Campaign 2011 - violence and care - preamble - manifest/2 OPEN LETTER/3 MANIFEST HEALTH PROFESSIONALS ENGAGED IN SUPPORT OF CHILD VICTIMS OF VIOLENCE

Campaign 2011 - violence and care - preamble - manifest
2 OPEN LETTER
3 MANIFEST HEALTH PROFESSIONALS ENGAGED IN SUPPORT OF CHILD VICTIMS OF VIOLENCE

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1 2011 Violence and care campaign

PREAMBLE

The violence be they physical, psychological or sexual are an infringement of the dignity and fundamental rights of individuals.
They have serious immediate impact and longer-term health and on the psychological and social development of people. The who in 1996 stated that they constituted one of the major problems of public health in the world.
Violence having the greatest impact on the long-term physical and mental health are also the most poorly known violence despite their frequency, as abuse against children and vulnerable persons, family violence and the couplesexual violence. Such violence who benefit from a genuine act of silence are committed under the guise of care, protection, education, love, desire and sexuality, by relatives and people known in more than 80% of the cases essentially. Ignorance of their reality (lack of studies, figures, research), no targeted prevention, lack of information on the risks of suffering violence, lack of access to care provided by trained doctors are responsible for a total abandonment of victims whose speech is never taken into account.
But violence during childhood when they are not taken in charge are one of the major health and well-being of a population determinants : a recent US study on 17,000 people shows, 50 years after violence and neglect suffered during childhood, a considerable and proportionate increase (violence and different neglect suffered, score ranging from 0 to 8), of early deaths, organic diseases (heart attack, hypertension, diabetes, obesity, broncho-pulmonary diseases, sexually transmitted diseases, fractures, hepatitis), psychopathologies (States of post traumatic stress)(, suicide, depression, anxiety, panic, personality disorders, insomnia attacks, disorders of memory and concentration), of addiction (tobacco, alcohol, drugs), disorders of nutrition, sexual risk, violence again pipes and committed violence, of social exclusion (Felitti VJ, ACE Study, The Relationship of adverse childhood experiences to adult health status, 2010).
These long-term consequences are due to disorders chronic psychotraumatiques locating victims of violence are neither identified nor supported, or protected, or treated. Abandoned only with great pain and a feeling of insecurity permanent they will have to survive by implementing strategies for self-treatment. These strategies of survival will have far-reaching consequences on their health, and more will be a factor of exclusion and poverty, and a risk factor to be a victim of violence or to reproduce violence.

The world Organization of the health (who), in his text of recommendations for the prevention of domestic and sexual violence, presented September 21, 2010 at the World Conference on the prevention of injury and the promotion of security, noted for the first time that one of the major risk factor to suffer and to commit domestic violence and sex is to have experienced violence in childhood (downloadable text by clicking here). Strategies for survival and self-treatment of the psychotraumatiques of violence consequences are therefore at the heart of the reproduction of the violence. However these psychotraumatiques disorders treatments exist and are effective, and the health consequences could be avoided by putting in place a real protection and care for all victims. Any victim of violence not supported may again be victim or perpetrator of violence become.
The violence is not inevitable, they are a privilege that some grant injustice and impunity. He must fight against them by protecting all victims, in nursing and in fighting against all the inequalities and all forms of discrimination.
Violence, at the beginning of the 20th century, are one of the last privileges that continue to parasitize our democracy and undermine the fundamental values of freedom, equality and fraternity. Exercising violence is to grant the "right" on behalf of an alleged superiority to dominate, to submit, to destroy people who are considered as having less value than ourselves. This is to reduce in slavery or use them as a "medicine" or a "drug" to anesthetize and to avoid any stress, anxiety, tension or questioning.

The most common and least 36(8) violence are:

