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Shame After Trauma · Inside The Consulting Room - Understanding the Child Behind the Behaviour

• 0:00
  SPEAKER_00: Hello and welcome back.
• 0:01
  SPEAKER_00: This is Kim Lee, child and adolescent psychotherapist.
• 0:06
  SPEAKER_00: We've been looking at the subjects of PTSD in children and young people, and we've covered a number of things.
• 0:15
  SPEAKER_00: This episode focuses on shame, silence, and the hidden self.
• 0:22
  SPEAKER_00: I want to remind you that trauma is not simply what happened to a child, it is what the mind was forced to carry afterwards.
• 0:31
  SPEAKER_00: Across the series, we've explored how trauma affects the brain, how memories sometimes refuse to remain in the past, and how psychological wounds can become sensitive when they're left unattended.
• 0:43
  SPEAKER_00: Remember what we said about scar tissue.
• 0:47
  SPEAKER_00: But trauma also shapes something even more personal.
• 0:52
  SPEAKER_00: And that's how a child begins to understand themselves.
• 0:56
  SPEAKER_00: And when trauma touches the identity of a person, one emotion often appears quietly but powerfully, and that emotion is shame.
• 1:09
  SPEAKER_00: Now it's important to understand the difference between guilt and shame because guilt relates to behavior.
• 1:16
  SPEAKER_00: I did something wrong.
• 1:18
  SPEAKER_00: Shame touches something deeper.
• 1:21
  SPEAKER_00: It becomes a belief about identity.
• 1:24
  SPEAKER_00: Something about me is wrong.
• 1:27
  SPEAKER_00: For traumatized children and young people, this shift can occur quietly, and instead of recognizing that something harmful happened to them, they begin to feel that the experience reveals something about who they are.
• 1:44
  SPEAKER_00: One girl said, I didn't want anyone to know because I thought they would see me differently.
• 1:54
  SPEAKER_00: Trauma often becomes surrounded by silence.
• 1:59
  SPEAKER_00: Sometimes adults avoid discussing painful experiences, and that's because they believe that so doing would cause more pain, when in fact it relieves the pain.
• 2:14
  SPEAKER_00: Sometimes children sense that speaking might upset the people around them.
• 2:20
  SPEAKER_00: And sometimes the silence comes from the child themselves.
• 2:25
  SPEAKER_00: Because the experience is confusing, frightening, or difficult to explain.
• 2:30
  SPEAKER_00: And over this over this time, silence just deepens the emotional wound, and the experience remains hidden.
• 2:38
  SPEAKER_00: And because it's hidden, the child carries it along.
• 2:43
  SPEAKER_00: A 14-year-old boy was referred to therapy after a violent altercation occurred at school.
• 2:50
  SPEAKER_00: This wasn't the first time there'd been such an altercation.
• 2:55
  SPEAKER_00: And during the incident, he'd been threatened by a group of older students.
• 3:00
  SPEAKER_00: And although the situation was resolved by staff, the emotional impact lingered.
• 3:07
  SPEAKER_00: And in the weeks that followed, he began avoiding certain parts of the school building.
• 3:14
  SPEAKER_00: And when asked why, he simply shrugged.
• 3:19
  SPEAKER_00: But in therapy, he eventually described something that troubled him deeply.
• 3:25
  SPEAKER_00: He believed the incident had happened because he was weak.
• 3:29
  SPEAKER_00: And although he had been the one threatened, the meaning he created was that there was something about him that had invited the aggression.
• 3:40
  SPEAKER_00: And it hadn't been the first time.
• 3:43
  SPEAKER_00: I should have handled it differently, he said.
• 3:47
  SPEAKER_00: Maybe they wouldn't have done it if I wasn't like this.
• 3:52
  SPEAKER_00: And in moments like this, we see how trauma reshapes identity.
• 3:58
  SPEAKER_00: The young person absorbs responsibility for something that was never theirs to carry.
• 4:05
  SPEAKER_00: When trauma becomes linked with shame, children often develop what psychologists call a hidden self.
• 4:14
  SPEAKER_00: The one part of the child that continues with everyday life, school, friendships, families, routines, but another part carries the experience privately.
• 4:25
  SPEAKER_00: Kind of maintaining this separation is understandable, but it requires considerable emotional effort.
