Rage Can Kill You

First it was Human Trafficking Awareness Month, which I got through mostly by dissociating.  I thought I wasn’t, but I was.  My past homelessness and survival prostitution still haunts me, and although I have forgiven myself, I can’t forgive my parents for not rescuing me, nor can I forgive the shameless bastards who raped me when I was a naive little girl trying to survive on the streets.

Then it was Child Abuse Awareness Month.  I really thought I might get through that in one piece, but after the pieces on emotional and psychological and verbal abuse started coming hard and fast, I have to say I took a pounding.  I grew up with a relentlessly abusive mother and an absent, codependent father who played the sympathetic one and passed me his handkerchief while explaining that Mom wasn’t feeling well, had her period (he described her as a “wildcat in a hatbox” when she was menstruating), or any of a million excuses for her evil behavior.

Since my chief drive as a recovering Adult Child of Abusive Parents is still to try to mollify my mother and protect my now-disabled father from her wrath, I moved to the US from my beloved Jerusalem to try to help them in their old age.  He is 88 and she is 86, although she claims to be 85.

They live in what my dear friend R_ in Jerusalem affectionately calls “East Bumfuck.”  Their house is in a remote hollow, and the road leading to it is so steep that the UPS man refuses to drive down there–he parks at the top and walks down, except in the winter when their access road is a bobsled run and utterly impassible.  Then he leaves the package at the post office, which makes the postmistress frantic because they’re not supposed to do that and what if she gets inspected etc., but there’s nothing to be done about it.

Because of the nature of the road and the ice in the winter, they are often housebound for weeks.  Several years ago when Dad was still healthy he slipped coming down it and broke three ribs.  My mom broke her ankle on it.  My dad broke his wrist on it.

The power goes out frequently.  Since Dad has been losing his balance and falling a lot, I pitched a fit about the kerosene lamps they used to put around everywhere when they were younger, and they finally caved in and got a generator, which has made life easier in that area.

I moved here in a panic, in the winter of 2010-11, when there was storm after storm and they were completely snowed in.  My mother was putting on ice cleats and crawling up the hill to gather firewood.  My dad tried to help her and slipped on the ice and got another of the three concussions he racked up that winter.

I had been calling all the neighbors to please go and check on them, since if anyone asks my mother if she needs help she will say no, whether she does  or not.  Please, please, walk down there and make sure they’re all right and have what they need.  Since they only have one neighbor, I didn’t have many to call, and he never did go down there.  So I packed up my house in Jerusalem and three weeks later was on a plane to East Bumfuck.

I had a hard time getting there because it had just snowed three feet, so I rented the biggest SUV I could find and put the fucker in four wheel drive with the towing gear on and managed to get down into “the hole,” as the UPS drivers call it.  They were in pretty sad shape, and mighty glad to see me.  I had brought groceries and eight gallons of spring water, since the electricity was out and they didn’t have the generator yet.

Well, that was two and a half years ago, and the winters since then have been mild, and my dad’s dementia seems to have stabilized.  And now is the time to start talking about the fact that East Bumfuck is no longer an appropriate place for them to live.  My mother has a million reasons why they can’t move, which I will not enumerate here.  None of them is insurmountable.

Then comes the question, where will they move to?  Their first thought is to move to the nearest small city, which is a lovely artsy place with all the amenities and museums and theatres and lovely architecture.  I remind my mother that Dad is not going to get better, and she is not going to be able to handle him herself for much longer, since she is no spring chicken.

“Well if we move to Hip City, what will you do?”

“I will go home to Jerusalem.  I miss my home.

“But this is your home!”

“No, mother, this is YOUR home.  My home is Jerusalem, and my soul cries for her every day, all the time.”

Her mouth twists with disgust.  I get triggered.

Anger starts to brew.  What does she expect me to do, spend the rest of my life taking care of her?  Dad won’t be around much longer, although his own father lingered in a pitiable state till the age of 91.

I get hold of myself.  ”I’ve sent for a packet from Lovely Hillside Retirement Community, where you can live independently until you need more help.”  She is a geriatric social worker and knows exactly what I mean, and knows the place.

“We can’t afford it.”

“I believe you can.”  I outline the plan.

“But what will you do?”

“I am going back to Jerusalem, and will visit frequently.”

Silence.

It’s obvious that HER plan for me is to be the caregiver, so that she can live the way she wants, with no regard to my life, my needs, my health…

Anger starts to brew.  I will not go into the childhood abuse issues that started coming up, because I don’t want to go there again.

Anger brewed into rage.  I live in a separate building, so there was no chance of confrontation, thank G-d.  Rage filled me, overcame me, and every time the sonovabitchin’ trains across the river blew their infernal horns, I was screaming with them.

I started feeling exhausted.  My exercise tolerance was for shit.  I started having these vague, vapory headaches, and I am not a “headache person.”

My blood pressure has been creeping up in recent months, to 130′s over 80′s, which is not good for a person who usually hangs out in the 120/60 range.  I felt so weird that I bought one of those home BP monitors:  150/100!  Fuck, I’m gonna die, and it’s all because I feel trapped by my guilt at not being able to fulfill my idea of filial piety without ruining my not-so-good health and sabotaging my future, which I hope will contain a home and a partner.  I went to my internist, and now have yet another pill to take twice daily.

At this point, my plan is to get them into someplace appropriate for their now and future needs, which is going to be a shrek in itself, since their house is a fine art museum which will have to be turned into money in order for them to afford the new place.  The property will be sold, so that means no inheritance at all for me because they failed to plan for retirement.

And they planned to use me as an unpaid caregiver, room and board included of course, with my social security for pin money.  But now I’ve come and thrown a monkey-wrench into the works, by coming to the realization that I deserve to have a life.  They also deserve to have a life, a pleasant and comfortable life.  But I’m a person too, and I sure don’t plan to live out the best years I’ve got left caring for people who made my whole life hell, and would continue to do so, if I let them.

49 Shades of Mommie Dearest

My mother is not quite as fearsome as Joan Crawford in Mommie Dearest, but she can give her a good run for her money.