violence against children : epidemiological studies are missing, some international studies reported frequent and serious physical violence. Physical violence against children is generally imposed to punish and it is accepted by the parents, as a social standard which prevails and is often regarded in law as a correct form of discipline. Moreover, studies around the world, about 20% of women, and 5 to 10% of men reported have been victims of sexual abuse in childhood. Many children suffer from psychological violence as well as negligence, it is unknown the extent of the phenomenon in the world. The ACE Study on 17,000 people study, were found in their childhood of psychological violence among 11% of them, 28% physical violence, sexual violence in 21%.
sexist or sexual gender violence : figures are impressive, according to the country, 15 to 71% of women have been mistreated, sexually assaulted, hit in the course of their life. No woman, no girl in the world is in the shelter of violence because of her gender, and sexual violence, following the studies and the country would receive 20 to 30% of people in their lives and more than half before 18. To learn more, one can read the Muriel Salmona article with all references, September 2010: violence against women and girls : a global scourge.
violence at work, health care, violence and acts of violence against people in vulnerable situations (disabilities, diseases, old age, poverty) and discrimination (on the origins of sexual orientation, political or religious opinions).
These violence are made possible by many stereotypes and misrepresentations (human, women's and children's place in society, the equivalence between education and training, love and possession, sexuality and violence, the confusion between desire and predation)(, the alleged uncontrollable sexual impulses of men and women sexual availability, etc.), denial and the law of silence that weigh on them, ignorance of their frequency and severity of their impact.

Violence are always intentional, premeditated and they are a drug in the service of the aggressor, they have nothing to do with the victim:

They exercise cloaks way under the guise of love, desire, of education, care, safety, for the "good" of the victim. There is nothing. The violence only serves the aggressor. Nothing of what is the victim undermined what it does does not justify violence, the victim is not responsible for the violence exercised against it. The attacker places on his victim a scenario and a role of nothing, concern by handling, grip, domination or terror. It is for the attacker to use a victim for his single interest, for its comfort and to avoid anxiety (slaves available, fuses to be anaesthetising).
Violence are at the origin of a serious breach of the physical and psychic integrity of the victims, with physical but also psychological and neurological injuries, stress that require urgent and specialized care.
Violence generate extreme (with production of adrenaline and cortisol) stress that terror and psychic stunning of the victim make it uncontrollable, this leads to vital neurological and cardiovascular risk, and then triggers a mechanism of neuro-biological protection - as in an electric circuit which is boosting - fused responsible emotional circuit of extreme stress. This disjunction creates a brutal emotional anesthesia and a State of dissociation (State of consciousness altered with feelings of disconnection and depersonalization) which protects the heart and brain. This emotional anesthesia is produced by hard drugs (morphine and ketamine-like secreted by the brain). This emotional anesthesia which is painfully suffered by the victims, on the other hand actively sought by attackers and leads them to a real addiction.

If any trauma can cause chronic psychotraumatiques disorders (with a risk of 24%), violence are much more likely to develop, particularly when it comes to intra-familiales violence (60%, Astin, 1995) or sexual violence (up to 80%, Breslau, 1991). These psychotraumatiques disorders can last for years, decades or even a lifetime if no treatment is given.

The mechanisms that are at the origin of these psychotraumatiques disorders are known since little and detailed in the mechanismspage. Disjunction of backup at extreme stress causes, in addition to emotional anaesthesia, the establishment of a traumatic memory (emotional memory of violence) which, because of the short-circuit, cannot be integrated at the level of the cortex. This memory traumatic non-consciente and non-contrôlable, as a machine infernal time, brings the victim violence identical with the same terror, the same pain, same sensations in flashbacks, flashbacks, nightmares. It fires when links reminiscent of violence (context, emotions, sensations and pain). It will be at the origin of extreme psychological distress and a permanent sense of insecurity and transform the lives of the victims in a minefield. It can be prevented with early care (in 12heures). If the victim is dropped without protection, without support or appropriate care, traumatic memory moved permanently and is accompanied by intolerable suffering and suicidal ideas. To survive, the victim must put in place survival strategies: lines of avoidance, controls and hypervigilance to avoid any ignition of traumatic memory. pipes well to anesthetize him if it is lit like a danger warnings (which by increasing stress cause disjunction and anaesthesia and the auto-mutilations, lines at risk); and addictive lines such as consumption of having anesthetic and severing such as alcohol or drugs: 70 to 90% of alcoholics, drug addicts, and prostitutes-e-s have suffered severe abuse most often in childhood, with a very high percentage of sexual violence.

These strategies will enable to protect a little, but they will be very costly, incomprehensible and culpabilisantes, and they will have a catastrophic impact on their health and their personal, social and professional life. With a risk of premature death (accidents, suicides, deaths by illness), cardiovascular disease, lines at risk of addiction, psychiatric disorders (depressions, crises of anxiety, phobias, insomnia, disorders of the power supplies, of sexuality, personality disorders, disorders of memory)(concentration, absences, feelings of shame and guilt, of depersonalization, to be different), accompanied by fatigue and (for to anesthetize in abusing others).

