Representation Matters.

Today is the International Day of Trans Visibility and this morning I saw this piece of art in my social media feed.

56201130_10157428215713598_5544235667359268864_nIt was created by an artist Hannah Daisy @makedaisychains (photo credit to her.  https://www.patreon.com/hannahdaisy)

I felt deeply moved by the image and spent most of the day thinking about it.   Why did this image impact me so intensely?  As a non-binary person who has scars from self harm, I felt represented and valid in a way that I didn’t even realize I needed.  In this image, the arm with scars is just one in a series of different and unique arms raised in an empowered fist.   It is SO rare to see art that includes self harm scars that neither stigmatizes, sensationalizes nor glorifies self injury (and cutting specifically).  In this art piece, the self harm scars are matter of fact but are not the focus of the image.  The scars are shown as healed/healing and thus represent a hopeful message of recovery and life after self harm.  The image implies that recovery is possible, but also depicts the reality that mental illness is not always an invisible illness.  It shows that scars do not have to be hidden and can be accepted as part (but not the defining aspect) of a person.  This image does not show the person who self harmed as an object of pity or of revulsion.  It doesn’t make me feel sorry for the person, it makes me feel that they are a SURVIVOR.

As a person who has a multitude of scars from decades of self harm, I needed to see this. I needed the representation SO much. I needed the message that I’m not shameful, disgusting, broken, crazy, insane or violent.  I needed the message that my scars do not define me.  I needed the message that SOMEBODY out there, an artist, sees my scars as a sign of strength, resilience and SURVIVAL.  I don’t want to feel ashamed of my scars.  I don’t want to feel judged by society.  I don’t want to receive stares of pity or confusion on a summer day.  I want to choose my clothes based on what feels comfortable, not based on what will hide the scars and keep me safe from stigma.   Because there is an intense amount of societal stigma associated with self harming behaviour (and cutting in particular).  It is misunderstood, even by mental health providers.  It is often treated as a contagion, something that will spread like a virus to others.  It often leads to exclusion and intense self hatred/shame/guilt and isolation.  It is almost always portrayed as entirely undesirable and destructive, never acknowledged as a complex, coping mechanism that has often helped a person survive extremely difficult times when they had few other options to survive.   Self harm is almost always conflated with suicide, when often  people who self injure are doing so as a way to stay alive and to cope with hopeless, intense or overwhelming emotions.  (Self harm and suicide can go hand in hand, but not always).

I felt seen and I felt valid.  I can’t remember the last time a piece of art made me feel so  affirmed and understood.

Later in the day, I was scrolling through social media and saw the same image on another website.  But this time the image was altered:

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In the second image, the scars are censored.  They are replaced with what looks like the reflection of white lights or stars.   This second image made me feel erased, ashamed and frustrated.   I can understand that the website might not want to trigger folks and it might not want to be seen as “promoting” self harm behaviours.  I can understand why someone might think censoring the image was in the best interests of the public, but as a person who self harms, I completely disagree with the censoring.

I didn’t feel triggered by the first image, I felt REPRESENTED.  As I mentioned, I don’t believe the image in any way glorified or promoted self harm.  I saw the image as respectfully acknowledging the fact that many trans and gender diverse struggle, in a large part because of transphobia and lack of acceptance, with various types of self harming behaviours.   That doesn’t mean that we are weird, odd, crazy or broken. It means we are surviving.

What this censoring means to me?

It means that the people running the second website think I should hide my scars, that they are a bad influence on others or that they might make people uncomfortable.  It makes me feel that I should be invisible or deserve to be invisible. It makes me feel that self harm is SO terrible that it needs to be blotted out and erased, replaced with stars and light that won’t make anyone uncomfortable.

Does that mean that my existence makes you uncomfortable?

Should I be ashamed and hide myself away?

Is my mental health disability SO unpalatable to others that it needs to be censored?

