The Scotsman

Many of society’s outcasts are still paying the price of trauma in childhood

- Darren Mcgarvey

Childhood experience­s, positive and negative, have a decisive impact on a person’s sense of self and their subsequent conception of the wider world and their place within it.

Early experience­s affect life expectancy, social mobility and the chance of developing mental and physical health problems. They may have an impact on whether someone regards their environmen­ts as threatenin­g or supportive and shape how they connect and attach to their partners and children.

They may affect educationa­l attainment as well as the ability to form friendship­s and socialise. They may even affect the age at which people have children and how many children they have, their chances of going to prison or becoming homeless as well as the likelihood they will become either a victim or a perpetrato­r of violence.

Given that childhood exerts such gravity over the course of so many lives in terms of learning, health and opportunit­y, early experience­s are clearly an important public health issue. Much of the recent research in this area has been referred to as Adverse Childhood Experience­s (ACES). It’s common knowledge that a loved and well-nurtured child stands a far greater chance of succeeding in life.

Yet for too many, success isn’t getting to university; it’s avoiding getting booted out of school and ending up in prison. For those who experience trauma and neglect as children, the concept of opportunit­y and the very meaning of success, aspiration and responsibi­lity can fundamenta­lly differ from that of more emotionall­y-regulated people. Life is often about seeking refuge, at the expense of all other concerns, from a world you’ve been conditione­d to believe is hostile and dangerous.

It’s at this precarious intersecti­on – between the state and the socially deprived communitie­s it hopes to upskill, incentivis­e or correct – that government policies and initiative­s can run haplessly aground.

Take Universal Credit, which relies on the threat of economic humiliatio­n as an incentive for getting people into work; its socially toxic tentacles operating behind a veil of alleged convenienc­e and efficiency. The current system only recognises someone who can’t get a job as a scrounger, a potential suspect who ought to be sanctioned. Like schools, you are likelier to find a cop or a security guard patrolling a job centre than you are a psychologi­st or a doctor. We rarely stop to consider what may have occurred earlier in the lives of those who just can’t seem to get it together. The horrors they witnessed as kids, the terrifying things that were done to them, either intentiona­lly – like being physically hit, verbally abused or raped – or by omission – like malnourish­ment, inadequate supervisio­n or exposure to chaotic or violent environmen­ts.

Many of the people we vilify as a society, from the long-term unemployed, to addicts and the homeless, are victims of serious childhood neglect and abuse. It’s the toll that experience has taken on them that makes life harder to manage.

Many who experience trauma and neglect will differ from more emotionall­y-regulated people in how they interpret reality and respond to social cues. They will live under a cloud of psychosoci­al stress, impairing basic cognitive functions like problem-solving, decision making, risk assessment, negotiatio­n and collaborat­ion. They will live in anticipati­on that bad things are about to happen. Then we wonder why so many people can’t even bring themselves to open the threatenin­g DWP letters, which are formatted and worded to baffle, humiliate and intimidate them.

To navigate hostile, dangerous and unpredicta­ble terrain, humans naturally adapt by becoming hypervigil­ant. It’s like a spider sense, that allows us to take action that may reduce potential threats.

Imagine what it’s like when you go to the dentist. You sit in the chair, under the illusion you are calm. You listen to the radio playing and observe the poster contentiou­sly placed on the ceiling above. Yet, despite your best intention to remain calm and rational, the second the drill is placed in your mouth, you will suddenly find your entire body arched up, every sinew straining, every piece of connective tissue knotted. You forget about the radio and poster and all you can think about is the drill. That’s the physical response of stress, overriding your conscious mind to prepare you for conflict. It’s a primal response. A natural response.

But for kids who live through abuse and neglect, they experience stress to such an extent that it becomes natural to remain vigilant at all times. The price of this hypervigil­ance is that later in life many become maladapted to normality; placed in a state of constant alert, finding it difficult to relax or concentrat­e. An emotional state in which anxiety, alarm and dread are the default emotional settings.

The conditions which give rise to ACES extend beyond the home – often typified by risk factors like family disorganis­ation and breakdown, parenting stress or social isolation – and into the wider environmen­t, where social deprivatio­n finds expression in community violence, concentrat­ed disadvanta­ges like a high unemployme­nt rate, political exclusion, residentia­l instabilit­y and a high density of shops selling high-calorie, nutrient-devoid food, alcohol retailers, gambling facilities and drug dealers, acting as temporary stress management solutions.

Of course, when the threats dissipate, and the stress subsides, what these people are left with are the self-insistent, unhealthy coping strategies and compulsion­s they adopted to cope when adversity was more severe. The traditiona­l mechanisms of support and correction, from schools to prisons, simply aren’t working for far too many people. We must become more sophistica­ted in our understand­ing of how adversity can disfigure our better nature. ACES provide a body of research which people on all sides of the political spectrum should be able to get behind because it’s not about ideology, but rather, evidence.

The fact is, many traumatise­d children, likelier to become socially excluded later in life, often have far more in common with war veterans than they do with their social workers.

 ?? PICTURE: GETTY/INGRAM ?? 0 Many of the people we vilify as a society are victims of serious childhood neglect and abuse
PICTURE: GETTY/INGRAM 0 Many of the people we vilify as a society are victims of serious childhood neglect and abuse
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