The traumatic memory, suffering and stress that it raises and strategies to avoid it and anesthetize it are therefore responsible for all the consequences on the health and lives of the victims. But if violence are known, it is possible to avoid the establishment of a traumatic by protection and support for early memory or effectively deal with this by specialized care traumatic memory.

Letting victims unidentified, without protection, information and care is therefore:

to condemn them to suffer for years, or even all their lives, in a terrible solitude, in a State of insecurity permanent, confusion and guilt, without hope to realize and be fully themselves.
take the risk that they die early, violent deaths by homicide, suicide, accidents or disease.
take the risk that they develop addictive behaviour (tobacco, alcohol, drugs, games), eating disorders, sexuality at risk, and find themselves trapped in prostitutionnelles situations.
to jeopardize their health, increase their risk of multiply the consumption of inadequate and inefficient care.
take the risk of failure at school and professional level.
aggravate inequalities and reinforce discrimination and injustice.
increasing poverty, situations of marginalisation, prostitution risk and poverty and jeopardize social cohesion.
give a strong attackers signal so they feel allowed to continue violence on victims they can estimate without value since the company does not have any implementation to protect.
put the victims in danger of suffer further violence and fuel a reproduction without end to violence, because some of the victims choose to be auto-traiter by adhering to the law of the strongest and themselves exercising violence.
Yet, in 2011, despite their frequency and severity, violence are still subject of ignorance and an underestimate, the worst a denial or a guilty tolerance (less than 10% of rapes and domestic violence are the object of a complaint, OND 2009).
They are the subject of a genuine law of silence. This law of silence protects the attackers by providing them with impunity, and it also protects the myth of a patriarchal ideal society where the strongest (men and all those who hold authority) would protect those designated as being the weakest and most vulnerable (women and children).
Most importantly, this law of silence abandons victims to their fate. Currently the vast majority of the victims remain only because they are not identified, remained without care because their psychotraumatiques disorders are not supported in specifically (by lack of knowledge on the part of physicians who are not always trained during their medical studies), and they are often inappropriate, or even violent care.
However, specialized care are effective on psychotraumatiques disorders and particularly on traumatic memory. Lʼétude the psychotraumatiques of violence in 2008 on the 92 showed that more than 80% of patients of violence receiving specialized care have realized an improvement in their mental health, or even very important, and 47% an improvement of their physical health consequences, specialized support is considered useful, responding to the expectations, allowing dʼaller better and understanding - FC study Muriel Salmona, 2008, here.

Violence is not inevitable and perpetrators of violence must be treated in their addiction to violence.

Dr. Muriel Salmona, February 22, 2011, European victims day

MANIFEST

This is why as associations, as a professional-le-s of the care and support of the victims, as victims and relatives of victims, as a citizen-do-s launch, February 22, 2011.

A MANIFESTO AND A PETITION ON THE THEME "VIOLENCE AND CARE"

to ensure that victims of violence are finally protected, so that they receive appropriate care and that their rights are respected:
Right to be heard, raw and recognized
Right to be rescued, protected and informed
Right to be rendered justice
Right to be treated with dignity, kindness and attention, in accordance with their requests and with their consent
Right to receive quality care, free of charge by professionals trained and competent, responsive and accessible to all places
Rights do not suffer violence in care and support

IN 2011 these rights fundamental do are always step RESPECTÉS, also we ACCUSONS the policies, public authorities, professionals expected to take to support these victims of violence and society as a whole of ABANDONNER the victims,
to not see them, ignore them, not to hear to be in denial of the reality of violence and their consequences on the health, not to rescue them, do not protect, not them to justicedo not treat them and often mistreat them in their journey of support and care.
Abandon the victims, be indifferent to their fate, is giving little value and reinforce the aggressors a sense of superiority which allows them to be granted the privilege of blame victims to submit and be used as a slave to their service or as a fuse to be anaesthetising.

