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“When basic human needs are ignored, rejected, or invalidated by those in roles and positions to appropriately meet them; when the means by which these needs have been previously met are no longer available: and when prior abuse has already left one vulnerable for being exploited further, the stage is set for the possibility these needs will be prostituted. This situation places a survivor who has unmet needs in an incredible dilemma. She can either do without or seek the satisfaction of mobilized needs through some "illegitimate" source that leaves her increasingly divided from herself and ostracized from others. While meeting needs in this way resolves the immediate existential experience of deprivation and abandonment. it produces numerous other difficulties. These include experiencing oneself as “bad” or "weak" for having such strong needs; experiencing shame and guilt for relying on “illegitimate” sources of satisfaction: experiencing a loss of self-respect for indulging in activities contrary to personal moral standards of conduct; risking the displeasure and misunderstanding of others important to her; and opening oneself to the continued abuse and victimization of perpetrators who are all too willing to selfishly use others for their own pleasure and purposes under the guise of being 'helpful.”

“Being Scared-off by Evil Lastly, we deny the presence of evil because we are terrified by the horrendously hurtful, cruel, and bloody kinds of evil people tell us about—if we are willing to listen. This was poignantly brought home during an interdisciplinary case conference involving a resident who was counseling for the first time a woman who had been sexually abused. As we worked with him, it became clear that he was resisting entering what he called the 'psychic cave" of her sealed—off experience from which she was shouting for assistance. Because of his resistance, he was not providing her the support and guidance she so desperately needed, and he was not facilitating her working through the abuse and hurt that were continuing to impact her life. As he was confronted about this at one point in the conference, he stated tearfully: "I'm afraid if I help her move into her memories. I will have to go with her, and if I go with her, my view of the world as a basically good and safe place will be shattered. I'm not sure I can handle that for myself, or be able to think about the fact that my wife and kids may be more vulnerable living in this world than I can be comfortable believing" (Means 1995, 299).”