Can of Worms not so easily dismissed
I have re-read the Can of Worms leaflet[1]. In particular I note
that the authors repeatedly point to the conjecture that there
is a causal link between sexual abuse in childhood and conduct
disorder in adulthood, the disorder being in some cases sufficiently
severe to attract diagnoses such as PTSD, borderline and anti-social
personality disorders. It is important not to underestimate the
weight and authority which underpin this thinking. Although not
explicitly cited in [1], and although it is far from chronologically
the first to introduce the idea of a causal link, material such
as "Scars that won't heal..." by Martin H. Teicher[2]
is often ultimately cited as clinical evidence of the existence
of this link. In particular, rather than simply re-cycle anecdotal
material from patients, he studies the problem at the experimental
level with brain scans and suchlike. So far as I know, Teicher
is widely regarded and is not, at least currently, thought of
as being completely self-deluding in the Meadow tradition. Therefore
let us be warned that Can of Worms cannot be trivially brushed
aside as completely lacking in factual underpinning: it carries
Teicher's authority.
Nevertheless, "Scars that won't heal...", even though
it is superficially a convincing read, is frustratingly vague
about how Teicher determined whether his experimental subjects
had actually been abused or not. One cannot help conjecturing
ultimately that it is based on only the anecdotes of the patient,
which defeats the object of the experiment. Also, looking at [2]
he is a believer, albeit somewhat skeptical, in the highly contentious
notions of dissociated identity disturbance and multiple personality
disorder. Teicher and his associates were also doing their work
around the time of the USA mass panic over child abuse. His funding
sources may be influential. Finally, Teicher and Nelson completely
ignore a feature of borderline behaviour that is extremely visible
to the family and friends of the patient: pseudologia fantatistica,
which is the posh name for making false assertions including allegations
of abuse or inflating one's own credentials. (This is beautifully
described in a short article[3] which manages to get Judge Couwenberg,
Prince Charles and Jeffery Archer into one paragraph of an article
that mentions borderline personality disorder and false allegations
yet does not mention Princess Diana[5]!) I suggest we keep a watch
on Teicher thinking as an indicant of future problems and especially
on his critics [who they? --ed], whose comments may help devalue
Can of Worms.
Back in this country I find a striking parallel between Sarah
Nelson's evangelical conversion (2006) of the Scottish Executive
to Can-of-Worms thinking, and the less highly-publicized Heather
Castillo's[4] evangelical attempts at the conversion (of the Essex,
Suffolk and Cambridgeshire Strategic Health Authority?) via the
East Suffolk Advocacy Network tot he same view. Both evangelists
take as their starting point totally literal commitment to can-of-worms
thinking, and then convert the purse-string-holders to the same
view, thereby releasing funds to further the cause and ostensibly
help the adults. It is a potent and very attractive cocktail for
the audience.
[1] http://www.wellontheweb.org/well/files/can_of_worms.pdf
Nelson S et al: Yes you can!
[2] http://www.annafoundation.org/stwh.pdf
Teicher M: SCARS THAT WON'T HEAL: THE NEUROBIOLOGY OF CHILD ABUSE
[3] http://www.jaapl.org/cgi/content/full/33/3/342
Dike, C C et al Pathological Lying Revisited.
[4] e.g. http://society.guardian.co.uk/mentalhealth/comment/0,8146,1372862,00.html
Guardian Newspapers: A Safe Haven
[5] e.g. http://www.hallmemoirs.com/specific_groups/342.shtml
Diana, Princess of Wales and BPD.