She’s a classic Narcissistic Personality Disorder.  Me, Me, Me, Me.  In fact, my private name for her is MeMe.  She’s always a step ahead.  If I lose one pound, she loses two.  If my disabled father is not moving fast enough to suit her, she’ll take off at her swinging clip and leave him to fall face down on the sidewalk.  Things like that.

My childhood was one big nightmare on toe shoes, tiptoeing around on eggshells, never knowing what I would inadvertently do to set her off into a screaming rage.  I spent a lot of time outside.

I never knew which of my possessions was up for disappearance next.  Or my pets, for instance: which would be given away, which would “just die,” which would “run away.”  The only ones that stayed were the ones she and my father considered their own.

As most of my bloggie friends know, I ran away at age 16.  My mother went to a psychiatrist (the only time in her life) who told her it wasn’t her fault: I was just a rebellious teenager who should be left to learn my own lessons.  I did: homelessness, hunger, rape, prostitution.  Good lessons.

For some reason I was not killed, and eventually pulled my way up and out, and even more eventually became a doctor.  That made Mom happy, because it reflected well on her.  See, I turned out well after all.  It wasn’t her fault.  But I never returned to the parental “home,” which was not my home.

Then things got pretty bad when I had a breakdown and lost my practice and everything I had, and ended up totally disabled and bankrupt.  No help from Mom there; in fact, she persisted in telling her friends that my practice was going great!

I moved to the other side of the country, and that felt better, to be on a different coast and less in the weltering chill of her force field.  And then I moved to the other side of the world, which was even better.

On a mission trip, I fell in love with Israel: in particular, Jerusalem.  As soon as I set my foot on the broiling hot stone paved streets, I knew I had found home.  A year after the trip, I went back to study in a Jewish women’s seminary for a month, which turned into three months.  I shed buckets of tears praying at the Western Wall for God to please bring me home.  It came to pass, in March of 2007, that I moved to Israel to stay.  I was Home.

It wasn’t easy.  I moved eight times in the first fifteen months, for every reason you can think of, and some you would never imagine (bracket fungus growing out of the kitchen walls after a flood soaked the plaster).  I felt like the Wandering Jew, and in my own country at that!  How ironic.  But never, even through those hardships and others, did the feeling of joy at being home ever leave me.  For one who has never had a home, the delirious joy of having found Home is hard to describe.

My parents are old, and I am the only child.  I had planned on making trips to see them every four months or so, to keep a finger on the pulse.  And I did.  After two years, my father started a downhill slide, and I increased the frequency to every three months.  As you can imagine, at an average of $1200 per trip plus car rental (they live in the boonies, and I would never be without a car: an escape route from my mother), it was a serious drain on my savings.

My father had a small stroke, and some other things started to go wrong with him, so the visits increased to every other month.  Finally, he started falling, and after two emergency trips back precipitated by head injuries, I decided that the time had come to move back across the world and be on site for what I thought were going to be my father’s last days.

His last days turned into weeks, months, and years: two and a half of them.  He’s certainly not the man he used to be, and considerably disabled, but he seems to have stabilized, thank G-d.

I am living in what is basically a barn: his former pottery studio, which I have restored from a rotting shell to a tight shelter.  That is a story in and of itself.  It’s close enough so that if I’m needed I can be there in two minutes, yet far enough away that I have privacy to do whatever I want to do.  It’s tolerable.

But I long for Jerusalem.  When I first came here I would find myself uncontrollably sobbing for hours.  I long for Jerusalem herself.  I miss my many friends, dear friends like I have never had before; and I miss my family of choice, my holy brothers and sisters, with whom I have bonds unlike any I have ever experienced in my previous life.

I miss just wandering the streets, watching the swirling admixture of Jews of all varieties with their distinctive ways of dress, and the plethora of priests, nuns, monks, striding out of their monasteries and convents in the Old City, countless varieties with their own dramatic habits: nuns so covered up in black that they would give any Muslim woman a run for her money, unless she was wearing a niqab; Muslims, the women in every degree of covering–the one I get a kick out of is the college girls with tight colorful hijabs that make their heads look like periscopes,  and skin-tight jeans and high heels; or the head-to-toe chador lady walking arm-in-arm with her mulletted husband in a muscle shirt and cut-off jean shorts.  All swirling around in the streets together, gabbing in the countless cafes, shopping, going to school–doing what everyone does.  And me, me! there among them, one of them.  Home, home at last!

Mom’s been on Zoloft for a month now.  She found herself crying all the time, so when both of them got bronchitis and I took them to the doctor she took the opportunity to tell the doctor about that, and got some Zoloft.  She really is feeling better, you can tell, although she insists on only taking half the prescribed amount.  That’s her.  She eats half an English muffin, half a sandwich, half a tab of Zoloft.  Oh well; what matters is that she actually copped to feeling bad and did something about it, and realizes she is feeling better.  Let’s pray she doesn’t quit just because she feels better.

So today, seeing that she is in a good mood, I decided to break some news: I am establishing a schedule for visiting my home, because I am miserable without it.  I will return every fall for the High Holidays and the month that precedes them, which is a month for study and preparation;  and I will return in the spring for Purim, which is thought of in the States as the Jewish Halloween because everybody gets dressed up, but in fact it is a holiday steeped in deep mysticism.

She shrugged.  ”You do whatever you need to do.  I’ll get along somehow.”  What did I expect?  But the little child in me wanted approval.

“I miss my home,” I said, by way of what I hoped would be explanation.

This is your home!  Your home is right here!”  Her little eyes snapped.

“No, Mom, this is not my home.  This is your home.  You fell in love with this place, and you chose to live here.  I have never lived here.  I moved out of your house when I was sixteen…”

“I know,” she interrupted coldly.

“And just like you fell in love with this place, I fell in love with Jerusalem, and I am very sad when I am away.  And you know that I have a mental illness, and I have to take care of myself.  And all of my support system is in Jerusalem, all of my friends, my religious life, everything.  You don’t want me to end up in the hospital again, do you?  Because of isolation and no support?”