NON-ASSISTANCE TO ANYONE IN DANGER:
Violence are major risks to victims and their relatives who are witnesses (especially children). They have serious immediate impact and longer-term health and on the psychological and social development of people. They are one of the major problems of public health in the world and a major determinant of the health of a population (see the preamble):
risk of homicides, serious injuries, contamination and pregnancies in the violence.
risk of early deaths with an increased risk of accidents (related to disorders of attention and concentration, absences, to the danger warnings, multiplied by 10) and suicide (risk multiplied by 10 to 20).
risk for mental health with some important psychotraumatiques disorders: disorders mental suffering, depression, anxiety, phobic and obsessive, sleep disorders, disorders food and sexual, behavioural disorders, dissociative disorders pipes - put in danger, auto-mutilations, dangerous games, sexuality at risk, conducted addiction - personality disorder(, feeling of insecurity, guilt, shame and lack of self-esteem).
risk to physical health: diseases due to the legacy of violence, stress-related diseases (cardiovascular, endocrine particularly diabetes, digestive, Genitourinary, immunological, infectious, pulmonary, etc), diseases related to pipes at risk (contamination, early pregnancies and pregnancies at risk, consequences on the health of the consumption of tobacco)(, alcohol, drug, the drug sensitve), disease related to dissociation and emotional anaesthesia (lack of prevention, serious neglect), with a very significant increase in demand for care, medical examinations and surgical procedures (related to traumatic memory)(, multiplied by 8)
risk of chess school and professional, of disability, of social isolation, of marginalization and exclusion, of great poverty, prostitution, of alcoholism and substance abuse, suffer further violence, commit violence, the risk of delinquency.

INJUSTICES
Victims of violence suffer injustice cascading:
injustice to be innocent victims of blind violence, trapped in a history which does not concern them.
injustice to be victims of a society exposing doubly, on the one hand by creating unequal context which allows attackers to use their dominant position to exploit them, and on the other hand with not all political means implemented to combat violence.
victims of their entourage who wants to see, know, or hear or denounce what they suffer in the intimacy of a family, a couple, a relationship or in the confined space of a work, an institution.
victims of all an evil-outsourcing committed by professionals supposed to protect them, help them, make them justice and treatment, which often don't believe, glamorize violence, and underestimate the danger they face and the consequences they undergoespecially training, but also by negligence and lack of empathy.
victims of injustice despairing see attackers benefit in the vast majority of cases of impunity, without be denounced, in review, be brought before a court or sentenced by justice still too infested by many ideas received on victims and violence, and ignores many indices and ample medical evidence, the attackers can then continue to exercise violence in peace. victims of injustice to those who ultimately find themselves condemned to suffer, to fight and having to justify ever, to support contempt, critics and judgments, to hear speeches sanctimonious and culpabilisants for symptoms that nobody thinks to link to violence.

OF DISCRIMINATION
By not enough fighting against all the inequalities and discrimination which make possible many violence: discrimination sexist, racist, xenophobic, ethnic, age, pregnancy, disability, disease, poverty, religious beliefs.
By not protecting and ensuring no decent living conditions to the most vulnerable and those most dependent on such as children, the elderly and disabled and ill people.
Tolerant situations which are serious violations to the dignity of people and situations of slavery, of great poverty, situations of greater marginalization and exclusion (SDF), the prostitutionnelles situations and pornography, discrimination exercised on victims in suspecting a priori to lie when they denounce violence.

AND TO EXERCISE VIOLENCE OR IN BE ACCOMPLICE: VIOLENCE OF INAPPROPRIATE CARE AND VIOLENCE UNDER THE GUISE OF CARE.

The majority of victims are not the appropriate care needed.
Care are saturated in violence, at best it is on the part of the caregivers of ignorance, misrepresentation, the worst of indifference, neglect, emotional anaesthesia, discrimination, or even of malice: dominate, manipulate or destroy. And care are singularly absent when it comes to support victims of violence.
The care of the victims are often only symptomatic and rarely take account of violence, no connection is overall between symptoms and the violence earlier, which makes it ineffective care in the long term. The expression of the traumatic memory may be misleading and lead to diagnostic errors, for example in the case of flashbacks which take the form of pain (beatings and abuse), suffocation (when there was for example strangulation), nausea, vomiting, absences, dizziness, or even of fainting (as in violence), of sounds or phrases, sounds or images or tactile sensations that can take the form of hallucinations. Reviews and unnecessary surgical interventions can be practised, harmful erroneous diagnoses for victims can be made, such as psychosis resulting from long hospitalizations in closed service and heavy and debilitating treatments.

Often proposed psychiatric treatments are emotionally that anesthetics and dissociants, as the very sedative treatment, the électro-chocs, isolation contention, amphetamines for hyper-actifs children (Psychiatry in the first half of the century had used the "faradisation", insulin coma)(, and in France, until in the 1950s, lobotomy, the latter is still practised in some countries).

