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Why Survivor's Guilt?

Monday morning my sister was attacked by a pit bull. It bit deep into her forearm, then let go. Just as it was about to attack again – likely, more lethally – two Good Samaritans in a pickup truck intervened, probably saving my sister’s life. Moments later, a nurse also pulled over when she saw my sister on the ground bleeding.

 

The police, ambulance, and animal control arrived soon after. My sister spent the day in the emergency department. Now we must wait to see how she heals, both physically and psychologically.

 

I don’t typically publish personal stories about my family or people I know, despite the hundreds of pages of memoir I’ve written. But my sister encouraged me to share, mainly to protect others. The danger pit bulls pose to public safety when they lack proper supervision threatens lives as well as the social fabric of daily life. We all deserve to be safe and to feel safe when entering public spaces. Some cities have ordinances governing the ownership of these dogs, including mandatory sterilization. I wish that had been the case where my sister lives.

 

What touched me, and led to writing this blog post, was what she said during our conversation the next morning:

“I keep thinking how this is happening to other people.”

And then she told me it would be okay if I wrote a blog post about what happened to her.

 

My sister is a gentle soul. I once watched her pick up a dying bird, its suffering intensified by the blazing midday heat, and gently put it in the shade. Others walked by, their faces wincing in response to the bird’s wriggling body, but no one did anything (including me). For my sister, her gesture was as matter-of-fact as breathing.

 

But I found myself wondering if her compassion after the pit bull attack might be a common response to surviving a traumatic event, albeit an inclination that doesn’t get much notice when the topic is healing trauma. But perhaps if such inclinations were identified, and then acted on, there would be greater likelihood of avoiding survivor’s guilt later (not to mention increased safety for others).

 

I find myself thinking of the documentary Happy, which shares a scene from the lives of the !Kung San of southern Africa. If one member of the tribe has an illness or injury, the entire collective comes together in ritual and dance to promote healing. Besides deeply compassionate and restorative, this coming together makes sense from an evolutionary perspective. What is a threat to one is potentially a threat to all. I also imagine a long history of coming together around illness and injury such that eventually everyone has the opportunity to “pay it forward” following their own reliance on the group to pull them through adversity. Their collective response would actually bring the tribe closer, increasing everyone’s likelihood of survival.

 

Wikipedia defines survivor’s guilt as “a mental condition that occurs when a person perceives themselves [sic] to have done wrong by surviving a traumatic event when others did not.” Survivor’s guilt is often complicated by grief and the unresolved trauma of the survivor.

 

I have been plagued by survivor’s guilt most of my adult life. Not until I began to dedicate myself to healing others, and finding a community that shared my commitment to healing, did my survivor’s guilt begin to dissipate. I became an agent of change, but I also knew that I wasn’t the only one responsible for making a difference. I think this combination of taking action within a community is a lot like the !Kung San way of dealing with suffering and healing. It’s also a great way to heal survivor’s guilt, or perhaps avoid it entirely.

I sometimes think of survivor’s guilt not as a symptom of posttraumatic stress disorder, but as part of the recovery process that has become distorted by our highly individualistic and isolating society. Although we have evolved to recover from traumatic events, I don’t believe we have evolved to recover from trauma in isolation from fellow sufferers.

 

By its very nature, the process of healing from trauma transcends the boundaries of the mental health field and its focus on healing individuals (and less frequently, intimate relationships, families, and small groups). It’s not that therapy isn’t important – even vital – for healing from trauma. Often, it is (and certainly was for me). Yet I think survivor’s guilt speaks to the evolutionary value of how we respond to trauma, and the importance of acting on the urge to help humankind that traumatic events call forth.

 

I think this is why some veterans see resolution of PTSD symptoms when given opportunities to take part in restoration efforts. I also think this is why efforts by veterans to save other veterans from committing suicide – suicide attempts that are often related to survivor’s guilt – help keep them alive as well.

 

Do any of us ever fully recover from traumatic experiences without helping others at some point on our roads to recovery? Like my sister’s first thoughts the day after her pit bull attack, there may be a natural inclination to protect that is at risk of becoming survivor’s guilt when we lack opportunities to speak about our tragedies, protect others, or help people with similar experiences heal.

 

Since it was her arm she writes with that was attacked, I write this post for my sister as her proxy, reminding all who read this of the dangers that pit bulls pose when their owners fail to control them. We all share the obligation of keeping public spaces safe, just as we have an obligation to forewarn others when we have been hurt or threatened. And when we help others, especially after trauma, we may also be saving ourselves.

 

© 2015 Laura K Kerr, PhD. All rights reserved.

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I think this links into the concept of the Restorative Narrative - often what is told on TV, in media is the story of the Damaging Narrative, it is all around us, it sells papers - hence those who survive only tend to hear about those who did not. As a society the narratives of hope, survival and compassion need to be shared to counteract the false perceptions that abound. Please have a look at this incredible site and great clip concerning restorative narrative http://biologyofstory.com/#/ma...estorative-narrative

I am feeling very emotional right now. I am not sure exactly why I have been helping depressed and suicidal teenagers for so long or why I care so much about them. Maybe it is something like survivors guilt or survivors sense of responsibility.