“What, being away from Jerusalem will put you in the hospital?”  Snort.

“What I would like you to do is to start looking into home care options that will give you respite and help while I’m away, so that you don’t get sick yourself.” Long conversation about that, leading to dead ends but it was a start, anyway.

I gave up.  Changed the subject.  Will not speak of it again.  Will just buy the tickets, get on the plane, and be there.  And eventually I will be able to pack up and go back, G-d willing, back to the crazy peaceful whirl of war zone in the Middle East, the only place in the world where I feel safe.

Flashback: TRIGGER WARNING

TRIGGER WARNING: GRAPHIC SEXUAL CONTENT

Why is it that the tiniest thing will set me off spinning out of orbit?  I went over to Facebook to look up a rabbi I want to visit when I am in Jerusalem next time, and there on her wall was a comment from that guy I had an affair with last year.  Well, I had high hopes (actually was completely convinced) that it was “the real thing,” but it turned out to be an affair.  So I though I was over it, and was really quite proud of myself for getting out of an abusive relationship before it became addictive (yes, I have a tendency to become addicted to abusive relationships.  Has to do with the way I was raised, according to my psychologist).  Various anniversaries of benchmarks in the relationship came and went, and some I made note of in a casual way and was pleased that I didn’t have a reaction to them, and some I sort of reacted to but not badly and talked it out with my therapist.

Enter Facebook, that double-edged sword of connectedness, whether you want it or not.

I saw his name, and his comment, and a sly comment to a former lover of his who had also commented…..and suddenly (flashback) he was in my bed getting ready to force his cock down my throat, and I freaked out, because unbeknownst to him I had been raped that way, and besides he should have asked before doing something so invasive, and he stopped, and I thought oh, what a good man because he stopped.  Never thought of it that the fact that he would do such a thing “on our first date” was an outrageous disrespect of my SELF, and what I should have done was to throw his ass out of my house and my life then and there.

But I didn’t.  And why?  Because my self image is still where it was forty years ago when I was living on the street for a living and taking pot luck.  Telling some dickhead “no” was not an option.  So that might be why, when push comes to shove,  my reflex is to thank the bastard for not violating me.  For not raping me.

There had been signs, during the long-distance phase of our relationship, that he wanted what he wanted, and objected to my having my own priorities.  But I ignored them and pretended they didn’t exist, for the most part, except for one extreme boundary violation that sent me to bed for three days with a violent PTSD reaction.  But I got over that one too, and soldiered on with the relationship.

Fast forward a few months, and I was in his bed, halfway around the world.  We had just lain down, no contact yet really, and he grabs my hand and pushes it toward his cock, without asking, without any tenderness at all.  That triggered me bigtime. because how many times has that happened to me in the past, against my will or without my wanting it?  I drew back my hand.  Angered, he then grabbed my wrist and forced my hand downward.  I ripped my hand out of his grasp and laid it on his belly.  I should have read him the riot act and gone to sleep on the couch, and taken a cab out in the morning, but instead, “You know,” I whispered in my best whore voice,” you’ll like it better if I do it my own way.”

“Go to hell with your fucking game-playing!” he said, and rolled over, farted, and went to sleep.  I was left shaking, in a cold sweat.  The next morning I packed my bags, but I didn’t leave yet.  I tried to talk to him about the sexual stuff, but he just shouted at me that I was playing games and would not engage with me.

I stayed another week.  We didn’t have sex at all after that.  I was constantly reprimanded: I left the faucet dripping; I left foot prints in the bathtub; I used the wrong knife to cut up fruit (that was a big one, precipitating a screaming fit on his part), I this, I that.  So, since I hadn’t unpacked my bags, I arranged a ride to the other end of the country.   As I was leaving, he staged a scene:

“Are you leaving, just like that?”

“Yes.”

“Don’t you want to talk about it?”

“No.”

“Do you really want to leave it this way?”

“Yes.”

“We’ll keep in touch, right, we’ll keep this dialogue going, won’t we?”

To this one, I lied “Yes,” because I knew that if I said no he would launch into something that would keep me standing at the door when all I wanted was to walk through it and be gone.

I wonder now, whether I have the capacity to identify a truly good man.  I met a few, during my time on the streets, but they belonged to somebody else.  I’ve met a few since then, but ditto, married or in a relationship.  I think I might be able to see one, but so far my longing for someone to fit the picture I have in my mind and my heart has got me into more trouble than I can begin to describe.  I think the factor of unavailability helps me to see the goodness in a man, because my subconscious believes that a good man is not for me.  Therefore the attractive ones are the “bad boys” who abuse me and do me wrong.

There are exited prostitutes who manage to focus on the nice, sweet guys, I guess, from what I’ve read.  And yes, I did have encounters with nice, sweet guys, and all of them were married, and I don’t know what they wanted with me in the first place, but there you go.  Unfortunately, my life was peppered with rapes of different kinds for so many years, that it’s hard for me to disengage from them enough to pick a guy who is not a brute.  I sometimes fantasize about having a relationship with, say, a paraplegic, someone for whom sex is impossible, but then I remember that all abuse is not sexual, not by a long shot, and it would be just my luck to get into a relationship with someone who was platonically abusive.

I hate to think of living the rest of my years alone, aging and dying alone with no one to share the “golden years (hah!)” with.  Getting old is not for the faint of heart, said my grandmother, crazy as a bat but wise in her way.  But now that I have become a true recluse, I have no idea how to meet a truly good man to share life with.  An interesting one, with quirks I find endearing.  I’d like one who loved me for who I am, craziness and all, who respected and even adored me, and made love fully in mutual agreement.  Is that too much to ask?

My Mental Magic Shield

I just had a revelation.  I’ve always told everybody something I learned in my NeuroLinguistic Programming (NLP) practitioner course in 1997-98, which is, All Illness Has A Purpose.  All illness has a message that your body is trying to teach you.  Even when it’s a horrible illness, like God forbid cancer, or Lou Gherig’s disease (did I spell that right?), or you name it.  The reason for the disease is to give you the opportunity to grow the spiritual organs that you are missing.

