Imprisoned in a Private Hell

I remember the first client I ever saw, she was an ex-heroin addict, she had been sexually violated by her brother when she was eleven years old, that particular client session was twenty years ago now, and I still remember her to this day. The client told me that it wasn’t until she was fifteen that she realised what her brother did to her wasn’t normal, only that she had felt uncomfortable and that she didn’t like it but because she loved him she accepted it as normal. During a school biology lesson she had a light bulb moment that it was wrong, so very wrong. After many years of drug addiction and self-sabotage, it took a further twenty years for her to fully disclose what had happened, when she engaged in therapy for the first time.

     When a person has been raped or sexually violated in any way, they can often live in their own private hell, unable to speak or recall their experiences easily. Having a trained professional to listen, with both their ears and their heart, can be priceless to that individual and is the beginning of healing and restoration for that person.

     In the two decades that I’ve been privileged to work with each and every client, I’ve been continually surprised at the bravery and courage often shown. But long term working with people who have been traumatised by rape and sexual violence or those who have survived childhood sexual assault can be exhausting to say the least. It has certainly made me question humanity over and over again and why I didn’t choose an entirely different path.

     There are times when I think I’ve heard the very worst defilement that one person can bestow upon another, the shock of some content multiplies with disclosures such as fathers wearing animal masks as they raped their toddler daughters or recollections of mothers sexually assaulting their children under the guise of personal hygiene cleansing rituals.

     For those working on the front line, this work is demanding and requires professional boundaries of steel in order to assist those in need of release, recovery and restoration.

     Every week we get calls from counsellors, policing teams, support workers and other professionals asking for information and/or advice about working with rape and sexual violence, so I’ve put together the following information to answer some of the questions previously asked:

Top Twenty List of Do’s and Don’ts for Working with Survivors of Sexual Violence.

  1. Do – listen, believe and acknowledge.
  2. Do – undertake the correct training for working with trauma.
  3. Do – always have a sincere, empathic response and complete client focus.
  4. Do – have a robust signposting list for additional practical support.
  5. Do – have regular line management or clinical supervision.
  6. Do – always be aware of your own limits for working with this fragile subject.
  7. Do – have a terms and conditions or contractual agreement in place.
  8. Do – remember that every person is unique and reacts differently.
  9. Do – provide a safe, confidential and boundaried space to allow disclosure.
  10. Do – take good care of yourself, watch for burnout and vicarious trauma symptoms.
  11. Don’t – engage with traumatic content that you are not trained to work with.
  12. Don’t – impose your own beliefs or judgements on a client/patient/service user.
  13. Don’t – blame, accuse or give your opinion about choices made.
  14. Don’t – make promises that you cannot keep.
  15. Don’t – leave a client/patient/service user emotionally unsafe.
  16. Don’t – break confidentiality about what you have been told, without consent.
  17. Don’t – expect one treatment approach to work for every individual.
  18. Don’t – expect clients to work to your speed – let them set the pace.
  19. Don’t – be inconsistent or impatient with a client’s progress.
  20. Don’t – be disrespectful or abuse a client/patient/service user’s trust.

    Although working in this field undoubtedly has a shelf life, it is important to remember that it is also rewarding, joyous and often profoundly moving to see those who have been affected by sexual violation, move on with their lives. With new hope as the impact of the trauma safely lessened and for their futures to be finally available to them and to their families.
Sue J Daniels
BACP (Snr. Accred)

EMDR & BSP Practitioner
Professional Counselling &
Trauma Specialist

The following books supporting this article are available on Amazon and all major high street and online book stores…

#Me Time: Therapeutic Workbook for those affected by rape and sexual violence

Trauma Therapeutic Workbook: 80 Key Points for Working Towards Post Traumatic Growth (Therapy Workbooks)

Heart Encounter: A Guided Visualisation for Those Affected by Sexual Assault and Abuse in Childhood (Self Help Audio CDs)

Working with the Trauma of Rape and Sexual Violence: A Guide for Professionals

Little Book of Strength: For Survivors of Rape and Sexual Violence