If today is International Trans Day of Visibility, I think that means ALL trans and gender diverse folks deserve to be visible (if they want to be) and that includes trans folks with mental, physical and invisible disabilities.  We have to work from an intersectional perspective that does not erase the various lived experiences of people.  Representation DOES matter.  People with disabilities so often lack positive, affirming and realistic representations of ourselves in media, art and society.   Representations that neither treat us like inspirational stories nor tragedies.

Because we are SO much more than that.

Healer, Heal Thyself.

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Do you ever have the feeling that you are a complete and utter fraud?

I’ve been feeling this way recently, more than usual, as I’ve been reflecting on how little of the advice I share with others that I actually follow myself.   Am I a fraud, if I truly believe what I’m telling other people, but can’t internalize it or believe it for myself?

How is it possible that everyone around me deserves health, happiness and recovery but I somehow feel undeserving of even simple things?

Someone close to me commented on one of my scars this week.  It was a passing comment, about noticing a scar on my hand that he hadn’t noticed before.  To him it was a neutral comment, just noticing, no judgment.  I told him that scar had been there since around 2002, it wasn’t new.  That was the end of the conversation for him, but I started talking about and reflecting on the amount of harm I’ve done to myself over the past 20 years.

Until 2009, I hid all my scars, all of the time, from everyone.  Even when I was home alone I would wear long sleeves and pants.  I was so ashamed of my cuts and scars that I didn’t even want to look at them myself.  In the summer, I was perpetually hot, avoiding swimming, making excuses to stay in the air conditioning.  My life was being seriously limited by my self destruction.

From 2009 on, I gradually began experimenting with uncovering my scars.  I wore t-shirts or skirts when I was hot, and started to swim again.  I still kept a cardigan or long sleeved shirt with me at all times, so I could cover up around people who didn’t know about my habit, or for situations like interviews where I didn’t want to be judged.  I used to have so much anxiety about people seeing my scars and I would imagine all sorts of scenarios where people around me judged me as crazy.  I even thought that CAS would come to take away my  kids because if someone saw my scars they would report me as an unfit mother. Over time, I  became accustomed to uncovering my scars.  I came to a place of a bit more acceptance (plus I got tired of being hot all summer!).  This was a process and today, the only time I purposefully cover my scars is when I’m helping other women at work.  I’m afraid that my scars might trigger others, especially those who are working on their own healing.

I still feel sad though, every spring when the warm weather returns and shorts, t-shirts and summer dresses flood the shopping malls.  I feel sad because in the summer I can’t hide under my clothes.  In the warm weather, I often feel exhausted when interacting with people because I am intensely aware of the visibility of my scars.  It gets a little bit easier each summer, and I think about it less and less often, to the point where there are times that I almost forget about the scars. Almost.

I can’t really forget about them. I can’t forget about them because they represent a huge, unnameable, unspeakable history of trauma and pain.  And at some points I feel crushed by the weight of the realization that I have been my own worst abuser.

I am my own most dangerous and most unrelenting abuser.

It’s difficult to know how to even approach talking about, thinking about or grieving the trauma I’ve inflicted on myself.  It’s not something others discuss or disclose to me either.  We talk about the hurt caused by other people in our lives, the betrayals, the injuries and the abuse.  We talk about being hurt and being damaged.  But how do I start a conversation or healing process around the trauma that I perpetuated?  How do I heal from situations where I was both the abuser and the survivor, simultaneously in one person, in one experience, in one breath?

My experience of surviving sexual and emotional abuse at the hands of perpetrators, is directly linked to my “decisions” to cope by self harming in various ways.  Before I was sexually abused I didn’t have anorexia, depression, PTSD, or obsessive compulsive tendencies and I did not cut or physically harm myself in response to stress.   Before I was sexually abused, I considered myself a “normal” person.  I didn’t have a mental illness, I didn’t have dangerous coping techniques, I wasn’t a psychiatric survivor or  a survivor of violence.   When I look at my scars, I see both the abuse I survived and the abuse I perpetuated.  The scars are an ever present reminder that I have survived, but they are also like a road map of the destruction and self destruction that has woven through my adult life.

