Hello and welcome to Health for a Lifetime. 00:00:49.02\00:00:51.32 I'm your host Don Mackintosh. 00:00:51.35\00:00:53.18 Today we're going to be talking about a very serious subject. 00:00:53.21\00:00:56.28 We're going to talk about sexual abuse 00:00:56.31\00:00:57.98 and how it relates to children. 00:00:58.01\00:01:00.98 This has been a big problem recently in this country and 00:01:01.01\00:01:05.21 many places around the world it is a big problem. 00:01:05.24\00:01:08.01 Today if you are a young person watching or if you're a 00:01:08.04\00:01:11.50 healthcare provider or if you are someone that just sees 00:01:11.53\00:01:16.14 something that looks troubling to you, I know you're going 00:01:16.17\00:01:18.10 to find some things that will help. 00:01:18.13\00:01:19.49 Talking with us today is a psychiatrist from 00:01:19.52\00:01:23.25 Pittsburg, Pennsylvania, Dr. Manjula Borge. 00:01:23.28\00:01:28.20 Doctor, we're just glad that you could take the time 00:01:28.23\00:01:30.35 out of your busy fellowship. 00:01:30.38\00:01:32.16 You're doing a fellowship now in adolescent and child psychiatry 00:01:32.19\00:01:36.22 I understand there where you are doing the fellowship they 00:01:36.25\00:01:39.77 actually have a traumatic center that actually deals with this 00:01:39.80\00:01:43.29 very problem. 00:01:43.32\00:01:44.48 Yes, thank you for having me here. 00:01:44.52\00:01:46.68 At Allegany General Hospital we have a center for traumatic 00:01:46.72\00:01:50.13 disorders. 00:01:50.16\00:01:51.79 We see a lot of children who are abused in different ways 00:01:51.83\00:01:55.90 and give them help, give them support. 00:01:55.94\00:02:01.15 But even when I see patients I see a lot of children who have 00:02:01.18\00:02:06.97 been through different kinds of abuse. 00:02:07.00\00:02:08.56 It's really very devastating. 00:02:08.60\00:02:11.57 Imagine a child who is growing up and having a developing mind 00:02:11.61\00:02:17.88 and the adults role is to take care of them, to protect them 00:02:17.92\00:02:24.16 to teach them, to nurture them. 00:02:24.20\00:02:26.15 When this is broken, when this is destroyed and someone who's 00:02:26.18\00:02:31.79 in the capacity of helping and protecting the child, violates 00:02:31.83\00:02:36.65 the child in different ways be it physical, emotional, or 00:02:36.68\00:02:41.79 sexual the development of the child is not normal any more. 00:02:41.82\00:02:47.12 It goes in several different ways and children are affected 00:02:47.15\00:02:52.41 majorly by the different events that can occur. 00:02:52.44\00:02:56.65 It's a huge, huge impact that is placed on the developing mind. 00:02:56.69\00:03:02.97 Two things, while we go through this part of the program, that I 00:03:03.00\00:03:06.00 just want to say. 00:03:06.03\00:03:07.52 If you're involved in abusing a child, I hope this program 00:03:07.56\00:03:10.53 makes you so uncomfortable that you turn yourself in. 00:03:10.56\00:03:14.18 You need help. 00:03:14.21\00:03:15.18 If you're someone who's gone through abuse or experienced 00:03:15.19\00:03:18.92 that, I hope you find hope and help in the program today. 00:03:18.96\00:03:24.47 Let's look then at what the impact is of the emotional 00:03:24.51\00:03:29.98 physical, sexual abuse. 00:03:30.02\00:03:32.17 You might want to give some kind of definition but then 00:03:32.20\00:03:34.37 going into what the impact is, 00:03:34.40\00:03:36.74 what kind of damage does this cause. 00:03:36.78\00:03:38.44 Studies have shown that people who are abused they in turn 00:03:38.48\00:03:43.76 return and abuse - become abusers from what their 00:03:43.79\00:03:48.57 experience has been. 00:03:48.60\00:03:49.89 Like you mentioned earlier, it's very important to go and 00:03:49.93\00:03:53.75 get the help that they need so that they will turn out 00:03:53.78\00:03:57.57 to not abuse others. 00:03:57.60\00:04:01.07 In other words, this is a plea for help even for someone 00:04:01.10\00:04:04.20 that's involved - a perpetrator. 00:04:04.24\00:04:06.23 Absolutely. 00:04:06.26\00:04:07.23 You know there's a lot of resources, they can go and talk 00:04:07.24\00:04:10.11 to your doctor and things can remain confidential. 00:04:10.15\00:04:12.85 And you can get the help that you need. 00:04:12.89\00:04:14.77 How do we know when someone has been abused? 