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ACEs Are Not An Excuse

Scientists work with facts. Learning how to formulate a hypothesis, do a literature search, and read to understand the current state of the research are all positive attributes of good scientists. We question without judgment in order to test the level of knowledge the person we are talking with has. When we hear new content, we listen with attention and ask clarifying questions. If we have an alternative hypothesis, we debate in front of other knowledgeable scholars. By following this pattern, we advance knowledge whether we are right or wrong. I end many posts I write with the phrase, “Let’s start the conversation.” And a large part of every conversation is listening. 

I heard a response to some advocacy I have been doing for encouraging an organization to adopt a goal for educating its membership about ACEs, the impact it has on people and working in the political arena to encourage legislative and administrative change in Alaska. As a rule of thumb, when I talk about change, I use a slide that generalizes the support, opposition and fence sitting that happens when change is introduced.  About 20% are generally supportive, 60% fence sitters and 20% opposed. Science means little to those who are opposed because they don’t generally listen. They already have their answer.

The answer in this instance was “ACEs sounds like excuses to me.”

My answer is the title of this post. Since 2008, I have encountered mostly fence-sitters and people in opposition. The tide is now shifting in Alaska and we can formulate answers for the 60% as we work to secure their support. So why do I believe that ACEs are not an excuse?

As part of my response, I like to cite something I read that Jim Sporleder said while he was principal at Lincoln High School: “The kid still got a consequence,” and they remain responsible for their actions. And in the same article, Terry Barila of the Walla Walla Children’s Initiative said: “They…teach the students that they cannot control and are not accountable for the trauma they have endured.”

Children and adults with childhood trauma did not ask for the trauma, nor did they ask for the consequences. In most cases, they aren’t even aware of it. Yes, they suffer. But until the linkage between childhood trauma and behaviors/health consequences is taught, we have no awareness. Instead, we have all of the blame and consequences. By the time the blame and consequences settle in, most of us have experienced significant and often serious detrimental consequences.

When I encounter someone who says “ACEs sounds like excuses to me,” I take a deep breath to get oxygen to my brain, say a couple of positive encouraging statements to my brain, and try to patiently explain the science of childhood trauma and why we need to do something about it. Then I listen to arguments that have no foundation in science or are explainable by other, more scientific hypotheses. 

Individuals matter, but it’s the aggregation of experiences that feed science. Alaska Natives are burdened with 4 ACEs at a rate almost double the non Native population in Alaska. We have higher rates of incarceration, suicide, alcoholism, dropouts, promiscuity, cancer, diabetes, COPD, autoimmune diseases and many other consequences. The science proves that ACEs are not excuses, but explanations. While I can’t do anything other than explain to the 20% who are opposed to addressing ACEs, I can try to mobilize the 20% who believe, and the 60% who have an open mind, to advocate for change. 

ACEs are not an excuse, but they are an explanation. I have spent the last eight years passionately arguing for recognition of this explanation of childhood trauma and the search for healing and prevention. Science tells us that both are achievable. 

 

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Interesting post. It's hard to convey this point at times. To look at ACE's as explanation or even important information vs. the idea that is it is an "excuse." It's hard not to react to that word or language. - thus the taking a breath.

One thing I do in my presentations about ACE's, given from a survivor perspective, is to show slides which include the impact of LOW or NO ACE scores. I want to show the positive results. I've noticed that most people with high ACE scores think most others have high ACE scores. It's normalized. And for those with low ACE scores, that too is normalized, and they think most people have low ACE scores. 

I try to just show the no/low ACEs as better for humans and medium to high ACE's not so good and let the statistics make the argument. I love that quote by Dr. Felitti about how no intern can make a living on the patients with a low/no ACE score because they are so healthy. It lightens things up some.

I say how individuals with good health tend to think they are responsible for their good health (and they might be, in large part) but that if they have o or low ACE's they might also want to be grateful for that. And for parents, it's so motivating, to know about ACE's, in terms of protecting our own children in ways that might be more meaningful than we had ever known.

Anyhow, thanks for the post. It's nice to see how others address questions, comments and thoughts about this information.

 

P.S.

Our N.H. Presidential Primary is Tuesday, Feb. 9, 2016. I'd also like to learn of Presidential candidate support of the federal Interagency Trauma-Informed initiative begun at the Cesar Chevaz auditorium of the U.S. Labor Dep't building, and simulcast to 80 other U.S. locations. I am still searching the Congressional Research Service reports for ACEs related and Federal Interagency Trauma-Informed policy. If anyone learns of any, I'd be grateful to learn of that also.

Some years after [2003] the CDC/Kaiser-Permanente ACE study concluded, Co-Primary Reseacher Vincent Felitti published a paper in the German language, and the following year in English, entitled: "The Origins of Addiction: Evidence from the CDC/Kaiser ACE study." I have yet to find any refutations of the English language version. I don't yet read german well.

Twelve years later, as the Presidential Caucuses and Primary elections begin [again], I've looked for policy positions among all candidates. A Canvasser for Hillary Clinton recently approached me, and later returned with and left me a copy of a journal article entitled: "Editorial Commentary: What Hillary Rodham Clinton Really Said About Children's Rights and Child Policy" by Duncan Lindsay and Rosemary Sarri, found in Child and Youth Services Review, Vol. 14, pp.473-483, 1992 .  I'm not sure why her campaign canvassers seem to have only have access to commentary written before the U.S. CDC/Kaiser-Permanente ACE study was concluded. The ACE sequel study done in Texas, of 6,600 people-not all of whom had health insurance, was reported in the April 2010 issue of Preventing Chronic Disease journal. 

If anyone encounters any recent ACE related policy positions by any of the Presidential candidates, I'd be grateful to learn of them.

Last edited by Robert Olcott
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