
Last night I had a very insightful conversation with a good friend of mine, Tyler. When I decided that I wanted to be a psychologist, I took it for granted that my future would be exclusive to clinical research. Lately, though, I’ve been questioning that desire. It seems that helping the people who I want to be able to help through the current system of social and clinical care would simply be futile. The current system of social work is overworked, underfunded and often incapable. Our pathetically inadequate but understandable need of the physical to prove child abuse (e.g. broken bones, bruises, etc) leaves giant holes in the child protective net into which many children, including myself, disappear. State-funded CPTSD ‘treatment’ is an underfunded, over-medicating sham often run by incompetent staff, and is generally more harmful that beneficial to those put in its charge. The potential of clinical research in trauma to effect real change is therefore extremely limited, and the more I see this the more I have become ambivalent toward a future in clinical psychology. Frankly, I don’t want to spend my life embroiled in that mess. I want to be able to do something that has undeniable value in correctingthe generally dismissive discourse surrounding CPTSD and child abuse, and I want the money that I need to do it.
Long story short, my friend suggested neuroscience. I’m leaning toward his suggestion, especially since I have recently uncovered – finally – physical proof of my own abuse and am appreciating anew the incredible power that the physical holds over perceptions of abuse.
My chiropractor recently took xrays of my neck because “something felt weird”, and the images showed severe, untreated whiplash (I’ve had it long enough that my C7 Th1 vertebrae are degenerating and arthritic), and uneven “excess bone growth” on the back of my skull – evidence of small, remodeled fracturing. Seeing that image was like being kicked in the chest. It was proof against the people in my life who rebuffed me, people close to me who have hurt me so much in dismissing my accounts of the abuse that I suffered. It was proof that I was right, that it had happened and had been as horrifying as I remembered. I was not wrong. I was not misinterpreting things. It was not my fault. Fractures. Whiplash. Real, tangible, comprehensible damage that fully vindicated me. My chiropractor had no idea why I was smiling at the news, but it was because, for the first time in my life, I knew on no uncertain terms that I was right.
The physical matters. Without it, everything is subjective. Without physical evidence of what was done to me, people close to my father could simply choose to believe that I, as the victim, am just hyperbolic, overly-sensitive, and ultimately wrong. Some people close to me have done and still choose to do this. Until a few days ago there was nothing that I could use to protect myself from the remarkable power of their suggestiveness toward manipulating my own understanding of what has happened to me and even toward manipulating the content my very fragile traumatic memory and the strength of my self-confidence. The physical is the indisputable. It is the power of people knowing that you are right, you are accurate, and you are not weak or wrong for being affected by what you have experienced. In terms of child abuse, the physical can restore to the abused the integrity that their situation robs from them. No amount of evidence can convince the willfully blind, but it can give the abused a means by which to protect their own integrity from being comprised by that harmful blindness.
Developmental and cognitive neuroscience with a grounding in clinical knowledge could be a significant key to assigning more, indisputable power to the integrity of the abused, and that above anything is what I feel to be my vocation. Over a substantial amount of french wine and some Planningtorock, Tyler helped me see that last night, and I’m increasingly inclined to agree with him that I might be much better suited for neuroscience than clinical research.