00:04:14.81\00:04:17.49 We don't want to get into all the details but how can 00:04:17.53\00:04:19.74 we tell when someone is being abused 00:04:19.77\00:04:21.86 physically, emotionally, psychologically? 00:04:21.90\00:04:24.17 What are the warning signs and symptoms? 00:04:24.21\00:04:26.41 There are several signs of a person who has been abused 00:04:26.45\00:04:29.68 may not react in what we call normal ways. 00:04:29.71\00:04:33.60 They might be more irritable, more anxious, certain things 00:04:33.64\00:04:38.27 that they do might not be normal. 00:04:38.30\00:04:41.44 For example: children if you see them playing they might not 00:04:41.48\00:04:45.51 play like a normal child would with other children. 00:04:45.54\00:04:48.77 They can also reenact their abuse. 00:04:48.80\00:04:51.53 For example: if they're playing with toys or with dolls they 00:04:51.56\00:04:56.39 might do the same thing that was done to them to that doll. 00:04:56.42\00:05:01.21 Those are all BIG warning signs. 00:05:01.24\00:05:03.38 Yes. 00:05:03.42\00:05:04.39 If a child is doing certain things that show that something 00:05:04.40\00:05:09.41 doesn't look right. 00:05:09.45\00:05:10.42 Or why is the child being so brutal like killing the doll, 00:05:10.43\00:05:17.17 or killing the soldier, or whatever? 00:05:17.20\00:05:19.78 So if a child shows symptoms like that you maybe want to 00:05:19.81\00:05:24.57 find out a little bit more. 00:05:24.61\00:05:26.59 It can be something that is just know about that they saw from 00:05:26.62\00:05:29.67 TV or learned about. 00:05:29.71\00:05:32.93 But one might want to ask if you see certain kind of 00:05:32.97\00:05:37.11 actions from the child that trigger some kind of suspicion 00:05:37.14\00:05:44.42 of abuse. 00:05:44.45\00:05:45.47 By beholding we're changed and they've been changed by what 00:05:45.50\00:05:48.18 they beheld or what's been done to them. 00:05:48.21\00:05:49.91 Yes, because a child who is not supposed to know certain things 00:05:49.94\00:05:54.20 and is exposed to that will probably show it out 00:05:54.24\00:05:59.30 in certain ways. 00:05:59.33\00:06:00.41 That can be a warning sign to parents if it's coming from the 00:06:00.45\00:06:05.26 family or from the neighborhood to find out what's going on. 00:06:05.29\00:06:10.07 Are there any statistics? 00:06:10.10\00:06:11.79 Who are the people most involved in abusing? 00:06:11.82\00:06:15.23 I think usually what studies show is people who are known 00:06:15.26\00:06:21.28 to the abused person. 00:06:21.32\00:06:23.98 Is this the person that drives down the road? 00:06:24.01\00:06:26.41 It's the person that's in their normal life. 00:06:26.44\00:06:28.76 Yes, well, you can have people even from the streets, 00:06:28.80\00:06:32.73 strangers who abuse people who cause rapes. 00:06:32.77\00:06:37.72 But usually if it's something that's going on within the 00:06:37.76\00:06:41.79 family situation, within the neighborhood, it's usually a 00:06:41.82\00:06:46.03 like a known person probably a boyfriend or even a spouse 00:06:46.07\00:06:50.25 or a parent can be the perpetrator. 00:06:50.28\00:06:55.09 For a professional, clinician, nurse, doctor, psychologist, 00:06:55.13\00:07:02.11 etc they're duty bound to report anything that they think is 00:07:02.14\00:07:09.08 suspicious. 00:07:09.12\00:07:10.09 If they don't they could loose their license. 00:07:10.10\00:07:11.77 They need to do that. 00:07:11.80\00:07:14.14 A school principal, a teacher - same thing. 00:07:14.17\00:07:16.52 They need to report that, if they don't then they're going 00:07:16.56\00:07:19.94 to be in trouble. 00:07:19.97\00:07:20.94 But what about lay people? 00:07:20.95\00:07:22.10 What should they do? 00:07:22.14\00:07:23.22 How should they relate? 00:07:23.26\00:07:24.27 I think lay people should definitely ask for help or find 00:07:24.31\00:07:30.44 out resources that they can get the help from. 00:07:30.48\00:07:33.88 Imagine if someone is going through certain abuse 00:07:33.91\00:07:37.28 you want to protect that person. 00:07:37.31\00:07:39.61 You want to prevent any further abuse. 00:07:39.64\00:07:43.46 So for a lay person I think it's important to contact 00:07:43.49\00:07:49.48 any mental health resource agency or any kind of facility 00:07:49.51\00:07:55.46 where you can find out and learn something more. 00:07:55.50\00:07:58.59 A lot of these places sometimes they don't even ask 00:07:58.63\00:08:01.68 who is the person reporting. 