Yes, my scars tell a story, but I’m not sure it’s a story that I want to hear.  I’m not sure it’s a story that I want to tell either.

But sometimes I do want to tell my story.  That’s part of why this blog was created.  There just isn’t a lot of space in our busy, day to day lives, to talk about the story my scars tell.  The person who was with me during the majority of those years (my ex-husband) is no longer available or safe for me to contact.  I don’t have anyone to share my memories of those dark years with.  The people who know me now weren’t there with me in the emergency room while my cuts were being stitched.  The people in my life now, weren’t there with me when I tried, multiple times, to end my life.   Except for a few, the people in my day to day life, didn’t know me when I almost starved myself to death.  People see me differently now.  They see me as a whole person, a mostly well person, a successful person, a good mother, a co-worker, a friend…sometimes I feel like a fraud because I can’t, or don’t know how to, talk about these aspects of my past.

And sometimes I want to talk about them.  I really want to talk about what things were like “before.”   Before I left my ex-husband.  Before I stopped utilizing the psychiatric system.  Before I decided to stay alive.

That “before” person is still me.  I’m just not sure how to heal that “before” me and this current me simultaneously.  I’m not sure how to forgive myself, or to have sympathy or empathy for the me that wanted to die.  I’m not sure how to look at my scars without feeling sadness for the fact that I permanently disfigured my body before I turned 25.  I don’t know how to grieve my smooth, scar free skin…I barely even remember what I looked like before I started cutting.

There are days when I accept my scars.  They are a part of me, they do tell a story and they do represent survival.  But there are days when I hate them.  I hate being different.  I hate having a visible mental illness.  I hate feeling ugly.  I hate worrying about what others will think when they see them.  I hate hating myself SO much that self harm feels like a reasonable solution.

Sometimes I look back on the past and wonder what my life would be like if I’d chosen a different way of coping.  Or if I’d never been abused.  Or if I’d told someone about the abuse.   How different would my life be if I’d never picked up a blade, never wished to end it all?

It’s an interesting dilemma, because there are some parts of my survivor self that I like and I wouldn’t want to change.  If I hadn’t had these experiences I would have chosen a different career path.  I wouldn’t have had my children at a young age.  I wouldn’t be as passionate about social justice and advocacy.  I wouldn’t know the majority of my current friends.

My life would be very different.  I don’t even want to change the past.  It did make me the person I am today and I’m okay with that.   What I do want to change is how much I still judge myself, berate myself and hate myself for my past choices.  I want to learn to do more than accept my scars.  I want to do more than tolerate my body, in an uneasy, fragile truce.

Intellectually, I know that I deserve more than surviving.  Intellectually, I know that a deeper level of healing is possible.  I’ve seen people around me heal and recover from unimaginable horrors.  I’ve seen people build a sense of self confidence from the rubble of their lives.  I know it is possible and that self-love and self acceptance are attainable goals.

But emotionally, I just don’t feel it.  And that makes me sad, and maybe right now, the first step in healing self-hatred is just simply grieving the loss of that 15 year old healthy self.

 Note: The illustration was drawn by me around 2004

 

It’s rude to stare.

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I’m not speaking for all people with disability here, there are my own opinions.  Trigger warning for description of self harm

I identify as a person with disabilities.  The thing is, that I live in an interesting position where some of the time I have the privilege of “passing” as a non-disabled person and some of the time, it’s obviously visible that I’m different, strange, mad, crazy, mentally ill, or whatever label people might want to put on my experience.

I experience my PTSD as a chronic disability rather than an illness.  It’s something I live with and cope with and I don’t expect it to suddenly be cured or disappear.  I don’t consider myself “sick” but I’m not really well either.

One of the ways in which I coped with having undiagnosed and improperly treated PTSD was to cut myself.  I cut myself for many years of my life.  Because I had severe adverse effects from psychiatric medications I cut myself deeply, chaotically and severely.  As a result I have visible scars over the majority of my body.   These scars are covered by long sleeves and long pants, but can be seen wearing any other type of clothing.

