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Pathologizing the Victim

Excerpt From:
Toxic Relationships
Abuse and its Aftermath
By Sam Vaknin (2004)


Therapists, marriage counselors, mediators, court-appointed guardians, police officers, and judges are human. Some of them are social reactionaries, others are narcissists, and a few are themselves spouse abusers. Many things work against the victim facing the justice system and the psychological profession.

Start with denial. Abuse is such a horrid phenomenon that society and its delegates often choose to ignore it or to convert it into a more benign manifestation, typically by pathologizing the situation or the victim - rather than the perpetrator.

A man's home is still his castle and the authorities are loath to intrude.

Most abusers are men and most victims are women. Even the most advanced communities in the world are largely patriarchal. Misogynistic gender stereotypes, superstitions, and prejudices are strong.

Therapists are not immune to these ubiquitous and age-old influences and biases.

They are amenable to the considerable charm, persuasiveness, and manipulativeness of the abuser and to his impressive thespian skills. The abuser offers a plausible rendition of the events and interprets them to his favor. The therapist rarely has a chance to witness an abusive exchange first hand and at close quarters. In contrast, the abused are often on the verge of a nervous breakdown: harassed, unkempt, irritable, impatient, abrasive, and hysterical.

Confronted with this contrast between a polished, self-controlled, and suave abuser and his harried casualties - it is easy to reach the conclusion that the real victim is the abuser, or that both parties abuse each other equally. The prey's acts of self-defense, assertiveness, or insistence on her rights are interpreted as aggression, lability, or a mental health problem.

The profession's propensity to pathologize extends to the wrongdoers as well. Alas, few therapists are equipped to do proper clinical work, including diagnosis.

Abusers are thought by practitioners of psychology to be emotionally disturbed, the twisted outcomes of a history of familial violence and childhood traumas. They are typically diagnosed as suffering from a personality disorder, an inordinately low self-esteem, or codependence coupled with an all-devouring fear of abandonment. Consummate abusers use the right vocabulary and feign the appropriate "emotions" and affect and, thus, sway the evaluator's judgment.

But while the victim's "pathology" works against her - especially in custody battles - the culprit's "illness" works for him, as a mitigating circumstance, especially in criminal proceedings.

In his seminal essay, "Understanding the Batterer in Visitation and Custody Disputes", Lundy Bancroft sums up the asymmetry in favor of the offender:

"Batterers ...  adopt the role of a hurt, sensitive man who doesn't understand how things got so bad and just wants to work it all out 'for the good of the children.' He may cry ... and use language that demonstrates considerable insight into his own feelings. He is likely to be skilled at explaining how other people have turned the victim against him, and how she is denying him access to the children as a form of revenge ... He commonly accuses her of having mental health problems, and may state that her family and friends agree with him ...  that she is hysterical and that she is promiscuous. The abuser tends to be comfortable lying, having years of practice, and so can sound believable when making baseless statements. The abuser benefits ... when professionals believe that they can "just tell" who is lying and who is telling the truth, and so fail to adequately investigate.

Because of the effects of trauma, the victim of battering will often seem hostile, disjointed, and agitated, while the abuser appears friendly, articulate, and calm. Evaluators are thus tempted to conclude that the victim is the source of the problems in the relationship."

There is little the victim can do to "educate" the therapist or "prove" to him who is the guilty party. Mental health professionals are as ego-centered as the next person. They are emotionally invested in opinions they form or in their interpretation of the abusive relationship. They perceive every disagreement as a challenge to their authority and are likely to pathologize such behavior, labeling it "resistance" (or worse).

In the process of mediation, marital therapy, or evaluation, counselors frequently propose various techniques to ameliorate the abuse or bring it under control. Woe betides the party that dares object or turn these "recommendations" down. Thus, an abuse victim who declines to have any further contact with her batterer - is bound to be chastised by her therapist for obstinately refusing to constructively communicate with her violent spouse.

Better to play ball and adopt the sleek mannerisms of your abuser. Sadly, sometimes the only way to convince your therapist that it is not all in your head and that you are a victim - is by being insincere and by staging a well-calibrated performance, replete with the correct vocabulary. Therapists have Pavlovian reactions to certain phrases and theories and to certain "presenting signs and symptoms" (behaviors during the first few sessions). Learn these - and use them to your advantage. It is your only chance.


(c) 2003 Lidija Rangelovska and Narcissus Publications

The Guilt of the Abused, Pathologizing the Victim by Dr. Vaknin
http://samvak.tripod.com/abuse2.html


RESOURCES

Relationships with Abusive Narcissists

Narcissistic Personality Disorder

Psychological and Verbal Abuse Resources

Verbal and Emotional Abuse on Suite101

Spousal (Domestic) Abuse and Violence on Suite101

Abusive Relationships Q&A's

Copyrighted Material used with Author's Permission

Sam Vaknin published the sixth ebook in the "Malignant Self Love" series of print and electronic books.

It is titled "Toxic Relationships - Abuse and its Aftermath" and
deals with how to identify abuse, cope with it, survive it, and deal
with your abuser.

Buy it here:

http://www.ccnow.com/cgi-local/cart.cgi?vaksam_ABUSE


Articles about abusive relationships are available here:
Emotional, Verbal, and Psychological Abuse, Domestic and Family Violence and Spousal Abuse

What is Abuse?
http://www.narcissistic-abuse.com/abuse.html

Danse MacabreThe Dynamics of  Spousal Abuse
http://www.narcissistic-abuse.com/abusefamily.html

Befriending The System
http://samvak.tripod.com/abusefamily11.html


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