00:08:01.72\00:08:03.43 You don't need to be fearful of that. 00:08:03.46\00:08:05.55 At least once you report the authorities can come and 00:08:05.58\00:08:08.84 investigate the problem and find out what's going on. 00:08:08.88\00:08:13.16 I think one should not be hesitant to seek help to help 00:08:13.19\00:08:17.11 somebody who's going through a certain type of abuse. 00:08:17.15\00:08:20.89 I think it's important that you don't necessarily have to 00:08:20.92\00:08:26.25 know the abuse in 100% happening even if you suspect it but 00:08:26.28\00:08:31.57 you're not sure, you can report it. 00:08:31.61\00:08:35.73 The authorities will come and try to find out the details 00:08:35.76\00:08:39.81 of what is going on. 00:08:39.85\00:08:41.41 So even if you suspect certain physical abuse or danger 00:08:41.44\00:08:46.74 to a child or threat to the child's life or sexual abuse 00:08:46.77\00:08:52.00 one can report that and then it's up to the authorities to go 00:08:52.03\00:08:55.41 investigate if this is the case or not. 00:08:55.45\00:08:58.42 Let's talk about the impact this has on the children themselves. 00:08:58.45\00:09:03.12 What are the studies showing? 00:09:03.15\00:09:04.35 What is the impact for these types of abuse - physical, 00:09:04.39\00:09:08.18 emotional, and sexual? 00:09:08.21\00:09:09.82 One can just imagine what impact it has on the child. 00:09:09.86\00:09:15.69 I see a lot of patients who've been abused. 00:09:15.73\00:09:19.01 They are very devastated. 00:09:19.04\00:09:22.44 People who are supposed to protect them are abusing them. 00:09:22.48\00:09:26.73 I think children go through a period of where they mistrust 00:09:26.77\00:09:30.99 protectors. 00:09:31.02\00:09:32.57 It's not just they mistrust them, they even mistrust other 00:09:32.60\00:09:37.06 people like medical professionals and other people 00:09:37.09\00:09:39.63 who are trying to help them. 00:09:39.67\00:09:41.33 The trust is lost. 00:09:41.36\00:09:42.86 They think that you're not going to care or you're not 00:09:42.89\00:09:46.18 going to do anything about it or even if you care, 00:09:46.22\00:09:49.48 what can you do, the situation is hopeless. 00:09:49.51\00:09:52.99 This is happening because of my own loved one, 00:09:53.02\00:09:56.46 so what can you do? 00:09:56.50\00:09:57.86 I think there's a lot of mistrust involved. 00:09:57.89\00:10:01.85 a lot of feelings of basically hopelessness. 00:10:01.88\00:10:05.77 This is an environment where they're supposed to be protected 00:10:05.80\00:10:09.88 and kept safe and this violation is happening to them. 00:10:09.91\00:10:13.23 So they feel very hopeless. 00:10:13.26\00:10:14.99 Sometimes they even feel like nothing can be done. 00:10:15.03\00:10:17.81 If their father is abusing them and they tell their mom, 00:10:17.85\00:10:21.97 the mom is going to get more upset and more angry 00:10:22.01\00:10:26.09 so they might as well not tell them that. 00:10:26.13\00:10:30.37 They might as well not hurt the other parent. 00:10:30.41\00:10:34.20 Are they unaware that they are being abused? 00:10:34.24\00:10:37.99 Do they think it's normal? 00:10:38.03\00:10:39.91 Sometimes that could be. 00:10:39.94\00:10:41.75 If a child doesn't know what's proper, 00:10:41.79\00:10:46.31 what is right from wrong, they might think that this 00:10:46.35\00:10:50.02 is something that is supposed to be happening. 00:10:50.05\00:10:55.06 But I think that when the children talk in school 00:10:55.10\00:10:58.86 with their friends about what is going on, they can 00:10:58.89\00:11:02.23 find out from their teachers that this is something not 00:11:02.27\00:11:05.36 supposed to be happening and I think they can get the help 00:11:05.39\00:11:08.44 that they need. 00:11:08.48\00:11:09.45 So impact of them is: trust, hopelessness, fearfulness, 00:11:09.46\00:11:13.94 a sense of anxiety. 00:11:13.97\00:11:16.23 Is there any other impact? 00:11:16.27\00:11:17.38 Absolutely. 00:11:17.42\00:11:18.39 There is a lot of physical and emotional impact that the 00:11:18.40\00:11:21.12 child might have problems with physical complaints. 00:11:21.16\00:11:25.52 They might show it as having nightmares, night terrors, 00:11:25.56\00:11:29.89 and difficulty sleeping. 