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How Harmful Is Childhood Trauma?

“Children are resilient, right?”

Though children can often successfully bounce back from emotional trauma, certain conditions strongly influence the extent of the emotional damage. The following questions highlight the most important of these conditions:

Is the painful event a single blow or a recurring/ pervasive experience? Unless very severe, the single blow traumas generally do not change the course of a person’s emotional life. In contrast, recurring or pervasive experiences gradually mold and give shape to a child’s emerging personality. If the day-in, day-out experiences are negative, the painful effects can be deeply etched into a child’s view of the world, her attitudes toward others, and enduring beliefs about herself.

Does the painful event also undercut or destroy a child’s primary support network? For example, sexual molestation by a neighborhood boy, although quite traumatizing to a child, is probably less damaging than molestation by a parent — where the primary giver of care and protection has now become a victimizer.

How traumatic is the painful event? It would be convenient to be able to rate severity of events in a clear, quantifiable manner such as is done in rating the intensity of earthquakes. However, what matters most is not the event per se, but how the child perceives the event, i.e., the particular meaning of the event to the child experiencing it. A 7.0 earthquake centered in downtown San Francisco is infinitely more destructive than another 7.0 earthquake occurring in a remote wilderness area. According to psychologist James Garbarino, children seriously hurt in auto accidents or sporting events experience much less emotional trauma than if the same degree of physical injury were inflicted by an abusive parent.

To what degree has the emotionally painful event resulted in rather massive personality changes? The basic core of emotional pain is bad enough, but some events (especially if pervasive, long lasting, and/or severe) can lead to marked changes in self-concept, negative perceptions about the world, and altered lifestyles. Generally speaking, the earlier in life one encounters pervasive or severe trauma, the more likely that the events may alter subsequent personality development.

What resources does the child have to turn to in times of distress? Intact families, open expression of feelings and nurturance, and appropriate role models of healthy emotional functioning can make a crucial difference as a child attempts to heal and recover following major stressful events.

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Adapted from Survivors: Stories and Strategies to Heal the Hurt, by Dr. John Preston. Available at online and local bookstores or directly from Impact Publishers, Inc., PO Box 6016, Atascadero, CA 93423-6016, www.bibliotherapy.com or phone 1-800-246-7228.

 

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