Violence against persons in crisis (which relive the trauma of the ignition of their traumatic memory) are unfortunately "efficient" in the very short term because they will cause a disjunction and emotional anaesthesia that will calm the person, but they are disastrous because they traumatize the victim again and recharge his traumatic memory. They can be of verbal violence (insults, degrading remarks), psychological, blackmail, threats, physical restraint, isolation, deprivation, cold showers).

Care are by definition on persons in situations of vulnerability, that this situation of vulnerability or point, related to a transient disease, trauma or pregnancy, or whether it is sustainable, related to chronic diseases, mental and physical disabilities or States of high dependence on early childhood and old age. This vulnerability exposes patients to violence even more frequent than in the rest of the population, the share of caregivers, family members or other patients.

Sexual violence committed by caregivers, particularly by physicians, are much more common thought, they are the subject of a law of silence and denial. The position of authority by a physician, the abuse of an implicit trust that he embezzles for its own account, the staging of a debt that he should the patient for care, allow a physician to impose violent acts, defraud emotionally and easily manipulate a patient or a patient who say no or to defend will be impossible, like a parent-child incest. In France, no study has been made of violence which will have serious consequences for the victims, and we have no figures. For after studying us approximately 10% of physicians, psychiatrists and psychologists had had sex with their clients, and at least 89% of sexual relations professional in the field of health had taken place between a professional man and a woman client.

It is known that a disabled person short three times more likely that a person valid of violence. Canadian figures (we did not have figures in France) show that 40% of women with disabilities suffer least sexual assault during their lives, and that 39 to 68% of women with mental disabilities suffer least sexual assault before age 18. These abuses are a factor of aggravation of disability and exclusion.

WE ASK

Why is there no health policy that takes into account the impact of violence on the health of the people? While it proved that it is a major risk factor!
Why is there no training of physicians, psychiatrists and clinical psychologists in the psychotraumatologie during their studies and through continuous training?
Why is there no centre specific care accessible to all and on the whole and in each Department?
Why is there no campaigns which disseminate information on the impact on the health of violence?

WE WANT TO

A real policy of public health concerning violence,
Real protection to all victims of violence,
Care quality and proximity, early, specialized and free for all victims of violence,
Training of professionals of health prevention, screening and care of victims of violence,
Centers of health for the victims in each Department,
Public prevention and information campaigns
The establishment of investigation and research on the subject,
The creation of a national Observatory on the impact of violence and the support of the victims,

Person must not feel guilty or ashamed to be victim of violence. This feeling is created of any piece, it is a sham, manipulation to implement inversion of responsibility and a denial of justice. This deception is mediated by an unequal society which broadcasts the dominant discourse: namely, that a victim is located on the lower, that it is not worth anything, that it is void, weak, incapable. And that too bad for her, was not to be done or to be avoir… that it is certainly for something!... that she did not have this need, or that it is nasty, lying, or even that it has nothingthat is not so grave… And that deception is supported by the fact that the victims are abandoned and never heard, they do so not deserve to be protected and cared for, their words have no value and justice does not have to be made.

IT SHOULD BE SUPPORTIVE OF THE VICTIMS AND RESCUE THEM!

DIGNITY IS ON THE SIDE OF THE VICTIMS,

THE INDIGNITY ON THE AGGRESSORS.

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2 - Open letter for a rape victim, now in great danger

…signer the petition to support Aurélia

Victim of rape at age 14, then 16, for having dared to file a complaint of rape in meeting twice, Aurélia, 21 years old in two months, is still the subject of a stalker of rapists and their allies, threatening again to rape and death.

In two months, it will have to leave the home of the social assistance to childhood that hosts it and where it is hidden since the rape.

Memory Traumatique and victimology association requires that it be immediately relocated, with his family, whom she was separated for 4 years, in an environment where his safety will be ensured. We seize this day the bodies concerned.

14-21 Years: seven years of Calvary and terror

In September 2004, Aurélia is 14 years old when in Seine Saint Denis she is victim of rape with homicide by strangulation attemptby a multi-récidiviste boy already convicted twice for sexual assaults. It the threat of death if she speaks. The mother of the victim complaint immediately, the assailant fled abroad. In August 2006, in retaliation for the complaint, Aurélia is raped in a meeting with weapon by four boys, including the first attacker. Parent door complaint again, Aurélia is then continually threatened rape, death and various abuse for daring to denounce rapes.