00:11:29.92\00:11:31.50 They might become very aggressive with their peers. 00:11:31.53\00:11:35.77 They might become threatening. 00:11:35.80\00:11:36.77 Just like how they are threatened during the process 00:11:36.78\00:11:41.21 to not tell anybody or to be quiet about it. 00:11:41.25\00:11:44.13 They in turn can become bullies at school and be very angry and 00:11:44.16\00:11:48.77 resentful. 00:11:48.80\00:11:49.77 So any drastic change here or building change would cause 00:11:49.78\00:11:54.29 you to think, "I need to check this out. " 00:11:54.32\00:11:56.48 What about this? 00:11:56.51\00:11:58.43 Sometimes people say, "Well, that child's lying. " 00:11:58.46\00:12:03.08 Do children ever lie about abuse? 00:12:03.11\00:12:07.10 Well, sometimes children can do that. 00:12:07.13\00:12:10.87 Sometimes if a child is upset with the parent or some reason 00:12:10.90\00:12:15.48 they didn't get their way, if they didn't get their allowance, 00:12:15.51\00:12:18.57 or they were not allowed to go on a date and they've been 00:12:18.60\00:12:24.09 through a situation before where they were abused 00:12:24.12\00:12:27.96 and they got the help that they needed. 00:12:27.99\00:12:33.16 So they might look at this situation as, "Well, if I just 00:12:33.19\00:12:37.42 lie, I might get the help and I might be able to do 00:12:37.45\00:12:40.35 what I want to. " 00:12:40.38\00:12:41.51 So, you know, you can have instances where children lie. 00:12:41.54\00:12:45.24 But that's rare. 00:12:45.27\00:12:46.24 Yes, that is rare. 00:12:46.25\00:12:48.02 Usually kids who are abused, usually that's going on in the 00:12:48.05\00:12:54.08 family and maybe it's not just them. 00:12:54.11\00:12:56.63 It's probably the other siblings also. 00:12:56.66\00:12:58.54 It could probably even be the spouse. 00:12:58.57\00:13:00.56 So you can figure it out by just looking into... you have ways 00:13:00.59\00:13:05.63 of figuring out whether or not it's a lie or not? 00:13:05.66\00:13:06.85 Yes, you can get more history, more collateral history and 00:13:06.88\00:13:10.98 then find out. 00:13:11.01\00:13:11.98 I think sometimes kids if they do that and if they lie they 00:13:11.99\00:13:15.79 come out after some time and they will tell you 00:13:15.82\00:13:17.92 that they did lie about it when you were interviewing them. 00:13:17.95\00:13:21.33 So they'll come and say, "I did this just so I could have 00:13:21.37\00:13:24.71 this or do this. " 00:13:24.75\00:13:25.72 The perpetrator, the person watching, they probably 00:13:25.73\00:13:31.51 many times will focus while that person is lying and they 00:13:31.55\00:13:34.18 really play that up. 00:13:34.21\00:13:35.85 I'm sure they do that to get around and not be caught. 00:13:35.89\00:13:40.99 Let me ask this about those who are abusing others. 00:13:41.02\00:13:46.05 There was a large church organization that unfortunately 00:13:46.09\00:13:49.92 was involved and recently many people heard about this 00:13:49.95\00:13:53.23 where people in authority were abusing parishioners 00:13:53.26\00:13:56.47 But then they would be shifted and they would cover it up. 00:13:56.51\00:13:59.37 Now they're taking stronger measures. 00:13:59.41\00:14:02.61 I don't know everything about what that particular church is 00:14:02.65\00:14:05.51 doing, but I do know that some people say there is really very 00:14:05.54\00:14:12.78 limited amount of hope for someone that is actually 00:14:12.81\00:14:16.70 an adult that is abusing people. 00:14:16.74\00:14:18.98 They many times don't get over this. 00:14:19.01\00:14:21.19 They've been for years in treatment and then they go 00:14:21.22\00:14:23.94 right out and do it again. 00:14:23.98\00:14:25.07 Is there any hope for perpetrators? 00:14:25.10\00:14:27.07 Absolutely. 00:14:27.10\00:14:28.07 I think there is ALWAYS hope. 00:14:28.08\00:14:30.16 If one want to change their ways of whatever they've been 00:14:30.19\00:14:34.89 doing, be it even if they were abused. 00:14:34.92\00:14:38.11 You know a lot of people, like I mentioned, abuse others 00:14:38.15\00:14:40.92 because they themselves have been abused and if they look at 00:14:40.95\00:14:44.36 that as something that shouldn't have happened to them or how 00:14:44.40\00:14:49.30 could it and as a way of revenge of what happened to them. 00:14:49.33\00:14:54.20 on others. 