ACT NOW is the Silentinjuries™ mantra. The mantra advocates four basic principles. The principles are not curative: rather, effective management strategies to debride disruptions to healthy adjustment subsequent to deviance exposure. Effectively using the strategies often requires cognitive and behavioral change.
Stressor, Toxin, or Both?
Intervention objectives that blanket the CSA professions include protecting the injured child, eliminating the risk of another child’s exploitation, and simultaneously sanctioning the offender appropriately. Achieving these work task objectives can evoke considerable stress. In fact, the evidence is sufficient to conclude that child maltreatment interventionists can experience disruptions to healthy adjustment after their active or passive exposure to social-sexual deviance.1, 2, 3, 4, 5, 6, 7 Generally, a linear relationship exists between work task objective expectations and stress severity.4, 8, 9, 10, 11 Disruptions to healthy adjustment linked to these stressors are not the focal point of Silentinjuries™. A unique sequential injury that can disrupt the CSA interventionist’s personal and professional adjustment occurs when work task residue contaminates a second life task – love.12, 13, 14, 15 The resulting intimacy injury is among the most frequently observed disruptions observed among people exposed to social-sexual deviance as children.16, 17, 18 It is at this point the stressor can morph from an acute stressor to a persistent stressor – a psychological toxin.19 A single postulate anchors Silentinjuries™ investigation and training – exposure to social-sexual deviance is a psychological toxin. Predictable psychological injuries occur following exposure, and the injuries can disrupt healthy adjustment. The disruptions can manifest in the social, sexual, and spiritual domains.

Acknowledging exposure(s) to social-sexual deviance is the first ACT NOW principle. Two steps comprise this cognitive self-guided injury management phase. Accepting one’s life experience includes exposure to deviance is the first step. Next, it is essential to accept deviance is a psychological toxin that yields predictable injuries. People fail to acknowledge their exposure(s) to deviance is disruptive to healthy adjustment for many reasons. Failing to recognize any exposure to deviance translates to experiencing a violent act is the most toxic.

CSA interventionists acquire information about social-sexual deviance via multiple sources. Such as personal experience, pre-case assignment training, interviewing or physically examining a child, interviewing or providing treatment to the abuser, viewing images depicting child sexual abuse, transcribing CSA case reports, and others.  Any one of these exposures constitutes an extreme stressor. Examining exposure to social-sexual deviance from a sequential perspective reveals the following.  More than one-third report their first exposure occurred during childhood.  Of those entering adulthood unscathed, a considerable proportion (42.7%) report their long-term adult relationship histories include an impaired partner, such as alcohol or drug dependence, verbally abusive partner, physically abusive partner, sexually abusive partner, or multiple impairments.  CSAH interventionists report significantly more exposure to abusive adult partners (57%) than NCSAH professionals report (32%).  Ultimately, a small proportion of interventionists report their first exposure to social-sexual deviance took place via pre-case assignment training. The interventionist’s nuclear family health forms the basalt upon which lifetime exposures to social-sexual deviance sequentially deposit residue.

Confronting exposure(s) to social-sexual deviance is the second ACT NOW principle. This is a behavioral objective. The objective is to identify a healthy resource and talk about the exposure and subsequent disruption to healthy adjustment.
Treatment is the third ACT NOW principle. Treatment occurs on a continuum. In other words it is variable depending upon the exposure to deviance, pre-existing health challenges and expectations. A comprehensive Trauma Assessment is the headwater to establishing a traumatic injury management plan.
NOW is the fourth principle. It is a call to action that is disruptive to the many potential injuries people can experience following exposure to deviance. By taking action NOW, the risk to develop PTSD is significantly reduced as immediate healthy actions serve to disrupt avoidant behavior. Habituated avoidant behaviors that can emerge include substance abuse, depression, sexual promiscuity, sexual aggression and others.
Is Social-Sexual Deviance a Carcinogen?
The World Health Organization broadly defines violence as intentionally engaging in behavior that predictably causes or will more likely than not cause psychological, emotional and/or physical injury.  Learn More

Deviance, like cancer is an uncontrolled division of cells. Both are observed within single cells, larger cellular groupings and can ultimately bring death to the host body. Violence is the unifying thread to social and/or sexual deviance. Exposure to violence can cause a firestorm that consumes one’s psychological, emotional and physical health and leaves an indelible footprint. There is increasing research that demonstrates childhood exposure to deviance increases lifetime risk to develop cancer. Learn More

Debriding Sequential Trauma Deposits
Exposure to social-sexual deviance is always a stressor. The experience leaves a residue that can injure cognitive, emotional, and physical adjustment.  Silence is the self-defeating coping response that can ignite the sediment and fuel a firestorm that has garnered considerable investigative research.  The research observations reveal the trauma-related injuries are uneven and influenced by many different factors.  In turn, the restorative pathway to healthy adjustment and healing one’s spirit comprises multiple steps.  These nine steps are as follows:

  1. Acknowledge one’s lifetime experiences include exposure to social-sexual deviance.
  2. Identify the sequential exposures and accept sexual deviance motivated the sexual maltreatment and social deviance made possible the abuse process.
  3. Define the abuse process elements that cause injury.
  4. Acknowledge the strategies, one used to survive the abuse process psychologically.
  5. Acknowledge the ways one misinterpreted the traumatic injury process and the subsequent mistaken ideas one formed about oneself, others, and human sexuality.
  6. Acknowledge and confront the thinking errors one uses to discourage intimate relationships.
  7. Define one’s psychological and social assumed disabilities that form obstacles to cultivating and sustaining intimate relationships.
  8. Define self-independent of the social-sexual deviance exposures and the subsequent trauma residue.
  9. Cultivate a support system to maintain the healthy coping responses one develops to manage traumatic injuries and disruptions to healthy adjustment.

Confronting the exposure to deviance is the common element of each health restoring step. Confrontation disrupts the social-sexual isolation the deviant imposed and ultimately translates to neutralizing the toxin.