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By Paula J. Caplan, Ph.D. Created Jul 25 2011 - 10:35pm ©2011 by Paula J. Caplan All rights reserved

Sexually assaulted servicewomen labeled mentally ill

Think you'd heard it all? Being sexually assaulted apparently is not enough. The Service Women's Action Network reports that it is receiving reports from women serving in the United States military or attending service academies who, after being sexually assaulted and reporting what happened, are diagnosed almost immediately afterward by military therapists as having personality disorders. [http://groups.yahoo.com/group/GSN/message/40367]

This is not a diagnosis that has the slightest relationship to the assault, certainly is not a label applied with the intention of describing a consequence of being raped. A personality disorder is considered to be a lifelong maladaptive organization of the entire personality, so it would have preceded the assault.

Why does this matter? Let me count the ways. First, it takes the focus off the perpetrator, because the victim who is supposedly mentally ill, and, by applying a personality disorder label, takes the focus off the assault and its consequences, placing it instead on the victim's life way before the time of the attack. Readers of my blog know I am no fan of psychiatric diagnosis in general, but if you want to diagnose an assault victim, how about choosing a label that is connected with the effects of assault, reflecting terror, despair, hypervigilance, hopelessness?

This also matters because, as if being assaulted is not enough to have to bear, now the victim has the added burden of being told she is mentally ill, with all of the shame and fearfulness associated with that, and it makes the attack itself seem so diminished in importance that she may wonder if it really happened or at least if she is over-reacting.

Furthermore, personality disorder diagnoses have been used by the military before now to try to get rid of people it no longer wants. In the same way that family members of someone who reports that a relative sexually assaulted them may try to eject the victim rather than deal with confronting and punishing the perpetrator, so some people with power in the military and in military academies want to do the same.

Finally, applying these diagnoses can be a way to ensure that victims do not receive Veterans Affairs benefits for the care they ask for in order to recover from the emotional effects of the assaults, because whatever they are feeling is alleged to be attributable to their alleged personality disorders rather than to what happened to them in the military.

This is the kind of practice of which few Americans are aware, and its existence is a manifestation of what should properly be called some form of sickness that needs eradication.

 


Comments

Marsie Scharlatt, M.A, MFT
07/30/2011 09:00

The history of women and the practise of psychoanalysis and psychotherapy is unfortunately rampant with blame the victim stories. Diagnosing a rape victim with a personality disorder invalidates her experience and discredits the truth of her claim that she was raped: in the least the diagnosis presumes that the woman was at fault, or worse, that she is fabricating the rape. In criminal cases, women have been reluctant to come forward and seek justice precisely because of the fear of not being believed or of being blamed during court procedings, a devasting experience for a victim already traumatized. In adversary situations where benefits are at stake, such as worker's compensation or disability claims,it is unfortunately common practise for the "defense," i.e. psychologists hired by insurance companies, to give a diagnosis of a pre-existing condition which would relieve the employer, insurance carrier, or in this case, the V.A., of any responsibility, so that benefits are then denied. Unfortunately, well-meaning psychologists, may be unable to appreciate the reality of a victim's struggles and perceive them as "disturbed" and unworthy, while protecting the male perpetrator, who often presents as beyond reproach.

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01/26/2012 11:02

THX for info

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01/28/2012 06:20

Nice one info, thx

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03/10/2012 16:57

Great info, thanks

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05/30/2012 10:43

good post

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