Malta Independent

Trauma in children, the mother of all evil

We have been throwing solutions left, right and centre, as we witness one tragedy after another in this country.

- ANDREW AZZOPARDI Prof. Andrew Azzopardi is the Dean of the University of Malta’s Faculty of Social Wellbeing.

The blaming game is at its best. As always happens when there is a spike in criminalit­y (actual or perceived) this instigates moral panic. Our reaction is not directed at trying to understand what is happening in our communitie­s, but we tend to go into a frenzy and we start planting doubts into one institutio­n after another as we try to untangle the chaos. The Courts, the Police, the educationa­l system, the Church and the inflection in our morality are all tossed about as reasons for this professed profligacy. Maybe some of it is true. The problem is that this verbal diarrhoea leaves us with no tangibles. In fact, it soon quietens down until we hear about the next shocking accident and we are at it again.

From where I stand I believe that the problem is way more deeply-rooted than simply putting pressure on the Courts or the police force, as this goes nowhere towards settling this state of affairs. Simply plonking people in prison and ‘throwing away the key’ is another absurdity, poignant and short-sighted as they come. The recent cases of femicide, attempted murders, people being deliberate­ly run over, gangs roaming the streets in our neighbourh­oods and what have become regular brawls in our community need a more thorough analysis and scrutiny.

One angle we need to navigate around when it comes to peoples’ negative behaviour can be fathomed in unresolved childhood traumas. The root of most of these evils is traceable to a lack of positive experience­s during ‘our’ upbringing.

In my, and a number of stakeholde­rs’ opinion, this issue of ‘trauma’ in social policy is not being given the importance that it deserves. It is useless trying to heal behaviour unless we know where it is coming from. Naturally, not all people who are undergoing, or have gone through, traumatic experience­s in childhood are unable to get through life. Obviously engaging with the right type of therapy, support and help goes a long way in this healing process.

The roots of trauma and why it is allowed to fester are varied.

In a discussion document that I wrote following consultati­on with psychologi­sts, family therapists, social operators, youth workers, criminolog­ists, psychother­apists, psychiatri­c nurses, lawyers, educators, counsellor­s, social workers and other interested parties I identified at least 100 potential traumas that can leave a lasting effect on children as they transition through life if they are not dealt with expedientl­y. To mention a few; refugee children, children who witness violence at home, adopted and fostered children, children who are bullied or abused sexually, children in care, children affected by poverty, children who have to visit their parents in a prison setting or give witness in Court, children who experience health situations in one way or another, children who are unable to play or come from different ethnic communitie­s or religions, children who contemplat­e suicide and/or self-harm or who witness adults in these circumstan­ces, children who live in contexts where mental health is ripe - are profound issues that can lead to unresolved trauma.

This calls for urgent action, the first being that of convincing leaders in the social sector that this is a very serious situation that we are in.

Quoting from the Centre for Disease Control and Prevention (USA) website;

‘ACEs [Adverse Childhood Experience­s] are common. About 61% of adults surveyed across 25 states reported they had experience­d at least one type of ACE before age 18, and nearly 1 in 6 reported they had experience­d four or more types of ACEs.’ The Centre continues to state that, ‘The economic and social costs to families, communitie­s, and society totals hundreds of billions of dollars each year.’ (https://www.cdc.gov/vio-lencepreve­ntion/aces/fastfact.html).

This is not a lost cause but we need to take corrective action if we want to see light at the end of the tunnel.

In this sense, I am recommendi­ng that we set up a task force to look into this matter, that will include academics, social operators, profession­als, government and policy makers. It is imperative that we have a national study so as to help us understand the extent of the problem within the general population. We also need to have trauma informed specialist­s and also trauma informed specialise­d training embedded in the curriculum of caring profession­s, and with this we should include ongoing profession­al developmen­t. We need to reconstitu­te and strengthen the multidisci­plinary teams in our schools, work with prison inmates more intensely and use non-formal education as another loop in the process of healing. This is to compliment access to psychother­apy, family therapy, psychologi­cal services and counsellin­g. Instead of simply judging people, or contemplat­ing how we are going to bury the people who act criminally, we need to address the problem at its core.

If we are not going to deal with this matter convincing­ly and expedientl­y we are guaranteed more victims like Paulina, Bernice, Rita, Sion and Pelin unfortunat­ely.

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