Hard one to swallow, eh?  Yeah, for me too.  I’m always grateful that I don’t have anything worse than what I have, although in suicidal moments (or days, weeks, months, or years) it seems as if I really could not feel worse no matter what was being done to me.

But tonight, as I was alternately reading stuff on children of narcissistic mothers (I have one: a narcissistic mother who is the daughter of a narcissistic mother–what a joy) and a 1981 textbook on runaways, what causes them and what to do with them (I was a runaway in 1970-71), I got a revelation.  What do my psychiatric diagnoses do for me?  They shield me.  They stand between me and the world.

This is a double edged sword.  Because my Bipolar Disorder and Autistic Spectrum Disorder (which I do not think of as a disorder, but an advantage) put me one level of separation away from the world, I feel isolated a lot.  I used to feel lonely, but now I feel more comfortable when I’m alone, which is 99.5% of the time.  On the positive side, my “disorders” protect me from a lot of the slings and arrows I would otherwise be subject to, if I was out in the world and participating in it.

Twice that I can remember, some other human being was trying to coerce me into doing their will, and I said “Don’t do that, you’re hurting me, you know I’m mentally ill,” and they stopped.  So that was a positive way to use my illness as a defense.  On the other hand, it would have been much healthier to say “stop doing that because it’s a shit thing to do and I won’t put up with it.”  Now THAT would be a healthy way of defending one’s self.  But since I wasn’t up to it because I actually WAS feeling ill, using my illness as a shield was a good strategy, I think.

On the other hand, I don’t wish to cultivate this defense mechanism, because I think it could become a habit: “oh, poor me, I’m mentally ill, don’t stress me out.”  When actually, what I should be saying is “Hey, don’t fuck with me, you’re taking advantage of me, you’re trying to abuse me, you’re seriously pushing my buttons.”  But that has always been a problem for me, because of the way I was raised.

When I was a child, “back-talk” was rewarded with “back-hand” across the mouth, prolonged tirades including belittlement, insults, curses, and other forms of crushing.  The Silent Treatment usually followed.  Banishment to one’s room was routine; but as soon as I got old enough to grok the situation, I stayed in my room voluntarily, or stayed outside, even if it was cold or raining, rather than be in the nasty indoor weather.

So I learned to say as little as possible, if confronted by negativity or abuse.  I always laugh when I read accounts of rape trials where they look for signs of struggle on the girl’s part.  Oh yeah, great if they find his skin under her fingernails; but let’s be realistic: when some dude who is twice your size says, “don’t make any noise and you won’t get hurt,” you’re probably going to keep as quiet as possible and let it get over with so he will go away and leave you to your quiet private hell.  I know that one very well.  Way too well.

I have to say I think I was more of a rape-magnet because of my abusive upbringing.  When your mother tells you you’re nothing, you’re shit, etc., etc., etc., after a while your subconscious incorporates that into its reality, and it becomes part of your personality, that you are somehow substandard protoplasm, and rapists get that on their radar from miles away.  It’s like, shit, if there was some asshole wanting to rape somebody in the general vicinity, all he had to do was turn around and, pow, there I was, telepathy or something.

That was before I figured out that I was crazy and therefore had a good reason for people not to fuck with me.  I have permission now to get really, really angry.  I can unload on people if I get that pushed.  But it freaks me out, because I am a pacifist.  I unloaded on a particularly toxic asshole last year.  It was the first time in my life I have ever done that.  No, it was the second time.  The first time was when my ex-husband “forgot” to come home from work one night.

So I’d much rather use my magic shield: I’m mentally ill, don’t fuck with me.  I don’t know how healthy that is, but it’s better than heaving a vase at their head.

Interview With Ruth Jacobs, Author and Anti-Trafficking Activist

I’m excited to have a guest on board here at Bipolar For Life:  Ruth Jacobs, author of the upcoming best-selling novel series Soul Destruction.  Part one of the series, Soul Destruction: Unforgivable, will be released worldwide on April 29, 2013.

Ruth Jacobs no border

Soul Survivor: Ruth’s gritty, hard-hitting novel features a more-or-less close-knit group of friends who have at least two things in common: drugs, and prostitution.  So what is this book doing on my blog, which tries its best to stay focused on mental health and child abuse issues?  Probably because this group of tough customers has more than just two things in common.

Let’s read a passage from Soul Destruction: Unforgivable, and then we can ask Ruth to help us understand.

Aunt Elsie made tea and they sat on their usual white stools at the white, plastic table in the kitchen. Elsie, as always, sat facing the back door and Shelley, facing the hall. From her chair, she could see the picture frames that stood on the hall table. Although she couldn‘t see the pictures, she knew each one from memory. The pictures were of happier times: baby pictures of her and William, a school picture of William when he was about ten, a school picture of Shelley taken around the same time, putting her at seven or eight, and a picture of them both with their mother before she became ill. That last picture, taken in Brighton in the summer of 1983, was from the last holiday they‘d had with just the three of them. Until that year, Rita had taken her and William to Brighton every summer. Neither she nor her mother had been back since, but William had, once.

Shelley gulped her tea and apologised to her aunt for the short visit. On her way to the front door, she stopped at the hall table. It was the missing pictures she noticed. There was no record from that last holiday until she was fifteen years old and William was seventeen. As if those years in between had never existed. Of course, they had. They all wanted to forget them. But how could she erase them when she‘d endured them? However much she tried, those years wouldn‘t stop replaying in her head. That‘s what caused the rage, the despair, and the excruciating pain that fed on her soul.

S/S: Ruth, this passage starts out looking pretty normal.  I mean, prostitutes don’t have aunts named Elsie with whom they have tea every week, do they?  What, you’re telling me that prostitutes are people like you and me?  Shocking.  But wait, reading on, we find that things are not so happy as they once were.  There seems to be a skeleton in the family closet, perhaps?

