Wednesday, 2 December 2020

PTSD, personal responsibility and being able to live with yourself

 Reading back my recent post on 'the selfishness of PTSD' [1], I cannot help but feel that I blundered in writing it. Even though it was sincere, it was also heavily biased, more written from my own desires and emotions at the time than objective truth. Reading what I wrote again, it reads as if I am making excuses. That the actions of someone who suffers from post-traumatic stress disorder are never their fault. I vehemently disagree with that notion.

For a while now I have been considering writing about being able to live with yourself when you can remember things you did in the past, even if they were likely because of the consequences of the traumatic experiences. I can remember countless social situations where I just had to get away, because I didn't feel comfortable or felt unsafe, leaving me to later consider the impressions this must have left on others. Then the times when me misunderstanding something resulted in someone else getting upset or felt hurt. Then being incapable of fixing this or apologising properly.

Worst of all are the times when I hurt others, or reacted in a way that was decidedly aggressive or even violent. Even if it involved me blacking out and beating up that one bully during primary school, that's still not something which I am proud of. If there's the risk of losing myself to those impulses, that doesn't mean that I, or for that matter anyone else with PTSD, shouldn't have the obligation to do our utmost to apply at least some level of control.

As the Canadian Veterans Affairs says on their site:

Try not to use your PTSD or your war experiences as an excuse for hurting yourself or others. There is no excuse for being violent, aggressive, or otherwise mistreating other human beings. It is important that you take responsibility for your own behaviour. [2]



As I have mentioned previously in earlier posts, during depressive moods especially I often feel that I am worthless. Usually I can see all my failures over the years, the times where my actions hurt myself or others in some way. And the crushing feeling of how sorry I am that I'm such a terrible person. It's not okay that I hurt myself either, whether it is through words, thoughts or physical actions that inflict pain or damage.

It's easy to use the excuse that I have had to deal with the effects of PTSD practically without professional help, but that's not an acceptable excuse. All one can do is do better, or stop trying and give up. Yet all without ending up hurting oneself in the process. Or others. PTSD recovery should be about safety and getting away from the trauma. PTSD recovery can only happen when one feels that the traumatic events are behind one. Being hurt by others is bad. Hurting oneself is bad. Hurting or lashing out at others is worse.


From a blog post by someone who suffered PTSD due to a traumatic religious background [3], the following:

Living through trauma can make us feel like we don’t have control. We certainly didn’t have control of our lives during the traumatic event or events. It’s important for trauma survivors to understand we do have control of how we react. Thinking that we have no control over our emotional reactions is part of our traumatic wound. We may not be able to control whether or not our heart starts racing after being triggered, but we absolutely do have control over how we respond to someone who has said or done something triggering. We aren’t puppets being controlled by the past.


Here the phrase "Thinking that we have no control over our emotional reactions is part of our traumatic wound." jumps out at me, as this is exactly the point where past and present start mingling together. Often childhood trauma seem to take the shape of an almost subconscious desire to replicate the trauma over and over in the present. This is the part where one has to break with the past, and with it the trauma.

This same sentiment is echoed by an article over at Providence by Marc LiVecche [4]. It starts off with describing how Sarah Palin used PTSD in 2016 as an excuse for her son's recent arrest during which he was charged with domestic violence against his girlfriend. It's beyond the pale that a PTSD diagnosis would absolve anyone from any personal responsibility. Even a PTSD sufferer still understands the difference between right and wrong and that hurting another, innocent person is wrong in every applicable sense of the word.


Finally, there has been a lot of research on PTSD the past decades. Anthony Charuvastra, et al. [5] explore the unique nature of human-generated traumatic events (e.g. abuse and neglect), examining the effect of childhood abuse in particular, the long-term neurological and social impact and possible treatment methods.

From such research we can learn that while yes, the physiological and neurological impact is often permanent and severe, it does not turn a childhood abuse victim in a 'puppet of the past'. We are still our own person, even if we have seen and gone through more than anyone should ever have to deal with.

In a similar vein, I do not, or at least should not feel attacked or uncomfortable when someone rightfully points out flaws in my reasoning or behaviour. As long as it is done in a manner that is respectful (between fellow human beings) and with the intention to help, not hurt. Because hurting others or oneself is never cool or okay.

Which should really be the motto for humanity as a whole, I guess.


Maya



[1] https://mayaposch.blogspot.com/2020/11/the-selfishness-of-post-traumatic.html
[2] https://www.veterans.gc.ca/eng/health-support/mental-health-and-wellness/understanding-mental-health/ptsd-warstress
[3] https://www.patheos.com/blogs/waystationinthewilderness/2019/06/1404/
[4] https://providencemag.com/2016/01/490/
[5] https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2722782/

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