Decoding Trauma
It has come to this: Child abuse is now an official policy of the U.S.
federal government. I am speaking about the immigration policy known as Zero
Tolerance.
Source: PrazisImages/Shutterstock
Whether or not harm is intended, it is beyond dispute that separation from
parents and caregivers is traumatic to children. Numerous studies, beginning
with Anna Freud’s observations of children separated from their parents during
the London Blitz, attest to the long-term harms of separation. Most recently,
the well-known ACES survey, conducted jointly by the CDC and Kaiser
Permanente, documented the consequences to both physical and mental
health of what they named adverse childhood experiences. Along with physical
and sexual abuse, any prolonged separation from a parent in childhood–
whether because the parent was physically or mentally ill, or because the
parent was incarcerated–was powerfully related to many of the ten leading
causes of death: heart, lung, and liver disease, as well as alcoholism, drug
abuse, and suicide attempts.1
When hurt or frightened, children cry for their parents. The cry of a frightened
child has a powerful effect on mothers and other caretakers, who ordinarily
respond by enveloping the child in their arms. When the child’s separation cry
is not answered, fearmagnifies into terror. This is the attachmentsystem,
evolved for human survival, first described by John Bowlby,2 and since
confirmed by contemporary investigators. We are all hard-wired to seek the
embrace of familiar caretakers in response to danger. The reciprocal response
of caretakers, to comfort a frightened child, is equally hard-wired, as most
parents can attest. On the foundation of secure attachment is built our ability to
form trusting relationships and our basic sense of security in the world.
The United Nations human rights office has called for an immediate halt to the
practice of separating children from migrant families, calling it a “serious
violation of the rights of the child.” (The United States is the only country in the
world that has not ratified the Convention on the Rights of the Child.)
Zero Tolerance is a policy that will harm its perpetrators as well as its victims.
This is a classic example of what psychiatrist Robert Jay Lifton famously called
an “atrocity-producing situation.”3 Members of the border patrol who tear crying
children from the arms of their parents may themselves suffer lasting
consequences. The rationalization of “following orders” will not help. Long-term
follow-up studies of Vietnam War veterans find that some of the most severe
and persistent cases of posttraumatic stress disorder occur among soldiers
who harmed civilians or prisoners.4 Children taken from their parents are both
civilians and prisoners.
The American Civil Liberties Union has filed a class-action lawsuit in federal
court, calling for an immediate halt to this policy and for the reunification of
families. Mental health professionals, who understand the harms inflicted by
separating children from their families, should similarly call for an immediate
end to the policy of Zero Tolerance.
References
1 Felitti, VJ, Anda RF, Nordenberg D, Williamson DF, Spitz AM, et. al. (1998).
Relationship of childhood abuse and household dysfunction to many of the
leading causes of death in adults: The Adverse Childhood Experiences (ACE)
Study. American Journal of Preventive Medicine 14: 245-258.
2 Bowlby, J (1969): Attachment and Loss. Vol. 1: Attachment. New York: Basic
Books. 3 Lifton, RJ (1973): Home from the War: Vietnam Veterans: Neither
Victims nor Executioners. NY: Simon & Schuster.
4 Dohrenwend BP, Yager TJ, Wall MM, & Adams BG (2013): The roles of
combat exposure, personal vulnerability, and involvement in harm to civilians
or prisoners in Vietnam War −related posttraumatic stress disorder. Clinical
Psychological Science published online 15 February 2013 DOI:
10.1177/2167702612469355