Death threats lead judge for children away from Aurélia of its protective and supportive family, but whose home was known of the aggressors and their friends. It is then placed in a foster family, in which she continues to receive threats and where it is still in danger. It therefore returns a few days in his family: it is at this time, in December 2006, that threats are again implemented and that it is once again victim of rape in a meeting with the use of weapons, accompanied by violence. incredible When the maternal grandmother of Aurélia learns it, she is a stroke and dies two days after at the hospital. The mother of Aurélia complaint again.

After this second meeting rape, Aurélia continues to receive threats. The judge for children the separated again from his family and places it in a home that she did not leave until today, since she could not live in a place secured with his family (while this is what she would have liked)(, and which she would have needed to be surrounded and supported by his family: his mother and her three brothers and sisters).

The attackers were identified and indicted, four other teenagers were also raped by some of them. They will be tried in 2006, 2007 and 2008 and sentenced to farms from 3 to 7 years ' imprisonment. More than four years Aurélia is thus separated from his family and lives in a home. It is still victim of threats for which she tried to file a complaint recently. The police have agreed to take only a Daybook.

Mother, very traumatized by rape and threats suffered by her daughter (it depressions, has lost his hair, found herself suddenly in amenorrhea) was in a State of work. She unsuccessfully carried out numerous steps since 2004 the Office of the Council (she lives in an F4 and it has always paid its rent) to be relocated with her children in an environment where Aurélia no longer in danger.

While prior rape Aurélia was a teenager gay, active, very sociable and good student, she has lived since all these years in a State of perpetual terror. She suffers of impressive psychotraumatiques symptoms which are manifested by a psychic suffering extreme flashbacks, constant flashbacks and nightmares every night, reviving the rape, with a State of terror, insecurity, anxiety and despair permanentphobias, repeated suicide attempts, and scarification, a very bad overall physical health. All these symptoms have consequences of long-term hospitalization and a leavers. Even if recent support psychotherapeutic adapted improvements, Aurélia continues to suffer from a State of post-traumatic stress disorder: she cannot go out alone, a fear permanently, as soon as it rethinks the rape or threats, it feels such terror that it is paralysed and decision-making of vomiting and vertiges…

Aurélia and his family feel totally abandoned and désespérés…

Judicial, social and medical support disastrous

The judicial treatment of complaints of Aurélia has been more than open to criticism, and despite the conviction of rapists, police investigations have been traumatic, she does never felt sustained by the judicial institution. It has including threatened to rape and insulted before the investigating judge by the aggressors that it react, and she received a shoe in the face in full trial without reaction on the part of the judiciaire… institution

Until recently his medical care was seriously deficient, in that it is almost bounded sedative treatment prescribed by psychiatrists that he not speak and is analyzed not with her psychotraumatiques symptoms. She was hospitalized against his will in a service of Psychiatry after a suicide attempt, isolated, several months hyper-medicated, without the rape she suffered are addressed only once. She tried to hang in the hospital.

An increased risk by the imminent departure of Aurélia in the ASE home and the next release of rapists

In two months, Aurélia will have reached the age beyond which it will have to leave the home of the social assistance to children where it is hosted. An extremely serious risk therefore weighs on her physical and sexual integrity and life of rapists will soon be out of jail.

It must therefore be immediately relocated with his family in a place where it is safe, that is guarantor of his health and his rights, outside the 93, in Ile-de-France.

Thank you for your support and that you will do to it. We need your signatures to require a re-housing.

Contact: Muriel Salmona, President of the Association of traumatic memory and victimology, drmsalmona@gmail.com ; Tel: 06 32 39 99 34

If you want to learn more about the consequences of rape psychotraumatiques:
Dissociation, traumatic memory, and sexual violence, consequences of psychotraumatiques disorders

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3 - Manifesto of the health professionals involved in the support for children victims of violence

Manifesto of the health professionals involved in the support for children victims of violence on the 20th anniversary of the signing of the International Convention of the rights of the child, to sign on the site:

direct link here

November 20, 2009

On the 20th anniversary of the International Convention of the rights of the child which proclaims:

The child has the right to special assistance, that the child, because of his lack of physical and intellectual maturity, is in need of special protection and special care, and States parties are committed to ensure the child protection and care necessary for their welfareand assistancetaking into account the rights and duties of parents, guardian or other persons legally responsible for him, and take all legislative measures to that end. (section 3) States parties shall take all legislative, administrative, social and educational measures appropriate to protect the child against all forms of violence, of impairment of physical or mental ill-treatment, abandonment or negligence, ill-treatment or exploitation, including sexual abuse while in the custody of his parents or one of themits legal representatives or any person to whom it is entrusted.
These protective measures will include, as appropriate, effective procedures for the establishment of social programmes to provide necessary support for the child to which it is entrusted, as well as for other forms of prevention and for identification, report, referral, investigation, treatment and follow-up for cases of ill-treatment of the child described above, and include, as appropriate, procedures for judicial intervention. (article 19) The signatories of this manifesto health professionals remind us that we know from numerous studies, surveys and recent research that:

Violence against children remain very frequent, underestimated and unidentified, unknown in their great majority (particularly for sexual violence which affects the majority of children and are committed by relatives), and tolerated for a large part of them (educational violence).
Violence against children are seriousthey have formidable impact on their psychological and physical integrity, and they are an infringement of their dignity and their fundamental right to live in security and to develop in an environment psycho - emotional tailored to their needs essential.
Violence against children cause damage and direct physical sequelae related to physical abuse, severe psycho-traumatic disorders which can be chroniciser (in 60% of cases of physical abuse and up to 80% of cases of sexual violence). These psychotraumatiques disorders are normal violence consequences and are pathognomonic, that is they are specific and that they were medical evidence of trauma. They are the source of a great suffering, disorder anxio-depressive with suicidal risks, disorders of sleep and food, lines at risk (endangered, dangerous games, conducted addictive), disorders of personality and psycho-emotional development, cognitive disorders with an important school impact (risk of school failure). They also entail a risk to be new victims of violence (domestic violence, violence at work, sexual violence) throughout his life, a risk of marginalization of drug addiction, prostitution (for sexual violence), great poverty and develop aggressive or delinquent behaviour. There are responsible for an alteration of the State of health with the occurrence many somatic pathologies related to stress.
Violence against children represent if they only are supported at the earliest vita risk: homicides, risk of fatal accidents related to pipes at risk (1e cause of mortality in the under 25 years old), risk of suicide (2nd cause of mortality in the under 25 years old), risk to develop serious somatic pathologies with a reduced life expectancy.
Violence against children have a negative impact on mental health, physical health, quality of life: on the life school, vocational, social, personal and emotional.
Violence against the children if they are not supported are likely to be responsible for a reproduction of violence through disorders psycho - traumatic life: violence or violence agies against themselves or against others who are anaesthetic auto-traitements and dissociants of the suffering generated by traumatic violence, memory in place by the victim when it is abandoned without care. The violence on others being a self-treatment "reserved" for those granting a dominant position and impose a report of strength made possible by unequal society
The psychological and neurobiological originally of psycho - trauma violence are known. Violence the child is unable to defend themselves and to understand, it is found in stunning and their psyche will be unable to regulate an emotional response that will quickly lead to a boost by too much production of hormones of stress (adrenalin and cortisol), This overvoltage represents a vital risk (cardiovascular and neurological with neuronal damage): as in an electric circuit, one of outstanding neurobiological safeguard mechanisms (work of Dr. Muriel Salmona) will trigger producing a disjunction of the emotional circuit with the release of endogenous morphine-like and ketamine-like drugs. This disjunction extinguished the emotional response and produced anesthesia emotional and physical with a dissociative state (State of consciousness altered with feeling of strangeness, of unreality, of depersonalization, to be spectator violence). Severance also produces disorders of memory, with a traumatic memory (emotional memory that could not be processed by the brain and encoded, and which remains non-consciente, uncontrollable, reviving the same with the same distress, same sensations)(, the same stunning and the same disjunction, violence in flashbacks, flashbacks and nightmares). This traumatic memory, bomb explodes in the slightest link Recalling violence, will be the cause of great suffering that the child will seek to avoid at all costs (control lines, sidings, of hypervigilance, intolerance to stress) and if this is not possible the child will have to quickly auto-traiter them either by spontaneous disjunction that anesthesia, either when spontaneous disjunction happens more to make because of addiction related phenomena to the drugs like morphine and ketamine-like by the compulsive search for disjunction no matter what (by increased stress: to risk, danger, dangerous games)(, self injury, violence on others, or by contributions of drugs well: alcohol, drugs). Violence on others is a very effective tranquilizer drugs, the victim being instrumentalized as "fuse".
Violence against children if they are supported early do not psycho-traumatic disorders. Support of psychotraumatiques by specialized care disorders is effective and a recovery of the neurological and psycho-neurobiological dysfunction and a prevention of future violence.
Yet, we see in France as health professionals despite 20 years of the International Convention on rights of the child:

That children are still too much violence and are not protected. Particularly in their families where violence are the most frequent, the most serious physical violence affect young children and sexual abuse affect in particular girls, rape, sexual abuse, female genital mutilation, but boys also (at least 1 girl on 1 and 8 boy on 10).
That health professionals are not trained in the psychotraumatologie and victimology. During medical studies no training is provided to future generalists and future specialists in psychotraumatologie, not in victimology apart from a course on abuse.
That professionals do not systematically track violence, and they are very few reportsPhysicians and other professionals of health in their vast majority do not routinely issue on violence and did not know the signs of alert suspicion of violence and/or psycho-traumatic disorders. Physicians are originally only 3% of reported for children in danger.
The Council of the College of physicians is not clearly positioning for the fight against violence, their screens and their care, and that is not his role and information Council. Physicians as a whole were still too afraid to be sanctioned when reporting or medical to blows and injuries.
That they exist that very few centres of specialized care and professional specialized. Currently supported children victims of violence are very rare, and it is for children to access to specialized care in many places in France.
That child victims of violence are not protected, nor took in charge. Children victims of violence are only very few identified and therefore do not benefit from protection measures. Those with psychotraumatiques disorders are not diagnosed, they are abandoned, left without specialized care. They receive at best that symptomatic treatment and at worst they are obliged to survive to resort to lines of avoidance or to auto-traiter to risk well pipes and anaesthetic, pipes which will them be charged. Children access to child pornography are still too few identified, protected and supported and followed in the long term, while they are seriously in danger for their future.
That children with disabilities, given their fragility and that they live, require specific attention and greater protection.
That child witnesses of domestic violence are not sufficiently recognized as victims to protect
That the rights of the child are therefore not met. That they are not heard by justice, represented or defended as they should it be at the time of proceedings for which they are concerned
That society remains too tolerant with many violence made to children as is the case for so-called violence education in the framework family. Most parents have used while its harmfulness and inefficiency are proved, they fail to comply with the rights of the child, educational violence do not improve academic performance, they are learning to violence, they increase the risk of accidents in children, and the risk to reproduce violence in adulthood. Children do not need to be prepared, an education non - violent is essential for their balance.
As health professionals specialized in support of child victims of violence, we ask:

A real application of the international convention of the rights of the child to protect the child from all forms of violence including the more frequent intra-familiales violence: educational violence, and to provide specialized care of quality and proximity to all victims of violence children traumatized
More training all professionals of health, social, education, police, mounted police and justice on the violence, their consequences, the home, support and treatment of a child victim of violence.
More information for professionals, victims and the general public on violence, the figures of violence, their consequences and psychotraumatiques mechanisms, the rights of children, available resources (numbers, associations, etc.).
More than national campaigns against violence against children in the media (campaigns on the shaken baby educational violence, on the neglect on sexual violence: on incest, the access, pornography, sex tourism, prostitution, trafficking and female genital mutilation)
More research and studies on violence victimization, more research and longitudinal studies on the psychotraumatologiques of violence consequences, more research and studies on sexual violence made children, trafficking in and the access and the fate of these children.
more free specialty care available throughout the territory
Support of the victims, specialized and quality, refunded or free.
A support perpetrators of violence from their earliest age by focusing on the care and education.
A real and fair application of the Act, by respecting the best interests of the child, by improving the deposits of complaints and leaving not unpunished crime, crimes, by identifying situations of danger that have children in their family and conjugal violence, taking into account the best interests of the child, particularly in separations, in a context of domestic violence it would be necessary to hear the children recognize their suffering and put in place more than accompanying measures, of places of visit profile and extent of protection.
Equality and non-violence education from the earliest age, and an accurate and detailed information on the rights of children
A law against violence educational on the model of the 24 States that have already implemented since 1979 (Sweden), with an emphasis on information, assistance and support to parents
A fight against all violence without exception, not to mention educational violence, psychological violence, economic violence (no child should be left without shelter and under conditions of extreme poverty, the violence of States (detention centre, deprivation of liberty).)
A struggle for a more egalitarian society, a fight against gender-based discrimination affecting girls with specific against violence
A reflection on violence, its origin, its mechanisms and its consequences, and the means to implement to effectively prevent with the establishment of commissions, groups of study, seminars and exchange international.
Initiated by the traumatic memory and victimology Association manifesto posted on the blog.