Cyber bullying has become more common with advances in technology. Messages can be posted on social networking websites, and pictures can be downloaded, altered, and made available to the world in seconds. Although there has been abundant research into the consequences of cyber bullying and traditional bullying, little has been done to determine which type may cause more psychological damage. It is well established that bullying itself—the act of terrorizing, intimidating, and ridiculing another through verbal or physical acts—can have numerous deleterious effects.

Those who endure bullying are at increased risk for internalizing problems such as anxiety, depression, and suicide ideation. Understanding how each type of bullying impacts young people is of critical importance in order to target those most vulnerable and help them deal with the ramifications. To get a better idea of the effects of cyber bullying in comparison to traditional bullying, Sheri Bauman of the University of Arizona’s College of Education recently conducted a study asking college students to rate their levels of distress based on hypothetical cyber and traditional bullying scenarios. The scenarios were similar in nature and differed only in delivery.

Bauman discovered that three main bullying themes emerged, including generalized bullying, name calling, and sexual victimization through explicit sexual images. Although the female participants reported higher levels of distress for all three types of bullying, the method of delivery did not impact emotional response. Specifically, although their responses varied by bullying scenario, all participants reported similar distress levels whether the bullying event was traditional in nature or cyber bullying.

However, Bauman found that one type of bullying was the most distressing. “We … found that bullying with sexual material, whether conventionally or by technological methods, is the most upsetting kind of incident to targets,” she said. This was especially true for female participants. Those with a history of victimization had higher distress than those without. In sum, Bauman believes that these findings demonstrate that it may not be the delivery method of bullying behavior that is most detrimental to young people, but rather the content of the message conveyed.

Reference:
Bauman, S., Newman, M. L. (2012). Testing assumptions about cyber bullying: Perceived distress associated with acts of conventional and cyber bullying. Psychology of Violence. Advance online publication. doi: 10.1037/a0029867

Children who have been victims of maltreatment can develop emotion regulation problems that affect many areas of their lives. Some survivors of abuse can experience symptoms of posttraumatic stress, anxiety, and depression throughout life. Coping and relational skills learned in childhood form the foundation from which future behaviors evolve. It has been hypothesized that women who survived maltreatment, in the form of physical or sexual abuse or neglect, will have sexual challenges in adult relationships. To test this theory, Alessandra H. Rellini of the Department of Psychology at the University of Vermont conducted a study involving 192 women ranging in age from 18 to 25.

The study focused on how emotional regulation, childhood maltreatment, sexual expression, sexual satisfaction, and relationship intimacy were associated in the context of committed adult relationships. The women in the study completed online surveys describing the type of abuse they experienced and their level of intimacy, affectionate expression, and sexual satisfaction in their current relationships. Rellini found that the more severe the childhood abuse was that the women experienced, the more unsatisfied they were in their adult relationships. This was true with respect to general and sexual relationship satisfaction. The severity of abuse also directly predicted the severity of emotional regulation impairment, which could be indirectly influential of satisfaction.

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In contrast to Rellini’s predictions, however, the findings did not demonstrate any association between emotional regulation impairment and intimacy or emotional expression. This was rather surprising, as previous research has suggested that abuse survivors tend to have challenges sustaining emotionally healthy sexual relationships. One factor that may have contributed to these results is the broad categorization of abuse used in this study. Specifically, this study did not examine sexual abuse separately from emotional or physical abuse to determine each type of abuse’s independent effect on emotional regulation. Despite this limitation, Rellini believes her findings provide evidence of unique correlations between childhood maltreatment and adult relationships for women, but more work needs to be done. “Research is now needed to explore the stability of such findings over time in order to determine the time course and sequencing of change between the studied variables,” she said.

Reference:
Rellini, Alessandra H., Anka A. Vujanovic, Myani Gilbert, and Michael J. Svolensky. Childhood maltreatment and difficulties in emotion regulation: Associations with sexual and relationship satisfaction among young adult women. Journal of Sex Research 49.5 (2012): 434-42. Print.