• 4:32
  SPEAKER_00: And over time, it can lead to feelings of loneliness and isolation, and possibly the symptoms of depression.
• 4:41
  SPEAKER_00: A twelve-year-old girl had been involved in a serious cycle accident.
• 4:46
  SPEAKER_00: Although she recovered physically, she became increasingly reluctant to ride her bike again.
• 4:52
  SPEAKER_00: And her parents, understandably, initially assumed that she'd simply lost confidence.
• 4:58
  SPEAKER_00: But in therapy, something else had emerged.
• 5:01
  SPEAKER_00: She believed the accident had happened because she had been careless and hadn't obeyed the messages that she'd learned about how to ride a bike.
• 5:12
  SPEAKER_00: And even though her collision had actually been caused by a driver who'd failed to see her, she carried a quiet sense of guilt that the event really revealed something about her, that she was somehow foolish or irresponsible.
• 5:30
  SPEAKER_00: And so the emotional meaning of the accident had slowly turned inward.
• 5:37
  SPEAKER_00: Shame has a powerful isolating effect.
• 5:41
  SPEAKER_00: Children who feel ashamed often withdraw from others.
• 5:44
  SPEAKER_00: They appear quiet, defensive, or unusually private about their emotional world.
• 5:51
  SPEAKER_00: But beneath that behavior is often a symbol of fear.
• 5:55
  SPEAKER_00: The fear that if others knew what they were carrying and trying to conceal, they might be rejected.
• 6:04
  SPEAKER_00: A 15-year-old girl had grown up in a household where arguments between adults often became intense and unpredictable, sometimes violent.
• 6:15
  SPEAKER_00: During one particular frightening conflict, she had attempted to intervene between the adults.
• 6:22
  SPEAKER_00: That ended badly, and in the months that followed, she found herself replaying the moment repeatedly.
• 6:30
  SPEAKER_00: But the meaning she attached to the memory was unexpected.
• 6:34
  SPEAKER_00: She believed that the argument had escalated because she had spoken at the wrong moment and said the wrong things.
• 6:43
  SPEAKER_00: That somehow she'd made the situation worse.
• 6:46
  SPEAKER_00: And when she described this belief in therapy, she said, if I hadn't said anything, it might not have got so bad.
• 6:55
  SPEAKER_00: Once again, we see the same psychological pattern.
• 6:59
  SPEAKER_00: The child assumes responsibility for events that were far beyond their control.
• 7:04
  SPEAKER_00: And this isn't about logic, it's about uncommon sense, and it's about felt sense rather than thought, objective sense.
• 7:15
  SPEAKER_00: One of the most powerful aspects of psychotherapy is its ability to transform sh transform shame through relationship.
• 7:24
  SPEAKER_00: Because when children begin to speak about experiences that they've carried privately, something important happens because the meaning of the event begins to shift.
• 7:34
  SPEAKER_00: So instead of seeing themselves as the problem, the young person begins to understand the situation more clearly.
• 7:42
  SPEAKER_00: And they begin to see that their reactions were understandable responses to circumstances they had no control over.
• 7:50
  SPEAKER_00: And that recognition can gradually loosen the grip of shame.
• 7:56
  SPEAKER_00: Quite often we see people carrying into adulthood interpretations or misinterpretations of events that have taken place in their lives, things which they had no control over, and things which they then internalize and somehow feel responsible for.
• 8:18
  SPEAKER_00: These things then shape beliefs which find repeated expression through relationships and situations.
• 8:28
  SPEAKER_00: Changing the belief is something that psychotherapy does.
• 8:33
  SPEAKER_00: Beliefs are great if they work, but what if they're not?
• 8:37
  SPEAKER_00: And what if they're based on faulty understanding, which is pretty much always the case?
• 8:44
  SPEAKER_00: In the final episode of this series, we're going to turn our attention to something hopeful.
• 8:50
  SPEAKER_00: How recovery from trauma actually takes place, how the brain and mind gradually relearn that the danger has passed, and how children who have carried incredibly heavy emotional burdens can begin to rebuild a sense of safety and trust.
• 9:11
  SPEAKER_00: Every wound tells a story, and every story deserves to be heard, because that way it is more likely to heal without scar tissue.
• 9:23
  SPEAKER_00: Thank you for listening.