Partly it is also the knowledge that I have had a better life than a lot of these teens. I was "successful" and fairly popular. Though I would call my family emotionally abusive, they are not as extreme as the families some of these teens come from.

Also, I have the chance now, as a relatively free "adult" to exercise a very high level of choice in where I live and who I spend time with. This is essential to my recovery and my ongoing mental health. My heart goes out to teens who are virtually trapped in emotionally abusive homes and schools and are legally required to keep living in the same abusive/neglectful homes and attending the same or similar emotionally abusive/neglectful, schools.

I could not live with myself if I did not do everything I could while I am alive, and even after in the form of my writing and videos, to help these teens get the legal freedom they need to be able to voluntarily choose who they spend time with and learn from.

I found you, Laura, btw, when I searched Aces for Thomas Szasz to see if  anyone had mentioned him. Your Trauma Nation article was one of the only references to him and his work on Aces. I found none, btw, for Peter Breggin, someone I recommend to you if you don't know of him already. I suspect you might be open to his perspective on mental health, psychiatry etc.

Even more non-mainstream is Gabor Mate, whose work affirms much of what I have come to believe about society and teen depression.

And yes, the Plato's cave story fits me also in the following way. When I try to explain to people they are in the cave, they usually get very defensive and often attack me or in some way try to discredit me. Or they simply respond with silence and I never hear from them again.  Only the depressed teens themselves, or at least some of them, realize they have been living in a cave and that is why they have been in so much pain.  But, in my experience, almost all of them either end up killing themselves or conforming or "adapting" somehow to life in the cave and eventually become convinced it wasn't a cave at all.  Many of them nowadays, for example, really believe there is or was something wrong with their brain, nothing more, nothing less. 

It is very discouraging. People like Thomas Szasz, Peter Breggin, Robert Whitaker (who you also cited in your article) and Gabor Mate offer me some encouragement. And just now I found Cathy Harris' post about the video telling us that we have it all wrong about drug addition.

I am going to write a post about how I will now be telling depressed, self-harming, suicidal teens "It's not your brain chemicals, it's your cage."




James, I really appreciate your use of Plato's Cave to trace the journey of transformation after trauma. When I think back on reading Plato in college for the first time, I would have found it more alive and meaningful should I had associations like the ones you are making. 

Thank you Laura, I think there is a lot of truth to what you have written. From a spiritual perspective I feel that what we have experienced has informed us and if we are fortunate enough to acquire the tools to survive it is our moral obligation to be of service to others. Reading Plato's Cave with a trauma informed lens I have come to see that in making ones way to the light one comes to understand that what happened to us does not define who we are, I also believe that we don't make it to the light alone, others help us along the way. Once we come to the light it makes sense that giving that knowledge to others in a sense becomes our purpose. I feel you stated it similarly in writing, "eventually everyone has the opportunity to “pay it forward” following their own reliance on the group to pull them through adversity. Their collective response would actually bring the tribe closer, increasing everyone’s likelihood of survival."

Laura, I think there's quite a lot of merit to this "Survivor's Guilt"...  I was quite fortunate to have been asked by a former Black Panther--who by then was Associate Director for Tribunals at our local office of the American Arbitration Association/National Center for Dispute Settlement , if I would serve on a Prison Dispute Mediation Team of former guards, former prisoners, and dispute resolution staff..... I had a "Fallen Comrade" who died at Attica Prison, from double ought buckshot in his back (the coroner noted powder burns at the wound) in 1971, while trying to prevent another inmate from stabbing a State Trooper involved in retaking the prison....

 

Thank you, Jane, for taking the time to ponder this connection. I have been thinking about it for awhile,  since I read an article in Time Magazine about the relief veterans were getting from committing to volunteer restoration projects (link above). 

 

So glad your talents have led to such a wonderful resource that is instrumental in so many people's healing.

Laura -- This is so interesting. I never thought about survivor's guilt as a motivational factor in helping other people, but as I read your words, it clicked -- that's one of the reasons I'm doing the ACEs Connection Network. Why that understanding is such a relief, I'm not sure; but I'll cogitate on it over the weekend.

Thank you for posting this!

Cheers, Jane 

Robert, 
 
Thanks so much for sharing your experiences with dogs. I feel I could read an entire book of your adventures. I especially appreciated your description of your dad's solution to the dog chasing motorcycles. Maybe you can patent that!
 
Since my sister's incident, I've read a lot of articles on pit bull attacks, as well as other dog attacks. It seems they are more lethal than in the past. At least I don't remember so many dogs being so intensely violent when I was a kid. 
 
