ATSA Forum - Vol. XXVIII, No. 3
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In this issue:
Are Juvenile Sexual Risk Assessment Instruments Adequate on Their Own to Assess Risk?
Preventing Clinician Burnout
A Theoretical Framework for Proscribing Pornography Viewing for Those With Sex Offense Convictions
Online Debate 5: Developing a worldly understanding of sexual offenders and their management
Sexual Deviance and General Criminality Factors Among Adolescent Sex Offenders
3rd Annual ATSA Student Clinical Case and Data Blitz
The Trauma Myth
35th ATSA Conference
ATSA Chapters: Amplifying ATSA’s Footprint in the World
New ATSA Members
The Trauma Myth
by Susan Clancy
Reviewed by Jon Brandt, MSW, LICSW
As a former child protection social worker, and now working with both victims and offenders, I was drawn to The Trauma Myth because of both the title, and subtitle: “The Truth About the Sexual Abuse of Children – and its aftermath.” When I first read Susan Clancy’s book, in 2010, nearly every page confirmed my professional experience with victims. I’m offering this review some six years after publishing because I believe most experienced professionals will agree that Clancy’s thesis is not just well-researched, but articulate and luminously persuasive.
Dr. Clancy is a Harvard trained experimental psychologist. Her expertise is not in the field of sexual abuse; it is in the field of memory.
This information is important in understanding how Clancy endeavored to
interview adults who had been victims of childhood sexual abuse (CSA) – in part, to further understand the role of memory in how adults recalled traumatic experiences. Clancy acknowledges that her career had a rocky start - not only investigating adult memories of childhood sexual abuse, but to understand why some people seemed to believe in alien abductions. Clancy
writes about the challenge of having to reconcile her research with two
deep concerns: first, she had to abandon some of what she had been
taught about the ‘trauma’ of sexual abuse, and second, she had to try to save her reputation and career.
After Clancy interviewed more than 200 Boston-area adult victims of CSA, she came to recognize that most victim’s memories were consistent with previous research – the vast majority of victims knew, liked, and/or trusted their abuser. And she confirmed another finding – that most CSA was tricked and manipulated, not the product of threats, force, pain, or injury.
Even young children intuitively understand that when an older person
inflicts pain, injury, or fear (elements of trauma), something is very
wrong. But when sexual violations
occur in the absence of violence and in the presence of trust, most
victims reported being confused by the encounter, rather than
traumatized. Less than one in ten adults that Clancy interviewed described being sexually abused as “traumatic.” Clancy considered that perhaps CSA is so traumatic that adults had repressed their memories, but that hypothesis ran counter to research
that:(1) discredits repressed memories and, (2) indicates that the more
powerful life experiences are to an individual, the more the events are
both strongly embedded and vividly recalled. Clancy goes on to articulately detail how children are indeed harmed by sexual abuse –in the aftermath.
Dr. Clancy has expressed some regret about the title of her book, but does not back-peddle from her findings – that CSA is not universally traumatic. She asserts that many professionals don’t really understand how, why, and when CSA is harmful, and imputing trauma, when it’s not present, might actually introduce secondary harm.
Clancy expresses that children clearly do not have the developmental
capabilities to understand interpersonal sex; that acceding to sexual
touching is not the same as sexual consent, and that naïve cooperation is not complicity.
In the absence of veritable trauma, the harm of CSA comes not from
sexual touching, per se, but from relationship violations - a sense of
betrayal, shame, and misplaced blame.
Clancy explains that as a CSA victim begins to sexually and socially
mature, and comes to understand what motivated their abuser, they feel
duped and exploited. As victims try to reconcile how and why someone of trust would use them for sexual purposes, the ‘harm’ evolves. Clancy’s message is clear: if we don’t talk to kids about sex, we leave them vulnerable; if we don’t
listen to kids who have been sexually abused, we re-victimize them;
when we truly listen to child victims, we empower them to guide their
own recovery – that helps to turn victims into survivors.
Clancy uses the controversies around her book to illustrate how
difficult it is for professionals to navigate the nuances of CSA, and
that it is incumbent on adults to protect children until they are mature
enough to navigate the world of interpersonal sex. Clancy acknowledges that she was perhaps naïve in believing that rigorous science would protect the integrity of her research.
What she was not prepared for was that CSA is virtually unspeakable -
so abhorrent that, even among the educated, it was difficult to separate legitimate research from prevailing public opinion, or simply the politics of sex.
In 1998, psychologist, Bruce Rind et. al., published an article on CSA in the APA Journal. It was peer-reviewed, sound research, but so contrary to conventional beliefs of CSA that it resulted in an Act of Congress condemning his work.
In 1981, Professor Alfred Kadushin (one of my graduate school advisors
at the University of Wisconsin), published a book titled, Child Abuse, an Interactional Event. He spent the rest of his career explaining that he was not blaming children for being abused.
The truth is, there has never been any time in history that sex could be separated from politics, or that science hasn’t waged an uphill battle against public opinion. The Socratic Method, or the applications of logic and scrutiny to understanding complex problems, is a predecessor of the Scientific Method, and one of the most important legacies of Socrates. It is ironic that Socrates could not survive the politics of his own time – he was condemned to death as a heretic. Nearly two millennia later, perhaps Galileo had taken note of the fate of Socrates.
When Galileo found himself charged with heresy, to avoid being
executed, he recanted his theory of the heliocentric solar system, and
lived out his life under house-arrest. It took another 350 years for the Catholic Church to acknowledge that Galileo had been right all along.
Susan Clancy wasn’tcharged with heresy, at least not formally, but by her own admission, after a firestorm of controversy over The Trauma Myth,she fled the US to work in Nicaragua for several years. If Clancy was flattered by a favorable book review in the NY Times, she must have been horrified by a book review by NAMBLA. Clancy’s
book, and her story, are a testimony to professional courage in the
face of deeply held, wide-spread, long-standing beliefs about the sexual
abuse of children. Apparently,
Clancy no longer writes or teaches about sexual abuse, based on a
Google-search, but she is still professionally active in research and
education about the functions of memory.
is so much right about The Trauma Myth that I am hesitant to be
critical, but I think Clancy missed the mark on a few points. In my experience, some victims of CSA have the internal constitution to avoid both the trauma and the harm of sexual abuse. Other victims seem to have the resiliency and tenacity, with or without professional help, to truly earn the moniker of‘survivor.’ Clancy views CSA as dichotomous – if there is a victim, there is an offender, who must be punished.
If Clancy understood offending with the same verve, complexity, and
nuances with which she understands victims, I think she would forgo the
black and white, victim-offender paradigm in favor of the complex
dynamics of offending, and the range of uniquely tailored interventions
that serve victims, offenders, and their families. With a focus on the etiology and aftermath of CSA, it might not be obvious that Clancy was also advocating for both more prevention and better public policies.
The Trauma Myth is well-researched, with endnotes in APA format. With just over 200 pages, and still professionally sound, it is easy reading. Most individuals are likely to approach the book with the same skepticism with which Clancy pursued her research.
In the end, I think most professionals are likely to agree with many
conclusions that Dr. Clancy found unassailable: that the popular,
one-dimensional understanding of ‘trauma’ caused by child sexual abuse is largely a myth – a vestige of the 20th Century.