You and I have had some conversations regarding prostitution and what might set the stage for a girl or woman to become caught up in it.  Can you talk a bit about that, in the context of the passage we’ve quoted?  What is it here that might have propelled Shelley in the direction she’s taken?   Something happened, didn’t it, something terrible, it seems….

Ruth: Yes, something terrible did happen. I don’t want to give any spoilers about the book for people who will be reading it, but I think it’s very important to know that a large percentage of people in prostitution have a history of being abused as children, whether that be physical and/or sexual abuse. Childhood abuse can set them up as targets for pimps and traffickers. Many women in prostitution started as children. Children do not make these choices. They may be forced by another, they may be homeless, as some I know have been, and out of desperation for a roof over their head for a night or something to eat, they turn to prostitution. For some they have been treated and viewed as sex objects and feel that is their worth. There are more complexities in this, and studies and research into the links between childhood abuse and prostitution have been conducted. For anyone who would like to understand more, my dissertation on prostitution, which I undertook back in the late 1990s, can be read freely here http://soul-destruction.com/on-prostitution.

S/S: Let’s go on to another scene from your book.

Emotionally exhausted, Shelley slept until a nightmare woke her late afternoon. Swaddled in her favourite duvet, she shuffled along the cold, black and white floor tiles in the kitchen. She poured a glass of water and took it through to the lounge. She landed herself on the sofa, then picked up one of her new, sparkling dessert spoons and began cooking up her fix.

What she‘d heard from Tara yesterday shocked her. Not that another call girl would have a past like that, most of the hookers she knew did. The shock was that Tara knew what she had gone through as a child, yet hadn‘t confided in her. Was it her fault Tara had never been able to tell her? Possibly not – Tara hadn‘t told Nicole either. But Shelley knew she could have been a better friend. There were things she could have done differently, things she could have said differently, and things she could have not said at all. She remembered the cruel words she‘d spoken the day before.

Guilt grew from her gut and permeated her body. Her breathing shallowed. This had to be a big hit. It would take more heroin and crack than usual to change this feeling. This feeling on top of her grief, her anger, and her fears had done more than add to them. It felt as if they‘d all been amplified. The noise had to be muted.

The speedball she‘d prepared was overgenerous but essential. She needed to get to nirvana. Without a tourniquet, she squeezed her wrist and went straight for a visible vein in her hand.

She fell back on the sofa and thought this time she might die. This was overdose territory. She lost control of her body as she convulsed. She tried to scream for help but no words came, not recognisable words. She could hear herself babbling but couldn‘t tell if she was making those sounds or if they were coming from inside her head.

S/S: Now we’re hearing Shelley’s shock upon finding that her friend Tara, too, has things hidden in her past, things that she’s been unable to speak about, and Shelley’s over-amplified guilt at seeing herself as not having been a better friend.

Ruth, why would that upset Shelley to the point where she nearly kills herself to get away from the pain?

Ruth: It’s not that alone that brings Shelley to this point. Already being in an extremely dark place, the situation with Tara tips her over the edge. Shelley carries guilt that does not belong to her, as many survivors of abuse do, whether that be childhood abuse or being raped as an adult, for example. This victim-blaming culture perpetuates that. For example, when a woman is raped, some people will blame that rape on what she was wearing, whether she was drunk or had taken drugs, if she was out late at night alone etc. The rape is the fault of the rapist and no one else.

Shelley is a sensitive, kind and caring young woman. She is quick to take on responsibility for caretaking others, as she had as a child within her family, and still does during the time the novel is set in her early twenties. She feels inadequate, not good enough, in many ways. From being at the receiving end of abuse in her childhood and the negative messages that go along with that, she speaks to herself in that same way. In transactional analysis, a branch of psychiatry, it is said we have three ego states: parent, adult and child. The parent ego state is formed by what we hear from our parents/guardians as children. If they are berating when we are children, those ‘recordings’ play out in our heads as adults. It is possible to change these, but I have struggled with it myself.

S/S: So how does child abuse feed into prostitution?  What percentage of prostituted women were abused as children?  Is there a differential between different types of abuse, like physical, emotional, or sexual?  Does that matter?

Ruth: Various studies have been conducted in this. The figure I have from my dissertation is that 75% of women in prostitution have been victims of childhood sexual and physical abuse (WHISPER Oral History Project, 1987). A more recent UK study revealed that 45% suffered sexual abuse and 85% suffered physical abuse within their families (Home Office 2006).

From my personal experience of knowing many women in prostitution and many who have exited, all those I have discussed childhood abuse with have suffered that themselves. I have also known some men in prostitution, though only a few, and again, all those who I discussed childhood abuse with had suffered that too. Some people in prostitution have suffered emotional and verbal abuse in childhood. And there are some who will not have suffered abuse as children. But there is clearly a very strong link between childhood abuse and prostitution.

S/S: Thanks so much, Ruth, for helping us to understand some links between childhood abuse and prostitution.  As a pediatrician and adolescent medicine specialist, I saw many young people who had ended up on the streets doing whatever they needed to do to stay alive.  Many of them had to resort to prostitution just to buy food and have a place to stay at night, although many were homeless, largely due to drug addiction that ate up all their money.  When they came into my clinic, I had a golden opportunity to talk with them and ask about why they were out on the streets instead of living at home.  Many cited “mom’s boyfriend” who was either currently sexually abusing them or trying to.  Others spoke of ongoing physical abuse since early childhood; others said that their parents “just didn’t care about them and they felt better just being on their own.”  Often, I just couldn’t hold my tears back and sometimes they cried too, although most had trained themselves to have a tough exterior, out of necessity.

More about Ruth Jacobs and her writings:

Soul Destruction: Unforgivable

SD-front border 

Enter the bleak existence of a call girl haunted by the atrocities of her childhood. In the spring of 1997, Shelley Hansard is a drug addict with a heroin habit and crack psychosis. Her desirability as a top London call girl is waning.

When her client dies in a suite at The Lanesborough Hotel, Shelley’s complex double-life is blasted deeper into chaos. In her psychotic state, the skills required to keep up her multiple personas are weakening. Amidst her few friends, and what remains of her broken family, she struggles to maintain her wall of lies.