00:14:54.23\00:14:55.20 I think that definitely there is always hope. 00:14:55.21\00:14:58.87 When one wants to and it matters if you want to help yourself. 00:14:58.91\00:15:06.16 That is an important aspect also because if you go to the 00:15:06.19\00:15:08.98 different clinicians and if you go to different people to get 00:15:09.01\00:15:11.76 the help and yourself don't want to necessarily change 00:15:11.80\00:15:16.26 or be helped then I think whatever one can do might not 00:15:16.29\00:15:20.72 be helpful to that person. 00:15:20.75\00:15:21.87 But if you want to get help or whatever addiction you have 00:15:21.90\00:15:26.04 there is definitely hope. 00:15:26.07\00:15:27.98 You go speak to your physicians and they can talk with you. 00:15:28.01\00:15:33.26 I think fear of not getting the help is a barrier that 00:15:33.30\00:15:38.41 stops people going and getting the help. 00:15:38.45\00:15:41.11 And also fear of the consequences of what 00:15:41.14\00:15:43.76 will happen. 00:15:43.80\00:15:44.77 But I think one needs to deal with that fear and one needs to 00:15:44.78\00:15:48.28 be able to put up with the consequences of what 00:15:48.32\00:15:51.31 you've done. 00:15:51.35\00:15:52.32 You never know that while going through that process of maybe 00:15:52.33\00:15:56.65 some things that you have done in the past will help you 00:15:56.68\00:15:59.80 and make you a better person and will teach you. 00:15:59.84\00:16:04.73 I think it's very important to go and get the help and 00:16:04.76\00:16:08.40 there is a lot of hope for people who hurt other people. 00:16:08.43\00:16:12.00 I really hope that if there is anyone in that situation to know 00:16:12.03\00:16:16.33 there is a lot of hope and a lot of help out there. 00:16:16.37\00:16:19.70 We're talking with Dr. Manjula Borge 00:16:19.74\00:16:22.80 She's a psychiatrist from Pennsylvania. 00:16:22.84\00:16:25.84 When we come back we're going to look at some hope 00:16:25.87\00:16:29.16 and some help. 00:16:29.20\00:16:30.17 We started talk about that now, not only for a perpetrators 00:16:30.18\00:16:33.97 but also for those who have been the recipients of abuse. 00:16:34.00\00:16:38.10 Join us when we come back. 00:16:38.13\00:16:39.10 Have you found yourself wishing that you could 00:16:40.44\00:16:42.46 shed a few pounds? 00:16:42.49\00:16:43.46 Have you been on a diet for most of your life? 00:16:43.47\00:16:46.02 But not found anything that will really keep the weight off? 00:16:46.05\00:16:48.79 If you've answered yes to any of these questions, then we 00:16:48.82\00:16:52.51 have a solution for you that works. 00:16:52.54\00:16:54.36 Dr. Hans Diehl and Dr. Aileen Ludington 00:16:54.39\00:16:57.54 have written a marvelous booklet called, 00:16:57.57\00:16:59.77 Reversing Obesity Naturally, and we'd like to send it to you 00:16:59.80\00:17:03.28 free of charge. 00:17:03.31\00:17:04.38 Here's a medically sound approach successfully used 00:17:04.41\00:17:07.44 by thousands who are able to eat more 00:17:07.47\00:17:09.69 and loose weight permanently 00:17:09.72\00:17:11.41 without feeling guilty or hungry through lifestyle medicine. 00:17:11.44\00:17:15.08 Dr. Diehl and Dr. Ludington have been featured on 3ABN 00:17:15.11\00:17:18.66 and in this booklet they present a sensible approach to eating, 00:17:18.69\00:17:22.17 nutrition, and lifestyle changes that can help you prevent 00:17:22.20\00:17:25.39 heart disease, diabetes, and even cancer. 00:17:25.42\00:17:27.86 Call or write today for your free copy: 00:17:27.89\00:17:30.29 Welcome back. 00:17:41.14\00:17:42.11 We're talking with Dr. Borge from Pennsylvania. 00:17:42.12\00:17:45.79 She is a psychiatrist that is now doing a fellowship in 00:17:45.82\00:17:51.51 child and adolescent psychiatry. 00:17:51.54\00:17:54.84 She has to deal, unfortunately, with people that have gone 00:17:54.87\00:17:58.26 through significant abuse - physical, emotional, 00:17:58.29\00:18:01.21 and sexual abuse. 00:18:01.24\00:18:02.44 You've been talking about the problem and what 00:18:02.47\00:18:06.14 the impact can be. 00:18:06.18\00:18:07.18 Now we want to talk about the treatment. 