According to Peter Levine, an expert on the adverse effects of childhood trauma on our adult lives and the complex post traumatic stress disorder that can result, typically there develops various signs in victims that may indicate the recovery process is underway. The main signs of recovery that Levine identifies are as follows :
1) A REDUCTION IN THE NUMBER, AND INTENSITY, OF EMOTIONAL FLASHBACKS THAT WE EXPERIENCE (an emotional flashback is when an event occurs in our lives that triggers similar painful emotions to those we experienced as a child in relation to our traumatic experiences – such flashbacks may result in regressive behaviour such as extreme, uncontrollable, childlike tantrums. For example, if we had a cold and rejecting father who was always denigrating us, we may over-react when we are criticized by our boss at work).
2) WE BECOME LESS SELF-CRITICAL (those who have suffered childhood trauma very frequently, and erroneously, blame themselves for their terrible childhood experiences and/or internalize the negative view parents/primary carers had of them when they were children – to read my article on how a child can falsely come to see him/herself as ‘bad’ and how this inaccurate self-view may be perpetuated, click here).
3) WE BECOME LESS ‘CATASTROPHIZING’ (many who suffer childhood trauma develop into adults prone to extremes of negative thinking, often referred to as ‘cognitive processing errors.’ One such cognitive processing error is that we may be prone to ‘catastrophizing’ which means we tend to always expect the worst and to interpret situations in their worst possible light. Often, too, we attribute the worst possible intentions and motivations to the behaviour of others. As we begin to recover, this tendency diminishes).
4) WE START TO FIND IT EASIER TO RELAX (one of the worst aspects of my illness was a perpetual, tormenting feeling of the most intense agitation making anything even vaguely approaching relaxation utterly impossible, every medication was tried – and failed; even electro-convulsive shock therapy (ECT) was tried on several different occasions over the years – again, utter failure. When we finally do start to recover, however, the ability to relax gradually returns).
5) WE BECOME LESS DEPENDENT UPON OUR LEARNED DEFENSE MECHANISMS (it is very common for those of us who have experienced childhood trauma to develop into adults who feel very vulnerable to being hurt or exploited by others if we ourselves were hurt and exploited by our parent/s or primary-carer/s during our early lives. In order to protect ourselves, we may have unconsciously learned to develop certain defense mechanisms such as aggression or avoidance. As we recover, however, we find we become less reliant on these psychological defenses, according to Levine.
6) OUR RELATIONSHIPS WITH OTHERS START TO IMPROVE AND WE BECOME LESS INTIMIDATED BY SOCIAL SITUATIONS (another common outcome of significant childhood trauma is that we can find, in adulthood, that we are quite inept when it comes to forming and maintaining relationships with others. We may, too, find social situations very intimidating, and, even, develop social phobia. A sign of recovery, however, is an easing of such interpersonal difficulties).
FOUR MAIN STEPS ALONG THE ROAD TO RECOVERY :
Levine states that the main steps to recovery are as follows :
2) REDUCING SELF-CRITICISM
3) GRIEVING FOR OUR CHILDHOOD LOSSES
4) ADDRESSING ‘ABANDONMENT DEPRESSION’
Let’s look at each of these in turn :
1) The first step of recovery from complex PTSD, according to Levine, is psycheducation (which is sometimes referred to as ‘bibliotherapy‘. This involves learning about our psychological condition and becoming aware of how it is linked to our adverse childhood experiences. Levine also emphasizes the usefulness of learning about mindfulness).
2) The second step of recovery from complex PTSD is to, in Levine’s phrase, ‘shrink our inner critic.’ In other words, we need to gradually learn how to stop taking such a negative view of ourselves and of everything we do – one effective therapy which can help us to achieve this is cognitive behavioural therapy (CBT). (To read my related article, entitled :‘How The Child’s View Of Their Own ‘Badness’ Is Perpetuated’, click here).
3) The third step of recovery from complex PTSD, says Levine, is to grieve for our childhood losses. These losses may include our missing out on feelings of safety, security, simple childhood happiness and a care-free state of mind as well as a loss of any self-esteem we may have once had. To read my article about coming to terms with childhood losses, click here). Levine suggests that this process may take up to two years.
4) The final step of recovery from complex PTSD is to address what Levine calls the core issue, namely our ‘abandonment depression.’ An important part of this step is also to learn how to be self-compassionate. (To read my article about abandonment issues which may we may develop as a result of childhood trauma, click here).
David Hosier BSc Hons; MSc; PGDE(FAHE).