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ADHD, autism or complex trauma? [pdf]

228 points · 265 comments · skeptical1884

  1. tossintowind320 · · focus · HN ↗
    I've heard this term "trauma" a lot in the past few years, and often in context where I didn't initially think that word applied in the situation it was used. It's caused me to think about my own childhood and wonder, with that modern understanding of the word, did I experience "trauma"?

    I wasn't sexually abused, I wasn't neglected, I wasn't wanting of love. I was however often scolded to a point where I felt horrible about myself. Scolded to a point where I didn't even feel like I could exist without disrupting the world. At times yes, physically scolded but nothing so extreme as to leave a mark.

    To be fair to my parents I was a very high energy and "difficult" child. Big emotions. I was always the problem.

    Obviously compared to some upbringings this was a walk in the park. But it really did have an impact on me and who I grew up to be. In some ways it was likely a good impact. I learned that my energy had no place in the world. I learned that my emotions would likely cause more problems than they would solve. I learned to shut up, and sit down, and follow the rules, even when every ounce of my inner being wanted to do the opposite.

    I've had a myriad of mental health issues throughout my adult life, ranging from low severity to medium, and on some rare occasions high. Genetics? Upbringing? Modern life? All of the above?

    1. kennywinker · · focus · HN ↗
      For me, making a distinction between the big Trauma with a capital T and little trauma with a lowercase t has been helpful. Any experience that has a lasting negative impact on you could be considered a trauma, but only very extreme stuff - violence, sexual abuse - would count as Trauma.

      A car accident is a car accident. Sometimes they are fatal, sometimes the paint gets scratched. People sometimes get long term health effects from a fender-bender.

      1. captainbland · · focus · HN ↗
        I think there's a degree of some people being maybe genetically predisposed to having more serious adverse reactions to trauma as well. An obvious example is when it leads to psychosis. So the objective reality of what happened is not necessarily the only thing which factors into how it affects somebody's functioning.
        1. kennywinker · · focus · HN ↗
          I don't disagree with that at all, but I do think that line of thinking about ones own issues can lead to a sort of self-blame - thinking things like: if I were stronger I wouldn't have been hurt by that neglect or mistreatment. No question, who you are has a huge impact on how something effects you, but nobody reacts well to e.g. neglect or mistreatment. I might end up with depression, while my sibling ends up with anxiety. That's our predisposition interacting with the objective reality, but neither outcome shifts the blame for the neglect or mistreatment to us. I know that's probably not what you were trying to say, but I do think that idea is one possible place downstream of what you are saying.
          1. LoganDark · · focus · HN ↗
            > nobody reacts well to e.g. neglect or mistreatment

            Maybe, but some people react by becoming stronger and some react by breaking down and failing. Regardless of other effects like depression, anxiety, paranoia etc., being stronger tends to sound better, even if it has other trade-offs, you know? If you ended up weaker then sometimes nothing can convince you that's what was best.

            1. kennywinker · · focus · HN ↗
              > being stronger tends to sound better, even if it has other trade-offs, you know?

              That feels like a tautology. From context, you've defined stronger to mean better. So of course in that case stronger is better. But in reality stronger isn't always better. If you come to a chess match being able to bench more than your opponent, are you better at chess than them?

              If there are tradeoffs, and there are always tradeoffs, then you can't actually say stronger is better. The neglect of your parents might make you more independent and you might find that helps with your work life, while at the same time it makes your personal relationships harder. Which of those do you happen to value more?

              Which is not to say you can't personally find value in and appreciate even the negative the experiences that made you who you are. But you can't say something like: neglect is good because it makes people stronger. It could be true for your life and what you value, but it's not objectively true.

              1. LoganDark · · focus · HN ↗
                > But you can't say something like: neglect is good because it makes people stronger. It could be true for your life and what you value, but it's not objectively true.

                Oh neglect is terrible; simultaneously the worst and the least recognized type of abuse.

                My point is that adaptations to abuse vary enough that some can be more "desirable" than others (in addition to being more fit for the environment / the world at large in some cases), and someone stuck in a "worse" one could end up longing for a "better" one. Though, sometimes I long for "worse" ones myself as someone who feels "better" than I should be, so maybe the grass is just always greener.

                1. kennywinker · · focus · HN ↗
                  To be clear I wasn't trying to put words in your mouth, I was just using that as an example :)
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