00:18:07.21\00:18:08.91 We want to talk about help and hope. 00:18:08.94\00:18:10.79 What kind of things do you as a clinician do? 00:18:10.82\00:18:13.57 What can we do? 00:18:13.60\00:18:14.57 What can those listening do to get the help that they need? 00:18:14.58\00:18:17.68 Now we're talking not about the perpetrators, although we 00:18:17.71\00:18:19.98 talked about that a little bit, but we're talking about those 00:18:20.01\00:18:23.50 who have been abused. 00:18:23.53\00:18:24.50 I feel very privileged to work with people who have been 00:18:24.51\00:18:31.43 abused and have been violated. 00:18:31.46\00:18:34.00 I think that being in a position where I can be of help and 00:18:34.03\00:18:39.85 support to them it just makes me very happy. 00:18:39.88\00:18:43.08 I feel fortunate to be in that position to work with people. 00:18:43.11\00:18:48.16 What can people who have been abused do about it? 00:18:48.19\00:18:53.72 I think number one is going out there and seeking help. 00:18:53.76\00:19:01.35 I think that's an important step that one can take. 00:19:01.38\00:19:04.53 Because if one stays with the guilt and all the suffering that 00:19:04.56\00:19:07.97 they're going through and feel that there is nothing they can 00:19:08.01\00:19:11.38 do about it or it's just so impossible. 00:19:11.42\00:19:13.68 That is a huge problem. 00:19:13.72\00:19:17.08 It's more devastating. 00:19:17.11\00:19:18.08 Absolutely. 00:19:18.09\00:19:19.06 If you don't know what kind of help is out there, I think you 00:19:19.07\00:19:24.61 cannot be benefited from it. 00:19:24.65\00:19:25.98 So let's say you're a 5 year old or a 7 year old, you're just one 00:19:26.02\00:19:28.70 of these little children, tell someone, tell an aunt, 00:19:28.74\00:19:33.88 tell an uncle, tell them to go get some help. 00:19:33.91\00:19:35.87 Sure. 00:19:35.90\00:19:36.87 If the unfortunate situation if it is happening with your own 00:19:36.89\00:19:41.94 parent or parents then you can tell your family members or 00:19:41.97\00:19:46.99 you can tell your school teacher. 00:19:47.02\00:19:49.09 Pastor, school teacher - just tell someone. 00:19:49.13\00:19:51.36 Sure. 00:19:51.40\00:19:52.37 I think that that is a very important step one can take 00:19:52.38\00:19:56.52 in healing themselves by going and seeking for help by 00:19:56.56\00:20:01.16 telling someone. 00:20:01.19\00:20:02.16 That just opens a huge area of where you can get help 00:20:02.17\00:20:08.27 and be supported. 00:20:08.30\00:20:09.70 I think coming out with that and asking for help is important. 00:20:09.73\00:20:13.47 You don't have to explain exactly the details because 00:20:13.51\00:20:16.64 once that you ask for help they'll get to that. 00:20:16.68\00:20:20.40 They will refer you to the right person so you might not 00:20:20.43\00:20:23.12 want to explain the whole detail if you don't feel comfortable 00:20:23.15\00:20:26.94 with that person. 00:20:26.97\00:20:27.94 But at least if that person can hook you up with the right 00:20:27.95\00:20:31.73 facility to get the help, then you can go and discuss that with 00:20:31.77\00:20:35.42 your psychiatrist who will keep things confidential 00:20:35.46\00:20:38.63 but of course like you mentioned before in cases of abuse 00:20:38.67\00:20:42.70 confidentiality has to be breached because the right 00:20:42.73\00:20:45.80 authorities have to be informed so that this will be prevented 00:20:45.83\00:20:49.23 from further happening. 00:20:49.26\00:20:51.46 You talk about seeking some support from the community 00:20:51.49\00:20:54.12 and the family. 00:20:54.16\00:20:55.60 Of course the family is involved sometimes that's 00:20:55.63\00:20:57.46 not possible, although an extended family... 00:20:57.49\00:20:59.56 But what kind of things can a community do or a family that's 00:20:59.60\00:21:03.79 not involved do to support someone that's gone 00:21:03.83\00:21:06.80 through abuse? 00:21:06.84\00:21:07.97 I think community is very important and as community 00:21:08.00\00:21:10.52 I think we need to be not be judgmental. 00:21:10.56\00:21:13.85 We shouldn't look at the person and start saying, "Well, it's 00:21:13.89\00:21:17.67 probably because of how they were or their bad behavior or 00:21:17.71\00:21:21.46 different things they have been through. " 00:21:21.50\00:21:24.38 Blame the person who's abused for their abuse is not good. 00:21:24.41\00:21:28.17 Is what you're saying? 