Childhood emotional maltreatment (CEM) can have lingering effects. Adults who suffered mistreatment as children often struggle emotionally and socially throughout their lives as a result of being neglected or emotionally abused. Although there is an abundance of literature and research that focuses on the negative impact of childhood maltreatment (CM) in general, there is little available clinical evidence documenting the devastating effects of CEM. It has been well established that CM, including sexual and physical abuse, can increase the risk for depression, anxiety, substance misuse, and a host of other emotional problems. However, for adults who experienced CEM, one of the most difficult challenges they face is cultivating a healthy romantic relationship.

CEM can significantly deteriorate one’s self-esteem and erode an individual’s ability to trust another person. Beliefs about one’s value and worth and a bond of trust are the foundation of a healthy intimate relationship. This foundation can be further compromised when CEM survivors exhibit body-image dissatisfaction, which is often manifested through disordered eating behaviors. To provide more detailed evidence of the long-term consequences of CEM on relationships, Dana Lassri of the Stress & Risk and Resilience Research Lab at the Department of Psychology at Ben-Gurion University in Israel examined the stability and satisfaction of intimate relationships in a sample of college students with a history of CEM in two separate studies. Lassri found that CEM directly impacted relationship fulfillment in the participants by way of self-criticism. Specifically, Lassri discovered that the participants with CEM had extremely low levels of self-value, exhibited difficulty coping with stress, and held negative attitudes about life events.

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The results also revealed that the individuals who had posttraumatic stress due to the CEM were less able to realize their self-worth and had significant problems maintaining relationship satisfaction.  This could be caused by internalizing behaviors due to the abuse or by a child’s inability to properly comprehend their circumstances. Either way, Lassri believes that even though these findings were gathered from college-age individuals, the behaviors could potentially worsen throughout adulthood. Lassri added, “Over time, this tendency might be consolidated, becoming a defining part of a person’s personality; and ultimately derailing relationships in general and romantic relationships in particular.”

Reference:
Lassri, D., Shahar, G. (2012). Self-criticism mediates the link between childhood emotional maltreatment and young adults’ romantic relationships.” Journal of Social and Clinical Psychology 31.3, 289-311.

People who have suffered childhood trauma are at increased risk for psychological problems resulting from extreme stress. Borderline personality disorder (BPD) is one such condition that has been linked to severe childhood trauma. When the trauma is inflicted by a caregiver, the child’s ability to cope is significantly impaired. The effects of unhealthy coping, attachment dysfunction, and emotional regulation can affect many areas of the child’s life as they continue into adulthood. Affect dysregulation is the inability to control one’s moods and emotions and has been linked to BPD and other mental illnesses. Underregulation of emotions is expressed by lack of control, extreme emotional overwhelm; while overregulation is the result of numbing and is exhibited by an inability to express emotions. To determine which of these factors is more indicative of BPD in adults who suffered trauma during childhood by their primary caregiver (TPC), Annemiek van Dijke of the Delta Psychiatric Hospital in the Netherlands conducted a study of 472 clients with a diagnosis of BPD.

The participants’ levels of affect regulation were documented and they were evaluated for various forms of TPC, including sexual abuse, physical abuse, and emotional trauma. Van Dijke found that 63% of the participants had experienced some form of TPC and that those with underregulation had more symptoms of BPD than the participants with overregulated affect. Although the study did not consider other factors that could influence BPD, such as family history, other traumas, and the mental health of the caregivers, the results clearly emphasize the importance of examining emotional regulation, and specifically underregulation, in clients with a history of TPC.

The findings also showed that the participants with TPC were at increased risk for posttraumatic stress (PTSD). But Van Dijke noted that no research has been conducted to determine exactly how specific forms of TPC affect the severity of PTSD symptoms or how they are indirectly affected through affect regulation as a result of TPC. In sum, Van Dijke believes that these results can benefit clients who have suffered TPC by educating clinicians on the importance of helping clients build more secure relationships and develop healthier emotional expressions.

