Guest Father Posted July 17, 2007 Posted July 17, 2007 The community treatment of abused women, even in large metropolitan areas, remains in the Dark Ages, according to my experience as a clinician. Instead of being nursed and pampered, victims are forced to live in dank shelters and given menial chores plus made to care for themselves and any children. One of my patients who had no-where else to go in order to escape her abuser spent one night with her small son in one of these places and left as soon as she could the next day. She told me the place was a roach-infested rat's nest. Yet these women have no friends for the most part because their abusers have chased them all away. Their families have given up on them in many cases. Because abuse results in extreme social isolation, the woman is usually without any other resource to initiate a rescue operation; that is, to help her leave her abuser safely and then provide what is necessary for housing, child care, and all the other requirements for breaking the cycle. As a result, victims must turn to public programs to perform these life-saving functions. Women experience a culture shock when suddenly thrust into a milieu that is foreign to them. These shelters tend to have a ghetto atmosphere, and the living conditions are deplorable. Even women who are accustomed to poverty are unnerved. These domestic violence projects usually assist victims in filing restraining orders against their oppressors. The victims feel somewhat comforted by such a court injunction until they find out that the piece of paper is worthless. Either the restraining order is never served on the offender or, if it is, the abuser becomes further enraged. The victims receive group therapy by paraprofessionals and volunteers with an anti-male slant. Upper-level mental-health professionals, such as psychologists and psychiatrists, are rarely associated with these havens except perhaps on a consulting basis. Even then, these consultants are rarely familiar with the treatment of emotional trauma or any of the roots of domestic violence. I mean no less than to say that many of these facilities are ignorant as to what a victim needs. But these organizations, for the most part, are deeply entrenched in the community and not open to change. They have staked out their territory, and they are not about to allow outsiders within their borders. An attorney-friend with the same concerns as my own joined me at a meeting of a domestic-violence task force. When he pointed at that injunctions were neither being served nor enforced, he was branded as a trouble-maker and forbidden to come back. I was told that I could return if I did not interfere but to "keep that lawyer away from here." A model program, according to my view, would be headed by a full-time social worker or psychologist who has thoroughly studied child abuse, emotional trauma, and the treatment of both. The treatment of domestic violence is largely the treatment of emotional trauma, quite often posttraumatic stress disorder. The director would also have enough training in neuropsychology to recognize the possible presence of traumatic brain injuries. In addition, there would be an attorney with training and experience in abuse retained on a contractual on-call basis. An ideal shelter would care for both the mother and her children, but certainly not in an institutional environment as is mostly the case. The ambiance would be resort-like and would provide ample privacy. Instead of making the victims prepare their own meals and clean their own quarters, they would be regarded as guests who had earned the right to special consideration through what they had suffered. A family physician, a pediatrician, and a gynecologist would be on- call, contractually. Instead of riding in a van to a clinic, guests would receive their medical care on-sight. There would be a play area for children, well supervised by gentle staff. There might be an exercise room, but certainly a very pleasant social area, attractively and comfortably furnished. Each individual room would have its own bath and be equipped with TV, plush carpet, and other amenities. One might say that the expense would be prohibitive. However, that is not the case, as professional fees would be covered by third-party payors, such as Medicaid, private insurance, or grant funding. The facility itself could be constructed with the help of an allocation of the city or county budget, or perhaps through private or corporate gifts. Specialized individual and group treatment would be available on a daily basis, including weekends, but attendance would be optional when first admitted. A full-time nurse who understands the issues and is perhaps a survivor would be a key staff member. In brief, any connotation of punishment, discipline, or forced confinement must be completely reversed because, after all, the victim believes that she deserves punishment. That mindset is one of the first that must be countered. This article has been furnished courtesy of St. James the Elder Theological Seminary, Jacksonville, Florida, Fr. Heyward B. Ewart, III, Ph.D., president. More information at http://www.child-to-adult-victim.com Quote
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