During this tumultuous time, she is presented with an opportunity to take revenge on a client who raped her and her friends. But in her unbalanced state of mind, can she stop a serial rapist?

 

Soul Destruction: Unforgivable is released 29 April 2013. Available worldwide from all major online retailers in paperback and e-book. Pre-orders are available direct from Caffeine Nights

Further information and contact details:

 Ruth Jacobs’s Amazon author page –

UK: http://www.amazon.co.uk/Ruth-Jacobs/e/B008O

US: http://www.amazon.com/Ruth-Jacobs/e/B008OJ0ZMC

Soul Destruction website: http://soul-destruction.com

Author Website: http://ruthjacobs.co.uk

Ruth Jacobs Bio

 Ruth Jacobs writes a series of novels entitled Soul Destruction, which expose the dark world and the harsh reality of life as a call girl. Her debut novel, Soul Destruction: Unforgivable, is released on 29 April 2013 by Caffeine Nights. Ruth studied prostitution in the late 1990s, which sparked her interest in the subject. She draws on her research and the women she interviewed for inspiration. She also has firsthand experience of many of the topics she writes about such as posttraumatic stress disorder, rape, and drug and alcohol addiction. In addition to her fiction writing, Ruth is also involved in non-fiction for her charity and human rights campaigning work in the areas of anti-sexual exploitation and anti-human trafficking.

Earth Day, And I Am Alive And Well

Earth Day  has always been a challenge for me.  Some of you may be old enough to remember the very first Earth Day, April 22, 1970.  It was a big deal: there had been an environmental consciousness movement rumbling beneath the earth’s crust, and suddenly it broke through in fire and smoke into a real above-ground popular movement with a “Day” all its own!

But that’s not what was happening for me.  I was a misfit 16-year-old, lonely and depressed, and somebody liked my legs, and I got dragged into a dark musty basement and violently raped.  The physical and psychological (not to mention sexual, oh no) consequences have followed me like an unwanted companion all of my life.

Hence, every April 22 since 1970, that would be 42 of them not counting this one, I have had a relapse of the off-the-charts PTSD symptoms that I got courtesy of the events of that day, plus a large dose of depression to go with them.

But.

This year I have been hard at work writing my novel, which is based on the events of that day and the seven months following it.  I have written that scene many times, minutely, going over and over it to make it perfect.  I have submitted it to a few contests as a short short fiction piece, and had it rejected because it was too graphic.  Victory!  I am not pulling punches.  I am not turning away in fear or disgust.  I am writing it like it is, like it was.

And today is once again April 22nd, “The Unhappiest Day of the Year,” as I used to dub it.

But guess what:  I’m not unhappy!  I’m not keyed up with the tension of waiting for the “big one,” the giant wave of PTSD to hit, pulling me under and keeping me inundated until it decides to leave me bedraggled and panting on the sands of release.

I just feel normal.

I grant you, I am a little suspicious of this, but I’m going with it, you betcha.  If this means that all of the agony of describing that day in living color time and time again has allowed it to flow out of my head via the miracle of touch-typing, then I thank all the gods and goddesses there are, even the ones I don’t know about.

Happy Earth Day, people.

Child Abuse Awareness Month: Sexual Abuse

This is a topic nobody wants to hear about.  According to the Centers for Disease Control and Prevention, one in four girls report being sexually abused before age 18, and one in six boys.  Now, these statistics only include cases that are reported, and were gleaned from retrospective studies that the CDC conducted.  Other sources predict that one out of every two girls will experience some sort of sexual abuse by the time they reach 18, and those forms of abuse can include:

  • Inappropriate touching
  • Fondling, i.e., inappropriate stimulation of sex organs
  • Forced non-intercourse sex acts such as fellatio or cunnilingus
  • Intercourse, vaginal or anal
  • Forced or coerced posing for pornographic photographs or videos

Most sexual abuse is committed by someone known to the child, usually male, although there are female abusers out there too.  The abuse usually starts with some kind of grooming, to establish rapport and trust with the child: buying toys, taking the child to the movies or amusement parks, giving the child sweets, etc., until the child regards the abuser as a trusted “friend.”   The grooming process may take place over months or even years.

Once this has been accomplished, the abuser ofter begins by having the child watch pornography with him, or look at pornographic materials, especially of children engaged in various sex acts.  The child begins to see these things as somewhat normative.  Somewhere along this line the abuser begins to touch the child, often telling the child that this is how love is expressed.  The child may be frightened, but the abuser comforts them and tells them it’s all right because they love each other, don’t they?

The child cooperates because they feel that they will hurt the abuser’s feelings if they don’t.  Sometimes this works all the way until penetration is attempted, at which point the child is in pain and becomes afraid.  At this point the abuser often switches to using threats that he will tell the police and the child will be taken to jail, or he will tell the child’s parents and they will be very angry; or if the child is very attached to the abuser he may tell the child that if he tells, the abuser will be taken away and the child will never see him again.

This pattern of abuse may continue for years until adolescence, when the girl or boy finally realizes what has happened to them and they shun the abuser.  It’s very rare for kids to disclose at this point.  It’s much more common for them to become depressed, self-harm, attempt suicide, get into drugs, run away, or enter prostitution.

In my former position as Child Sexual Abuse Expert Witness for the Prosecutor’s Office of Monroe County, NY, and then for the State of Ohio, I most often encountered children 18 months to four years old who had been discovered to have physical evidence of abuse by either their parents or a pediatrician on routine exam.  We used various methods to obtain disclosures of who the perpetrator was: play therapy using dolls to act out the scenes and methods of abuse, sitting on the floor with crayons and paper, all sorts of things.  Everything was videotaped to use as evidence at trial, even though many judges refused to use that evidence at trial because it was from a minor.  Go figure.