Reference:
Van Dijke, A., Ford, J. D., van Son, M., Frank, L., & van der Hart, O. (2012). Association of childhood-trauma-by-primary caregiver and affect dysregulation with borderline personality disorder symptoms in adulthood. Psychological Trauma: Theory, Research, Practice, and Policy. Advance online publication. doi: 10.1037/a0027256

Do you remember your first bully—the girl who called you fat, mocked your choice in clothes, or spread false rumors about you? Of course you do. It’s like a first kiss, a first drink, the first time you drove a car. Only this is a memory you wish you could forget. You may not recall her exact words, but you remember the girl, the time, the place. Did you ever wonder why she did it, what provoked her meanness, how she got to wield so much power?

Bullying is an intentional act of aggression in which the perpetrator belittles, controls, intimidates or harms another person. Attacks are often unprovoked, and exploit an individual’s vulnerabilities or weakness. Although male bullying is typically straightforward, often involving physical aggression or blatantly hostile taunts, female bullying may be more subtle, and therefore, harder to detect. For girls, bullying can be a means of gaining popularity, jockeying for power among peers, or asserting control. Since it is more covert, teachers and parents may overlook clues, or assume the behavior is just a normal part of social interactions.

Some forms that bullying can take include:

• Deliberate exclusion, alienation, or ostracism of a peer for no apparent reason
• Verbal attacks, such as spreading rumors or lies by word of mouth or on the internet
• Making prank phone calls, or sending harassing e-mails or text messages
• Overt forms of aggression, such as stealing, making threats, or name-calling
• Covert forms of derision or humiliation, such as giggling or whispering about the victim when she is nearby, eye-rolling, being friendly one day and ignoring her the next
• Encouraging other girls to act out against, ignore, humiliate or pick on another child

So, why do girls resort to bullying? Reasons vary, but usually include a need for control, attention, and approval, or an outlet for anger. Girls who bully may appear threatening and commit hurtful acts, but they often harbor underlying insecurities that fuel their behaviors. Some feel lonely, inadequate, and fearful, and bully to feel powerful or hide their insecurity. Some attack first before they are attacked by others. Some are angry about problems at home and lash out at peers. Occasionally, girls who bully learn these behaviors at home due to family members who are abusive or because of a hostile neighborhood environment. Popularity is no safeguard, since often the girls who bully are those who seem to have it all. Frequently, the pretty, popular, athletic girls are the ringleaders who foster a culture of bullying, even though they may have already acquired power in the social hierarchies of their schools.

The process of bullying can develop slowly over time. Girls who are popular and charismatic may attract others into their circle of friends and make them feel special. They may then try to control these girls, expect favors, or demand that the new girls bully others as well. By controlling a group of peers, bullies achieve power in numbers and go on to terrorize teens they believe are a threat. Individual victims can be targeted at random, but are often selected because of jealousy, noticeable differences, refusal to conform to the group, or a weakness that can be exploited. Bullying also can be sparked by a sudden turn of events in a friendship, where the bully feels threatened and angry, and decides that she must retaliate.

While punches are not thrown, bullying can leave a devastating mark on its victim and engender long-lasting pain and suffering. Girls are particularly vulnerable because of how much they value friendships. Victims can become depressed, anxious, insecure, and feel they are to blame. Obsessive preoccupation with perceived flaws, physical appearance, conformity, and adhering to the bully’s rules of conduct can follow. Conversely, some girls who are bullied become isolated, withdrawn, and even drop out of school. In rare instances, victims can become so depressed and hopeless that they consider suicide as their only option.

Victims often remain silent due to embarrassment, self-blame, or fear of retaliation, so incidents of bullying may go unnoticed. Investigate whether bullying is occurring if your loved one, friend, or student is showing any of the following signs: mood swings, sudden withdrawal from friends, refusal to attend school or social events, sleep problems, academic difficulties, physical complaints, weight loss or gain, or frequent crying.