I have a number of close friends who also identify as having disabilities, and I work in a field where I have read, heard about and studied oppression related to disability.  What I want to talk about is the situation I encountered last night.  The one in which able-bodied, sane, or well people feel the need to STARE at, or comment on, disabled bodies.   The staring makes me feel instantly like a circus freak, instantly judged, instantly “less than” and instantly oppressed.

I was out at the dance last night and I’d invited along a woman I’ve met up with a few times.   It’s been winter weather so this was the first time she’d seen me in a short sleeved shirt.  I hadn’t mentioned the self harm to her.  I had mentioned my past abusive relationship.   When I arrived, I noticed her staring at my arms. I noticed her staring at them on and off over the course of the evening.  She never said anything about them, just looked at them awkwardly.

I was already struggling yesterday.  I was having a lot of body dysphoria and feeling self conscious and negative about my body.  I’d been at a party earlier and I was hot in my sweater but I didn’t want people looking at my arms, so I left it on.  Often I forget about my scars now, but some days I’m hyper sensitive because I don’t want to risk being under the “judgemental gaze” of able-bodied or sane folks.

Here’s what I wish folks would do when they notice my scars:

  1.  You’ve noticed my scars.  You are curious. I get it. But this isn’t about you.  Please don’t stare.  I’m not a circus freak.
  2. If you must ask questions about it, if possible wait until a quite private moment and then politely ask me what you want to know.
  3. If you absolutely have to know.  Please don’t stare.  I’d rather you ask me a question about what you want to know, even in a public place than continue to stare or sneak glances at me.  Believe me  I SEE YOU LOOKING AT THEM.  You aren’t getting away with looking at them subtly.  In general, people with visible disabilities are vigilant to noticing people staring at them.
  4. Remember, I’m still the same person I was before you noticed the scars. Nothing has really changed.  Your reaction to my scars is more about you, than it is about me.  If you are seeing the scars, it means I am comfortable showing them.  You are the one who is making the situation uncomfortable by awkwardly staring at me!

And here is a list of answers to some commonly asked questions about my scars.  Maybe this will help you to not ask these questions to other people who self injure, maybe it will help others understand a bit better.  To be fully honest, people rarely ask me questions about my scars.  I sometimes wish they did ask me.  I’d rather be asked questions than be stared at and be left wondering what the person was thinking.  But there are some common questions and questions I imagine folks have.

  1.  Do they hurt?  No, most of them don’t hurt.  There are a few that didn’t heal properly or weren’t stitched properly that do hurt.  Some of them itch or the skin pulls at times which can be uncomfortable.  For the most part they just feel the same as the rest of my skin.
  2.  Can I touch them? No!  That’s fucking creepy.  This is a trigger for me, because one of my abusers asked that question.  I don’t think it’s cool, cute, fun or sexy to have them touched specifically during intimacy.  Please just treat them as part of the rest of my skin.
  3. What happened to you?  They are scars from self inflicted injuries, mainly cutting.  I hurt myself as a way of coping with ongoing sexual and emotional abuse over a period of time in my life.  I also had serious adverse reactions to psychiatric medication, especially SSRI anti-depressants which gave me obsessive self destructive thoughts and impulses over a 4 year period of time.  I was told repeatedly that “doctors don’t give you medication to make you sick”
  4. Did you have to get stitches?  Yes.  Lots of them.
  5. Did it hurt?  Sometimes.  But a lot of the time when I was harming myself I was disassociating and I didn’t feel the pain.  A lot of the time I was doing it I was numb and detached and felt very little.  It hurt a lot AFTER and when it was healing, when the disassociation wore off.
  6.  Do you regret it? Sometimes.  It’s hard to remember a time when I didn’t have the scars.  To be honest the scars trigger me sometimes which is why I often used to hide them.  They bring back bad memories of times I’d rather forget.  But they are a part of me as well, a part of my story and a part of what I’ve survived.
  7.  What is the worst part about having self harm scars?  The worst part is the judgement I get when seeking non-psychiatric medical care.  So many times doctors have seen the scars and treated me differently.  They often make assumptions about me that are incorrect.  They assume I’m drug seeking, an addict, or that I’m unstable, lying, attention seeking, borderline etc.  I notice that doctors have the worst misconceptions about self harm.   Doctors often assume I’m LESS able than I actually am, and at times I struggle to receive appropriate medical care.  There is a great deal of stigma attached to having a mental health disability, especially related to self injury.