00:21:28.20\00:21:29.17 Yes, yes. 00:21:29.18\00:21:30.75 We have to be very, as a community and as Christian 00:21:30.79\00:21:34.77 people, we need to be very supportive of the people who 00:21:34.80\00:21:38.75 have been through difficult situations. 00:21:38.78\00:21:41.01 We need to understand where they're coming from. 00:21:41.05\00:21:44.07 Sometime they can be upset with us when we're trying to 00:21:44.10\00:21:47.54 help them. 00:21:47.58\00:21:48.55 They might be rude to us. 00:21:48.59\00:21:50.08 They might be like, "Ok, why are you trying to do this, 00:21:50.11\00:21:52.38 I don't need your help. " 00:21:52.41\00:21:53.38 I think we as Christians need to understand that. 00:21:53.39\00:21:56.17 We need to be supportive no matter what response we get 00:21:56.21\00:21:59.70 from that person. 00:21:59.73\00:22:00.73 Because once a person starts seeing that you are 00:22:00.77\00:22:04.47 understanding of them even though they were mean 00:22:04.50\00:22:08.40 or rude or abrupt with you that builds trust. 00:22:08.44\00:22:12.27 That builds trust and then probably they are able to 00:22:12.30\00:22:15.86 open up more to you and get the help that they need. 00:22:15.90\00:22:19.66 So being supportive, being understanding no matter how 00:22:19.70\00:22:23.42 the person reacts to you is very important. 00:22:23.46\00:22:26.49 So a listening ear from an authority figure because their 00:22:26.52\00:22:29.55 authority figures has been abusing them and they need to 00:22:29.59\00:22:33.14 have them re-established a confidence in a person that's in 00:22:33.18\00:22:36.70 a position of authority. 00:22:36.73\00:22:38.66 Sometimes we just need to listen. 00:22:38.70\00:22:42.22 We just need to not say much and just be there and listen. 00:22:42.25\00:22:46.89 That is also very important. 00:22:46.93\00:22:48.58 What specifically should we avoid? 00:22:48.61\00:22:49.64 What are the taboos? 00:22:49.68\00:22:50.76 You said judgmentalism and some of these other things. 00:22:50.79\00:22:53.97 but are there any other things to avoid? 00:22:54.01\00:22:56.59 Jumping to conclusions where you think that this person is 00:22:56.62\00:23:03.10 not saying the truth because of how they are, because of their 00:23:03.13\00:23:06.43 history of lying so they're probably not saying the truth. 00:23:06.46\00:23:09.39 You know you don't know that. 00:23:09.43\00:23:11.16 You need to make sure. 00:23:11.19\00:23:13.88 You need to get the right kind of help so that people will 00:23:13.92\00:23:17.21 investigate of what's going on. 00:23:17.24\00:23:18.93 Ok, for the person that's been abused 5, 7, 8, 10, 12 year old 00:23:18.96\00:23:23.68 whatever, is there hope? 00:23:23.71\00:23:26.01 Absolutely. 00:23:26.05\00:23:27.42 You talk about getting help but what's the hope? 00:23:27.45\00:23:29.36 Once again there is hope. 00:23:29.39\00:23:31.48 Once you talk with somebody or the right professional, 00:23:31.52\00:23:36.16 or another clergy, or whoever, you need to realize that it was 00:23:36.20\00:23:40.69 not your fault, it was not their fault of what has happened. 00:23:40.73\00:23:45.47 So once the people are able to realize that it was not their 00:23:45.50\00:23:48.62 fault and they don't need to be dealing with all that 00:23:48.66\00:23:51.31 guilt, resentment and hurt, so that opens up a whole new 00:23:51.34\00:23:56.79 ways of healing. 00:23:56.83\00:23:59.02 Once you are able to do that for yourself, once you're able 00:23:59.06\00:24:03.44 to forgive yourself AND the person that has done that to you 00:24:03.48\00:24:07.83 that just is such a huge healing process. 00:24:07.87\00:24:11.53 As a psychiatrist you're telling me that 00:24:11.57\00:24:15.20 forgiveness is important. 00:24:15.24\00:24:17.02 Yes, forgiveness is very important. 00:24:17.06\00:24:20.09 If you don't forgive it breeds a lot of hatred, resentment, 00:24:20.12\00:24:23.89 anger, and anger turned inward is depression. 00:24:23.92\00:24:29.51 And then you turn that all inside and then you get 00:24:29.55\00:24:32.51 depressed and you suffer worst consequences. 00:24:32.54\00:24:36.81 You suffer some consequences of all that build up inside - 00:24:36.85\00:24:42.78 hurt and guilt and anger. 00:24:42.81\00:24:44.15 Whereas if you are able to free that and forgive that person 00:24:44.19\00:24:49.56 who has done that to you, you find a new hope which is 00:24:49.60\00:24:53.60 indescribable. 