If you suspect that someone you know is being bullied, it is important to offer support. Reassure the victim that the bullying will end eventually, and that you will help her identify strategies for addressing the problem. One size does not fit all, so a variety of strategies and interventions should be considered depending on the specific situation. Useful websites with anti-bullying tips are listed below. Sometimes getting advice from a therapist or guidance counselor can help. Girls who bully also benefit from counseling, where they can learn to take responsibility for their behaviors and identify appropriate outlets for their anger and need for control.

Prevention is essential, and needs to come from both the family and community. Parents need to discuss bullying with their children, even before it occurs. Teaching girls how to respond to potentially difficult situations, before a problem develops, is critical. Helping young girls improve their self-esteem by developing strong academic, athletic or extracurricular interests, and finding friends who share similar interests (so that social standing is not as critical), may minimize their vulnerability to falling victim. Schools should offer anti-bullying initiatives, including training for staff, programs for students, and counseling services when necessary. When parents, schools, and the community promote an environment where bullying is unacceptable, perhaps fewer girls (and boys) will have to encounter that first bully.

Anti-Bullying Resources and Information:

• American Psychological Association
• GirlsHealth.gov
• KidsHealth.org
• StopBullying.gov

When a loved one hurts you through excessive criticism, put downs or abuse of any kind, you experience emotional and often simultaneous physical pain. But can emotional abuse be considered traumatic? Dr. Francine Shapiro defines two types of trauma—“big T” trauma and “little t” trauma. “Big T” trauma refers to what we commonly think of as trauma like war or natural disaster, “little t” trauma refers to incidents such as getting teased as a child or getting rejected by your first love. Most people experience “little t” trauma some time in their lives. People who live with and love someone emotionally abusive experience “little t trauma” on a daily basis. The experience of put downs, criticisms or whatever form emotional abuse takes, not only wears down self-esteem but also impacts the nervous system. Memories of the abuse can elicit negative feelings, tense physical sensations along with negative thoughts about yourself long after the abuse has occurred.

Human beings are born with a fight, flight, or freeze response. This is nature’s way of protecting us from danger. However, our minds can’t differentiate between the danger of let’s say the sound of a grizzly bear from the sound of the voice of someone who yells at you on a regular basis. In essence, prolonged exposure to emotional abuse can create similar symptoms to posttraumatic stress disorder experienced by a combat veteran. These symptoms include anxiety, depression, social withdrawal, and avoidance of situations or people that are reminiscent of the abuser, difficulty sleeping, flashbacks of abusive memories, difficulty focusing on the present or trouble concentrating. There can also be stress-related physical symptoms like migraines, digestive problems, fibromyalgia, or fatigue.

My work as a therapist is devoted to help heal those who have suffered from abuse. I believe the only way to facilitate deep and lasting healing is to treat the trauma associated with the abusive incidents. I do so with a technique called Eye Movement Desensitization and Reprocessing. EMDR has been well researched as an effective treatment approach to eradicate symptoms related to trauma. This technique can alleviate anxiety, depression, and other related disturbances resulting from emotionally abusive experiences. EMDR helps the individual eradicate any disturbance related to an abusive incident; the memory of the incident remains but the disturbing emotions and sensations associated with the memory are eliminated. Then, the person can move on in their life free from the “ghosts” of the past. EMDR can relieve symptoms fairly quickly.

Here’s a case example. “Jane” came to therapy lacking self-confidence in meeting men. When I took a look at her thorough history, it turned out she was mercilessly bullied by peers when she was a child. Jane agreed to EMDR treatment and after a few sessions, reported no leftover negative emotions or disturbances when she thought about the bullying. She reported feeling more confident and outgoing in the company of men. Even the way she carried herself changed; she held her head high with much better posture having an air of confidence.

You don’t have to suffer from trauma related to emotional abuse. You can free yourself of painful memories and move on with your life in a positive direction with the help of an EMDR trained therapist.