The take home message is simple:

Don’t stare at people whose bodies may be different than yours.

If you must ask questions, do so politely and privately if possible.  Ideally, don’t ask a lot of questions of complete strangers.  Questions as part of a friendship come across completely differently and can be more acceptable as a part of getting to know someone over time.

I notice you staring at me, and I don’t interpret it as polite concern.  I interpret it as intense othering.

I was just there for the dance.

Scars.

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What is it like parenting two children when you are a psychiatric survivor?

Pretty damn scary.

I remember when I first got pregnant and for the first 2 years of parenting my kids, my biggest fear was that someone would call Children’s Aid and report me as an unfit parent.  I worried that my first baby would be taken from me at birth.  You might ask why would someone whose baby isn’t even born worry so much about being an unfit parent?

My body is covered with scars from self inflicted wounds.  I was terrified someone would see this, make assumptions about me, and consider me a danger to a child, especially my child.

I’ve been parenting for almost 10 years now and so far this fear has never materialized.  I still worry about being considered “crazy” and thus “dangerous” and thus “unfit.”  In fact, this is the weapon my ex-husband has used against me since the time I began leaving him.  Just accusing someone of being crazy tends to impact the way others view that person.  My ex-husband took moves out of Dr. X’s playbook and began telling everyone, including the children’s health professionals, our neighbours, the kids’ school AND Children’s Aid that I had borderline personality disorder.

Despite the fact that my own doctor and many other doctors have testified that I do not have borderline personality disorder, this label is still haunting me 15 years after it was first, incorrectly, applied by Dr. X.

Let’s just break this down for a minute.

In the days of insane asylums, a man could have his wife committed against her will since she was essentially his property.  I’m sure asylums were full of women who were wrongly diagnosed as “hysterical” or something, just because they spoke out against the men in their lives.  Maybe they were being abused and dared to say something, maybe they didn’t conform completely to patriarchal societal standards, but one way or another they were put away.

The days of asylums are gone, but the stigma of diagnoses like borderline personality disorder remains.

It’s a very convenient excuse to deflect responsibility for perpetrating abuse.  “Oh, she’s crazy don’t you know.  You can’t believe her story because she’s mentally ill!”

Sound familiar to anyone?  Yes, accusing survivors of being “crazy” is an aspect of rape culture.  Survivors are not crazy.  They are speaking a truth that many in society do not want to hear and thus they are labelled, marginalized and stigmatized.

Every spring when the weather gets warm and t-shirts start to appear, my fear returns.  In the winter I can usually “pass” as “normal.”  My scars are safely hidden under layers of winter clothing.  In the summer, I stand awkwardly with my hands behind my back when I meet new people and when I pick the kids up from school.  I keep a cardigan at work to throw on before meeting with service users.  I see the scars myself, day after day, and sometimes it triggers me and makes me think about a time in my life I’d rather forget.

I still worry that people will view me as an unfit parent because of the coping choices I made.  But I wear t-shirts, because it’s hot outside in the summer.  I won’t hide under clothing everyday for the rest of my life.

If you have used self harm to cope, don’t be ashamed.  You survived and that is the most important thing.  Your scars tell the story of your survival.  If I could tell you a hundred times that you aren’t crazy I would.  But honestly, I’m spending a whole lot of energy reassuring myself that very same thing these days.

My scars tell my story.  Sometimes I wish my story was different, or that I had the privilege of having an invisible mental illness, but that isn’t my reality.

And believe it or not, some people think my scars look pretty damn cool.