Pain Management I

Art by `Sharik` (Ukraine)

The wiki definition of pain management is

 A branch of medicine employing an interdisciplinary approach for easing the suffering and improving the quality of life of those living with pain… Pain sometimes resolves promptly once the underlying trauma or pathology has healed, and is treated by one practitioner, with drugs such as analgesics and (occasionally) anxiolytics. Effective management of chronic (long-term) pain, however, frequently requires the coordinated efforts of the management team.

Emotional pain also requires pain mangement and this includes the pain from sexual abuse.

Part of the pain that people experience as a result of sexual abuse can involve the the fact that the victim is not beleived. Not being believed can make the pain much worse (1).

Because my self-identity is split up  into different parts ( which according to some theorists is the result of childhood trauma ) it’s not easy for me to believe my own history. Some parts of me believe it and other parts are skeptical. This is why the false memory argument affects me and other people who suffer from structural dissociation so hard (2).  We can’t just dismiss their arguments like some other people can.

However I’m slowly learning to manage these different parts of myself. It’s like pain management where I know that the conflict between different parts of me won’t go away entirely (not in the short term anyway ).  However I’m learning tools that can help reduce the pain – like writing this blog.

Pain management on a societal level

I’m wondering if one can draw parallels between my own splittered self-identities and that of the UK in relation to child sexual abuse. That is: that the UK has a terrible problem with CSA  and it is becoming aware of this problem in bursts, starting and then stopping when the magnitude of the problem becomes too apparent.

The false memory movement is able to exploit this doubt and attaches itself to certain events that are reported in the media. These events may have nothing to do with so-called-false-memory but are then reported in the same context. The false memory argument then spices a rather mundane story up a bit –  and creates new drama.


(1) Matsakis, A. “I can’t get over it: a handbook for trauma survivors”. 1996. This is an old book ( in the histoy of trauma studies ) but a very good one if you suffer from PTSD for any reason. I quote from it because I happen to have it at home on my bookshelf.
(2 )I am using the phrase “structural dissociation” here ( Hart 2008) to distinguish it from forms of dissociation that everybody can experience at times.



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