00:24:53.63\00:24:55.89 You find that new hope, that new reassurance that you can 00:24:55.92\00:25:00.29 go on with your life. 00:25:00.32\00:25:01.41 You can go on to have families, to have kids and be supportive 00:25:01.45\00:25:05.00 of them rather than abuse another person like you've 00:25:05.04\00:25:08.75 been abused. 00:25:08.78\00:25:10.49 So you can be able to do that once you forgive someone 00:25:10.53\00:25:14.29 who has done that to you. 00:25:14.32\00:25:15.29 Now you've talked about some exciting studies as well. 00:25:15.30\00:25:19.39 I want you to talk about those. 00:25:19.43\00:25:20.96 But first, two things I want you to talk about: 00:25:20.99\00:25:22.90 1. Setting boundaries with the person that has abused you. 00:25:22.93\00:25:26.81 2. Resilience - the good news about resilience. 00:25:26.85\00:25:31.68 I think it's very important. 00:25:31.72\00:25:34.18 I think a person who is abused is usually afraid of you going 00:25:34.22\00:25:39.16 and telling authorities thinking that they will get in some 00:25:39.19\00:25:41.94 kind of trouble and it will become worse because if this 00:25:41.98\00:25:45.83 is coming from your own parent, let's say. 00:25:45.87\00:25:47.97 I think that it is important that a person that is being 00:25:48.00\00:25:52.18 abused realizes that, that it is important to do that. 00:25:52.22\00:25:56.32 If you don't do that then you're not going to be able to get out 00:25:56.36\00:26:00.09 of that situation. 00:26:00.13\00:26:01.10 The boundaries are not necessarily set by you, 00:26:01.11\00:26:03.86 I'm not saying that. 00:26:03.89\00:26:04.86 You turn them in and the people that are professionals 00:26:04.87\00:26:06.98 will set the boundaries. 00:26:07.01\00:26:08.06 Sometimes they put people away, sometime they do this... 00:26:08.09\00:26:10.51 but being comfortable with the fact that there 00:26:10.54\00:26:12.67 needs to be boundaries set. 00:26:12.70\00:26:13.67 Absolutely. 00:26:13.68\00:26:14.72 Sometimes children who are being abused need to realize that 00:26:14.75\00:26:17.89 maybe if it's going on in the family and maybe if the other 00:26:17.92\00:26:21.44 parent is not going to be supportive that there are 00:26:21.47\00:26:23.99 foster homes, there are group homes where the child is taken 00:26:24.03\00:26:26.97 out for a period of time and kept in a safe environment 00:26:27.01\00:26:30.44 so that the abuse will not continue. 00:26:30.48\00:26:32.15 Resilience - quickly, what's the hopeful news about 00:26:32.19\00:26:36.70 resilience studies? 00:26:36.73\00:26:38.18 Being knowledgeable about what has happened to you 00:26:38.22\00:26:42.24 and that it shouldn't have happened and being able to 00:26:42.28\00:26:46.27 realize that. 00:26:46.30\00:26:47.27 Being able to forgive the person is very important and this 00:26:47.28\00:26:52.15 brings resilience in a person. 00:26:52.18\00:26:53.92 So the forgiveness is key? 00:26:53.95\00:26:55.66 Absolutely. 00:26:55.69\00:26:56.66 It is very freeing. 00:26:56.67\00:26:58.49 It frees you from the hatred, the guilt, the anger that you 00:26:58.53\00:27:03.47 have against this person. 00:27:03.50\00:27:05.02 It not only getting help for yourself and forgiving yourself 00:27:05.05\00:27:09.73 but forgiving the person brings out a whole new area 00:27:09.76\00:27:14.14 where you feel very freed and very positive 00:27:14.17\00:27:17.14 and are able to move on with your regular life. 00:27:17.17\00:27:20.31 We've been talking with Dr. Borge. 00:27:20.34\00:27:23.64 She's a psychiatrist. 00:27:23.67\00:27:24.68 Thank you so much for joining us. 00:27:24.71\00:27:26.76 I want to close today with a Bible thought and it's found in 00:27:26.79\00:27:30.98 Ezekiel 18. 00:27:31.01\00:27:32.29 It talks about someone who's gone through a traumatic 00:27:32.32\00:27:34.55 situation and it says this, "He sees all the sins that 00:27:34.58\00:27:37.30 his father has done and considers them but does 00:27:37.33\00:27:40.91 not do likewise. " 00:27:40.94\00:27:42.62 We hope that if you've been through a traumatic situation 00:27:42.65\00:27:45.24 you be able to consider it and understand it. 00:27:45.27\00:27:48.84 But by God's grace, through His power, through the right 00:27:48.87\00:27:51.92 help you don't have to do likewise. 00:27:51.95\00:27:54.07 May God bless you today. 00:27:54.10\00:27:56.88