TheGangsAllHere wrote:Thank you for writing this.
Thank you so much for replying! I hear you on the “not abused enough to qualify for diagnosis” issue. I can’t get a PTSD diagnosis because I am apparently “not afraid of dying enough to qualify for diagnosis.” I am actually constantly afraid because ***TRIGGER WARNING***
I keep having suicidal ideation for not getting help and getting stigmatized with misdiagnosis. I am afraid I will get to the point where I don’t merely think about it, but I totally don’t want to die.***TRIGGER OFF***
What clinical research essentially says is that caregivers who emotionally neglect or emotionally abuse (name-calling, verbal threats, blackmail, etc.) are also much more likely to use other forms of abuse/neglect, so most, but certainly not all, children who were emotionally neglected also got physically or sexually abused, or at least physically neglected. The presence of these much more obvious forms of abuse then obscures the emotional neglect, and it is often believed there was no emotional neglect. However, when people physically and sexually abused as children are questioned using carefully designed study questionnaires, the majority report emotional neglect and/or emotional abuse.
What researchers have been looking at in recent years is what types of neglect/abuse are shared by the majority of people with dissociative disorders—emotional neglect came out on top. They also looked at the minority of people who were only subjected to a single form of abuse or neglect, and screened them per category of abuse to establish what proportion of each filled the criteria for a dissociative disorder (DID is what they are most interested in). It turns out that the category that has the highest proportion of dissociative disorders is emotinal neglect. In fact, much to their surprise, they found that sexual and physical abuse were the categories of single form of abuse that had the lowest proprtion of people with a dissociative disorder. Emotional abuse and physical neglect apparently cause more long-term harm than physical and sexual abuse. If memory serves, one study even sums up by saying that the common denominator is emotional neglect, and it is shared by dissociative individuals much more widely than it is in other psychiatric entities. This points, again, to an attachment issue rather than an abuse issue.
It is easy to see why society is mistaken about which forms of abuse do the most damage: since it is very rare that a child is only subjected to one form of abuse, we tend to assume that X child has DID because of physical abuse and Y child because of sexual abuse. But we don’t realize that both X and Y children were also subjected to emotional neglect, and that if we removed the emotional neglect, the damage would have been, in most but not all cases, much inferior to the damage that would have resulted if we kept emotional neglect and removed physical/sexual abuse instead.
I will try to find those papers again so that people in your shoes can cite them. Most of them are behind a paywall but abstracts are usually free and summarize the findings.