I appreciate your words of encouragement for my sister. I too hope she'll return to her old self. I can't imagine her ever to stop loving animals or assisting the occasional stray. That's in her genes.

     Having a humanitarian and compassionate attitude toward dogs, is a trait your Sister can be proud of, and I hope she is able to regain any reservation about approaching unattended, seemingly stray, neglected, or abandoned animals. We of the "Mammalian Attachment" sect, need all the help we can amass.

     I was first bitten by a neighbor's female Poodle, in the Achilles tendon, sometime before I was ten-as I went to knock on the neighbor's door--fortunately, I did not require hospitalization. As a teenager, I was chased by a Doberman, while riding my bicycle. I managed to avert injury by riding into the pond in front of the Doberman's owner's house, and on another occasion, a small black terrier, chasing me on my bike, ran in front of my front tire, but the dog was apparently not substantively injured as it subsequently returned to its owner, who indicated it was okay. 

     My father did not believe in chaining up dogs, but became quite concerned when our family dog began chasing motorcycles going past our house. He took an 18" long, 1" diameter wood dowel, drilled a hole through the middle of it, and attached an eye-bolt with a 5" chain with a clasp hook to the dog's collar. The dog could carry the dowel in her mouth, and wander our yard as she pleased. When she'd start to chase a motorcycle, she'd bark, hence releasing the dowel-which as she started to chase the bike, would entangle in her front legs, and she'd fall down, ending the chase before she was proximate enough to the motorcycle to create a hazard. After one summer of that, the dog stopped chasing motorcycles passing our house. 

     Most dogs I encountered in my formative years, were friendly, and I very much enjoyed their company.

     In my late teens, I entered a restaurant, where a customer at the counter had his German Shepard along side of him-which he announced aloud was a "Killer German Shepard". Many other passing customers avoided walking near the dog. When I was ready to leave, I walked behind him. I knelt down and extended my hand toward the dog. The owner reiterated the dog was a "Killer German Shepard". I said: "I find that hard to believe", and he said: "I can sic him on you." I said: "I doubt it.". He told the dog to sic me, as I knelt there, and the dog began to whine. He jerked to dog's chain and reiterated his command, and the dog put his teeth around his own master's wrist. Although the restaurant owner may have initially had reservations about asking the dog owner to leave, for fear of his own safety, after witnessing my interaction, he told the dog's owner-when he went to pay for his meal, not to return with the dog.

     Knowing what we know of Rachel Yehuda's genetic study of Halocaust survivors and their children, I would not be surprised if other mammals experiencing "toxic stress", like Pit Bulls, might have "behavior problems", perhaps due to being in "Fight/Flight" mode-as a result of their "upbringing" in their formative years, or being in proximity to alcoholic owners, not having nurturing eye contact, or genetic neurodevelopmental changes, etc.! I'd be curious what Cesar ___, the "Dog Whisperer", might have to say on this issue.

Last edited by Robert Olcott
Originally Posted by Robert Olcott:

I think you are right; it's definitely a resilience builder. And I think having the opportunity to help others also can increase resilience.

 

It's very interesting the responses I am getting concerning pit bulls! There's a vocal debate around this particular breed. Because I know quite a few people in emergency services, I have heard many stories about attacks by pit bulls. Of course, this doesn't mean all pit bulls are dangerous. (My sister likes them too.) Yet statistics don't lie with regards to the numbers of attacks, often lethal, perpetrated by certain breeds, including pit bulls.

 

Certainly, the role of the owner is crucial, and where the responsibility lies. And unfortunately, there has been an increase in promoting aggressiveness in this bread for criminal purposes. All this adds up to a trend that has public safety ramifications.Twelve countries have completely banned pit bulls. Unless they have responsible and educated owners, it's just too easy to manipulate pit bulls' capacity for aggression.

 

And the pit bulls are victims too, with high numbers in shelters that are being put down because no one wants to shoulder the risk of adoption. I don't think there is a need to get hysterical, and would rather see more discussion of how best to raise and treat dogs compassionately and with the kinds of boundaries that would lead to a greater sense of safety for all.

 

Turns out, the dog that attacked my sister has attacked before. It also lunged at the police officer at the scene. I'm just glad she wasn't hurt more than she was. 

 

 

Laura, Might that statement your sister made....also be a resilience builder / help herself heal the grief she feels about the integrity of her forearm, and a temporary world view of a crime victim who was viciously attacked. I had a friend whose Pit Bull would sit atop the refrigerator in his kitchen, and lean over and lick people's faces when they offered  momentary "Mammalian Attachment" proximity/opportunity. The Dog which attacked your sister, and its owner need to be accountable for it's behavior. But my world view of Pit Bull's is that they are not all bad, in spite of the "Bad Rep" they have. Some may be genetically encoded due to toxic neurostress in their lineage, to behave/attack without provocation.....I didn't read your post in its entirety, before I started writing this. I'll take leave for now, and try and read your post in it's entirety, before I comment any further.

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