have to, got to or should. This inflexibility means that if the world is not how it should be in our eyes, all is wrong and is not attached to reality. Healthy beliefs are open, willing to see other points of view and carry the option of not needing to gain the upper hand. Unhealthy beliefs are the ones that can drive us to anxiety, guilt and depression.

Material Dependence

To complicate the matter described above, we often measure our sense of self-worth by attaching ourselves to something, not just the past but influences from the present too. In the modern western world, this is often material possessions, image or situational factors. Our value of ourselves and others is then based on possessing the newest and latest version of everything and being seen in the right places with the right people.We never really find out who we are until we are prepared to go through a process of  letting go of such values, freeing ourselves of reliance on such things.. In the Native American culture, possession of land in particular was an alien concept. They believed that we belong to the land and the Earth can never be owned by “somebody”. Imagine their horror when the ownership concept was forced on them by the white Europeans.

The word “growth” is associated mainly with profit and wealth. In a world where ones sense of status is driven by the gathering of assets, this is hugely important for the majority. Spiritual growth can only be achieved when we place less importance on materialism and avoid looking at others in the same way. Seeing and embracing the good things in others and not letting the bad affect us is essential. The finding of true character and personality is a hard and rocky road and it means travelling on the road less travelled. Being able to love yourself for you and not for what you have or want to have gives us the ability to love others in the same way. We can determine who we are when we look deep inside ourselves!!

Dr. Nicholas Jenner is a Counseling psychologist in private practice working with individuals,couples,  groups and companies

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