My youngest patient was five months old, and had been vaginally raped by an adult in his 40′s.  My worst-ever case was a nine month old boy who had been anally raped and then beaten to death by his mother’s boyfriend (and pimp) when he was left alone with the baby while she went to the convenience store down the street.  That perpetrator was tried by grand jury, not a regular jury trial, and was sentenced to 7-to-15 years with possibility of parole at 3.5 years.  This was in a state where rape-murder was a capital crime (Ohio). I was never called as a witness, even though I was the receiving physician in the emergency room when the lifeless baby was brought in.  That trial, which I watched on closed circuit television as they let the bastard off, was the end of my position;  I couldn’t stand it any more.  I quit then and there.

 

 

Noga The Wonderdog: my anchor to reality

Noga the Wonder Dog

Meet Noga.  She’s my Psychiatric Service Dog.  What service does she provide for me?   She keeps me grounded in reality.

You see, many years ago I was raped.  Not once, but many times.  And that has provided me with a whopping case of PTSD:  Post Traumatic Stress Disorder.

The way I coped with being a homeless street kid who got raped a lot was to dissociate.  To leave my body behind, while horrible things were being done to it, and go floating away to Somewhere Else.  It became a habit with my brain, to dissociate from anything threatening; and at last my brain started doing it all on its own, in response to triggers that I may not even be aware of.

And even now, forty years later, I often find that I have been “gone” for hours at a time.  I often have no idea what happened to trigger the episode.  But Noga can tell when I have dissociated, and she jumps up on my legs and “bops” me with her feet, and if necessary, pulls at my pants leg to bring me back to the here-and-now.

And then there are the nightmares.  In my last post I showed you a picture of all the pills I have to take in order to get through the night.  But even with all those drugs, some nights (like last night, for example) I will dream, or hallucinate, or both, that someone has climbed through the window and is standing over me.  B.N. (Before Noga), I could spend hours in a half-dream, half-waking state of paralysis, waiting for the intruder to make his move.  But Noga is a fierce 13 pound watch dog, and she bites!  Now if I have a nightmare I can reach over and if Noga is sleeping beside my left shoulder as she always does, I know there is nothing to fear and I can safely go back to sleep.  Here is Noga keeping the bed warm:

Noga refuses to get out of bed on a rainy morning!

Whose bed do you think this is, anyway?

There are other things she does for me, besides being my Service Dog.  She keeps my right elbow at the proper height for typing by curling up under it, for instance.  That plaid thing is my elbow.

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Plus, she’s just my cute little buddy.

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Noga hates getting her hair wet.

Photos courtesy of my Samsung Galaxy SIII phone.

 

DPchallenge: 2 AM Photo

Sleep is always a challenge for me.  To achieve it, I take five (5) medications: Seroquel, clonazepam, lorazepam, zolpidem, and lithium.  Yes, I know there are six pills in the picture.  That is because of the two Seroquel.  For those who are new to my blog, I take all these poisons due to PTSD incurred courtesy of childhood abuse and a stint on the streets as a teenage runaway, complete with serial rapes.  You can read all about it here.

Nighttime Knockout Pills

Nighttime Knockout Pills

And as if all those pills weren’t enough, I use about half an ounce of some kind of liquor as an adjuvant (enhancer).  My favorite is Ouzo, as it leaves a lovely trace of anise on my palate, as my knockout pills waft me to sleep.  Thats one of the reasons I don’t practice medicine anymore: you just can’t field nighttime medical emergencies while hammered on six kinds of meds (I regard the Ouzo as one of them).

Adjuvant

Adjuvant

If something manages to wake me at night, an earthquake for instance, or the part of the ceiling directly above my bed falling down, or a painfully full bladder (thank God I do wake up for that), I stumble through whatever is necessary to remove myself from the annoyance.  I imagine I would look, to an innocent observer, rather like a hapless zombie that has feasted upon too many alcoholics, or perhaps upon me: too full of sedatives to even try to escape.

So imagine my annoyance when my Galaxy SIII, only slightly smaller than an iPad, rumbled to life at 2 AM, buzzing and tinkling its bell tone indicating an incoming text.

I must have been in the light part of my sleep cycle (otherwise it could have hit me in the head and I wouldn’t have turned a hair), because I awoke with a start that sent Noga, my Lhasa Apso, scurrying to the foot of the bed, as I sat bolt upright as if on springs.

Noga refuses to get out of bed on a rainy morning!

Noga the Lhasa Apso 

My first thought was it must be some mother who had fed her baby strawberry jello, and now its diaper was shockingly red.  Then I remembered: I am no longer in practice as a pediatrician, due to my mental illness and its Machiavellian treatments.  Then a more chilling thought occurred to me: what if something had happened to some family member, God forbid?  But that would entail a phone call from the appropriate authorities, not a text.

At last I wrenched myself far enough away from drugged stupor to actually look at the phone.  MMS, it said.  I touched the “view” button.

Oh fer cryin’ out loud.  This had to be from Floyd, my pervy neighbor.  Who else would send me a photo of his large and rampant, uh, you know….in the middle of the fricking night?  He must have been pickled.  Deleted the goddam thing and lay back down.

Then I sat up again.  I was thirsty.  All these drugs make my mouth dry.  I felt around for my bottle of Gerolsteiner that I usually keep by the bed.  I love Gerolsteiner:  it has lots of minerals in it, good for your body.  And it tastes good, too.  Shit, it wasn’t anywhere around.  I got out of bed and stumped into the dark kitchen.  Ah, there was the bottle: right next to the sink.  Why the hell did I leave it there?  Must have got distracted while brushing my teeth.  Ah well.  Here it was, anyway.

Gerolsteiner, yum

Gerolsteiner, yum!

 

I unscrewed the cap and took a deep chug.

Jeezus Christ and all his disciples, what the hell was this!?  Oh fuck, it was the Ouzo!  What was is doing next to the sink?? What am I gonna do now?  I musta just ingested a cup of it.  And on top of all these meds….should I make myself throw up?  That’s what I would tell someone else.  I hate to throw up.  I’ll do anything to avoid it.