Even though there can be life long debilitating psychological effects, sibling abuse may be the most ignored—if not accepted—form of domestic abuse (i.e. sexual, physical, emotional). Why is this kind of abuse ignored or minimized? There is a lot that is swept under the rug in the guise of “sibling rivalry.” And American law does not consider this a prosecutable offense unless a child is turned in by their parent(s). In other words, parents would have to be willing to file an assault charge against their own child. So parents keep this type of abuse within the family. And a lot of the time, they even blame the victim.

First some statistics: In an article entitled “A Major Threat to Children’s’ Mental Health,” Hart & Brassard reported that “There is evidence that brother-sister sexual relationships may be five times as common as father-daughter incest.” Finklehor and Baron, who are prominent researchers in the area of child abuse, state that “sibling sexual abuse is prevalent in a remarkably large quantity of individuals from virtually all social and family circumstances.” And a survey of 796 undergraduates of six New England colleges found that 15% of the females and 10% of the males reported having some type of sexual experience involving a sibling (Sibling Abuse – Wiehe). In this same publication it states that parents are aware of sexual abuse among siblings 18% of the time, emotional abuse 69% of the time and physical abuse 71% of the time.

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Sexual abuse aside, how do we define or recognize abuse among siblings? When there is an inequity in power between two adolescents and one uses control over the other to repeatedly hurt, threaten, or degrade, that is abusive behavior. Even name calling and ridicule can wear away at a child’s self worth and self-esteem. “Children are especially vulnerable to degrading remarks because it is during their childhood years that they are developing a positive sense of self.” Unfortunately, most parents see this behavior as sibling rivalry. And while most emotional and even physical abuse, should and can be handled by parents rather than the law, first parents have to recognize that it is abuse.

Sexual abuse is another story. Most incidents of sexual abuse by siblings go not only unreported but also undetected by parents. Most times, the siblings themselves recognize that what is happening is wrong and certainly it is recognized by society as wrong. So unlike physical and emotional abuse, this should be easier to detect by parents. But most kids don’t tell. They don’t tell because the older sibling is an authority figure, or because they are threatened or scared, or because they don’t realize that it is abuse because they blame themselves as much as their sibling for what is happening. And unlike physical or emotional abuse, it is happening secretly because the older sibling knows that they have crossed a line.

What causes one sibling to abuse another?

1. Acting out anger at parents on sibling or acting out anger at an older sibling on a younger sibling.
2. Parents overwhelmed by their own problems not paying attention.
3. Inappropriate expectations – older sibling given too much responsibility or freedom.
4. Mirroring parents behavior.
5. Viewing the behavior as normal by parents.
6. Socialization of males as dominant over females.
7. Contribution of victim. “Research supports the hypothesis that the behavioral patterns of the abused child tend to invite further abuse” (Wiehe). It becomes a vicious cycle.
8. “It is important to note that this interactional cycle theory does not blame the victim!” Rather it identifies a pattern in order to treat and help prevent further abuse.

What are the long-term effects of sibling abuse?

Time does not necessarily heal. Adult victims of childhood sibling abuse generally have lower self-esteem and are overly sensitive and insecure. They have trouble with relationships and repeat the victim role in their other relationships. They can have sexual functioning problems. There is continued self-blame at the same time that anger at their perpetrator is played out with others.

So how do parents and other family members distinguish between abusive and normal (sibling rivalry) behavior?

1. Is it age appropriate?
2. Does one child appear to be a constant victim?
3. Is the purpose of the behavior humiliation, sadism, to cause suffering, a result of a continual explosive anger?
4. Was the behavior planned, has it happened before, does the perpetrator feel remorseful?
5. Was property destroyed or animals abused?
6. The length and the degree of the behavior. One-time incidents, if serious enough (i.e. sexual abuse), can create a life long problem. Whereas name calling, ridiculing, and even teasing if done consistently and at certain vulnerable ages (i.e. between six and seven years and/or between eleven and twelve years of age) can also create life long problems.

We need to build awareness and educate families about the difference between abusive and normal behavior among siblings. Listen to children and believe them. Good supervision and encouraging openness about discussing sex while informing children to “own their own bodies” and respect others are simple, logical steps towards protecting our children from abuse by siblings, cousins and other children.