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“When faced with choosing between attributing their pain to “being crazy” and having had abusive parents, clients will choose “crazy” most of the time. Dora, a 38-year-old, was profoundly abused by multiple family perpetrators and has grappled with cutting and eating disordered behaviors for most of her life. She poignantly echoed this dilemma in her therapy:
I hate it when we talk about my family as “dysfunctional” or “abusive.” Think about what you are asking me to accept—that my parents didn't love me, care about me, or protect me. If I have to choose between "being abused" or "being sick and crazy," it's less painful to see myself as nuts than to imagine my parents as evil.

Lisa Ferentz, Treating Self-Destructive Behaviors in Trauma Survivors: A Clinician's Guide
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