Well shit, if I’m gonna die I may as well go back to bed.  But now I really need the Gerolsteiner, to quell the burning in my stomach.  I found a new bottle on the shelf and drank as much of it as I could, hoping to dilute the Ouzo enough so I wouldn’t die immediately of drug interactions.  Maybe gently in my sleep, to be found some days later when I didn’t answer my phone.  Morbid thoughts.  Damn phone.

I stumbled toward the bed, holding onto the furniture to keep from falling down.

Damn.  Now my bladder was grumbling and required immediate attention.  I looked outside.  Raining cats and dogs.  No effing way I was going to make my way to the outhouse in this storm, especially in my present compromised condition.  For you newbies, just to let you know, my plumbing situation is non-standard.  ’Nuff said.

2012-10-25 09.13.51

I got out the pee jar, which I keep under the bed for such emergencies.  (No picture of the pee jar, sorry.  Too personal.)

Squatting over the pee jar, I let the excess water drain out with relief.  Shit, shit, and more shit!  Apparently I had not remembered to empty the pee jar since its last use, and now there was pee all over the floor.  Time to get the mop.  (No picture of this either.)

After cleaning up as much of the mess as I could in my present condition, I fell into bed and drifted into a semi-comatose state resembling sleep.  But not for long.  ”Brrrr, bling!” went my phone.  I picked the damn thing up and threw it across the room.  It smashed into the closet door.  Good thing I bought the insurance.

http://dailypost.wordpress.com/2013/03/18/writing-challenge-nighttime-photo/

Sleep PTSD

Michael Jackson died of sleep.  More correctly, he died of trying to get a good night’s sleep.  Notice the expression:  Good Night’s Sleep.  Not a Bad Night’s Sleep, or even a Night’s Sleep.  A Good Night’s Sleep.  That is important, and I’ll tell you why later.  First I have to say that thankfully, the only thing I have in common with Michael Jackson is off-the-charts insomnia.  Michael Jackson was a sad, sorry, probably bad, person.  He was a great singer, a brilliant choreographer and dancer, an insomniac, and a pedophile.  He was horribly abused as a child, but that does not excuse his pedophilia.  Now I am ranting about Michael Jackson.  I will stop now.

I don’t know.  Maybe I do have something else in common with MJ.  I think something happened to both of us when we were little children, before the age of talking.  I have noticed in my life as a pediatrician and specialist in child abuse, focusing on child sexual abuse, that things that happen to preverbal children often cannot be healed, because there is no way to access them.  Sometimes you can get to it through modalities like hypnotherapy and NLP; I’ve done them both.  In fact, I’m a certified NLP practitioner, and during my year’s training I had many hypnotherapy and NLP sessions focused on my inability to sleep, and all of them made sense, and none of them worked.

You see, I am a professional non-sleeper.  When I was a child I often took a book and a flashlight with me under the covers and read till dawn, then went out to enjoy the morning birds’ chorus until it was time to go in the house and pretend I’d been asleep.  Not sleeping was a sin, in my house.  ”You go to sleep right now!”  As if that were something voluntary.  I don’t know, maybe it is, for some people.

Sometimes I would get so scared at night that I would cry, and my dad would sometimes come in and make me “an Army Bedroll.”  (He is a World War II veteran.)  He would make me a tight cocoon with my covers, a comforting blanket embrace.  Then he would like down on the floor next to my bed and fall asleep.  He can sleep anytime, anywhere.  How I envy that.  I would listen to him snore, and find myself awake in the dawn, having slept soundly, and he had gone back to bed with my mom.  (For the record, I will say here that my father never, ever did anything that could be remotely considered to be inappropriate with me.  Ever.)

From the Army Bedroll I learned to make a mummy case out of my bedding.  I would get all the covers tucked under me as tight as I could, including over my head.  I do not know how I breathed, but since I am still alive that is proof that I did (hmmm, maybe my brain dysfunction is due to chronic nocturnal hypoxia).  This seemed to work for a while, but soon it wore off and I found myself just lying there mummified until early morning, when I would drift off to sleep until the alarm clock of my mother’s screech “Get up, it’s time for school!” would wake me and I would struggle out of my tangled prison.

(Aside: When I was ten I got hit by a car and spent a week in the hospital in a minor coma.  When they moved me into a regular room my parents came to visit.  I was trying to get some sleep, so I had mummified myself.  I was rudely awakened by my mother’s shrieks when she saw me lying there with the white sheets over my head.  I still get a satisfied snort out of that.)

The hormonal armageddon of puberty seemed to bring about a welcome shift in the sleep department.  Instead of being permanently wired, I became permanently sleepy.  That was nice.  I had a few years’ respite from the night-time nasties.

Then I ran away from home, and endured a series of nocturnal intruders in my bed.  No more sleeping at night for me.  Night was not a safe time to sleep.  It was a time to be vigilant.  And so my nocturnal PTSD reawakened.

As those of you who read my blog with any regularity know, when I am not writing about electric toilets or outhouses, I generally write about my own boring alphabet soup of psychiatric diagnoses: BP, PTSD, OCD (what, I haven’t written about that one yet?  Oversight.  Note to self.), ASD, MDD, blah blah blah, boring.  I’m just so sick of it.  I just want to go back to work and have fun being a doctor like I used to, not sit around being ashamed of my life, the way it’s turned out.

Yes, I am ashamed that I have to take four different kinds of medicine in order to fall asleep (read: pass out from drugs).  Seroquel, which also helps me not feel anything the rest of the time; clonazepam, which helps with the night terrors; lorazepam, which helps calm me down so I don’t leap out of bed and run out the door if I hear a noise; and zolpidem, which has recently had some very bad press in the medical literature, but since I don’t seem to be able to sleep without it, and since bipolar disorder is known to be worsened by lack of sleep, I am stuck.

I just read a great article on how to retrain yourself out of insomnia, using a combination of NLP and DBT techniques.  It looks like it would work for anybody who has “normal” insomnia.  The problem is with me, sleep is associated with being raped, so I don’t think it’s going to work.  I’m going to give it a try, though.  Nothing to lose but a few drugs, and a great deal to gain.

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