Understanding the Silence Around Abuse: RACIS for Healing in Therapy

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Abuse, whether recent or historical, often remains shrouded in silence. This silence can be particularly profound when dealing with non-recent abuse, trauma, and unresolved historical difficulties. It’s crucial to understand and address the reasons behind this silence to help you on your healing journey. Integrating the RACIS Model—Recognise, Accept, Co-ordinate, Integrate, Synthesise—can provide a structured approach to this process.


Why Does Abuse Often Go Unspoken?

  • Fear of Judgment: Survivors may worry about being judged or not being believed. This fear can be paralysing, preventing them from seeking the help they need.

  • Shame and Guilt: Feelings of shame or guilt are common among survivors. They might blame themselves for the abuse, making it difficult to open up about their experiences.

  • Emotional Trauma: The trauma from the abuse can be overwhelming. Reliving these experiences through conversation can be incredibly painful, leading many to avoid discussing them altogether.

  • Safety Concerns: Fear of retaliation or further harm from the abuser can keep survivors silent. This is especially true if the abuser is still in their life or has a significant amount of control over them.

  • Isolation: Abusers often isolate their victims, making it harder for them to seek help. This isolation can lead to a lack of support and resources, further silencing the survivor.


The RACIS Model in our Therapy

The RACIS Model offers a structured approach to help us to work through the silence and trauma:

  • Recognise: The first step is to help you recognise the impact of the abuse. This involves acknowledging your experiences and understanding how these experiences have shaped your emotions and behaviours. Recognition is crucial for validating your feelings and beginning the healing process.

  • Accept: Acceptance involves helping you come to terms with your past. This doesn’t mean condoning what happened but rather accepting that it happened and that it has affected you. Acceptance is a vital step in moving forward and letting go of self-blame and guilt.

  • Co-ordinate: This step focuses on the shift from thinking to doing. It involves helping you to co-ordinate your thoughts and actions to take practical steps towards healing. This might include developing coping strategies, setting goals, and taking actionable steps to improve your well-being.

  • Integrate: Integration involves helping you to integrate your past experiences into your current life in a healthy way. This means understanding how your past has influenced your present and finding ways to incorporate this understanding into your daily life without being overwhelmed by it.

  • Synthesise: The final step is synthesis, where you synthesise your experiences and insights gained through therapy. This involves creating a coherent narrative of your past and present, allowing you to move forward with a sense of wholeness and empowerment.


Understanding the silence around abuse is the first step in helping survivors heal. By addressing the underlying reasons for this silence and providing a safe, supportive environment, our therapy can assist your journey of healing from non-recent abuse, trauma, and unresolved historical difficulties. The RACIS Model offers a structured approach to this process, helping you to recognise, accept, co-ordinate, integrate, and synthesise your experiences.

If you or someone you know is struggling with these issues, don’t hesitate to reach out for help. Healing is possible…


Find some answers

  • People often stay silent about abuse for various complex reasons:

    1. Fear of Repercussions: They might fear retaliation from their abuser, which could lead to further harm.

    2. Shame and Guilt: Many victims feel ashamed or guilty, believing the abuse is somehow their fault.

    3. Normalisation and Minimisation: Sometimes, abuse is normalised or minimised by society, making victims feel their experiences aren’t valid or serious enough to report.

    4. Emotional and Psychological Trauma: The trauma can be so overwhelming that facing it feels impossible.

    5. Dependency: Victims might be financially or emotionally dependent on their abuser, feeling they have nowhere else to go.

    6. Fear of Not Being Believed: They might worry that others won’t believe them or will judge them negatively.

    It’s important to offer support and understanding to those who have experienced abuse, as this can help them feel safe and validated. If you or someone you know is in this situation, reaching out to a trusted person or professional can be a crucial step towards healing.

    Is there anything specific you’d like to know more about or discuss further?

  • People who are abused can exhibit a wide range of behaviours and responses, often depending on the type and severity of the abuse. Here are some common reactions:

    1. Emotional Responses: Victims may feel fear, anxiety, depression, or hopelessness. They might also experience feelings of shame, guilt, or self-blame.

    2. Behavioural Changes: Some may withdraw from social interactions, become isolated, or avoid certain people or places. Others might display unusual behaviours such as agitation, nervousness, or hyper-vigilance.

    3. Physical Symptoms: Abuse can lead to physical symptoms like headaches, stomachaches, or other stress-related ailments. In severe cases, there might be visible injuries.

    4. Coping Mechanisms: To manage their situation, some individuals might develop unhealthy coping mechanisms such as substance abuse, self-harm, or disordered eating.

    5. Changes in Self-Esteem: Abuse often damages a person’s self-esteem and confidence. They might feel worthless or believe they deserve the abuse.

    6. Trauma Responses: Long-term abuse can result in trauma, leading to symptoms like flashbacks, nightmares, or dissociation.

    If you or someone you know is experiencing abuse, it’s important to seek help from trusted friends, family, or professional services. There are resources available to provide support and assistance.

    Is there anything specific you would like to know more about or discuss further?

  • Identifying if someone has experienced abuse in the past can be challenging, as the signs can vary widely and may not always be obvious. However, there are some common indicators that might suggest a history of abuse:

    1. Emotional and Behavioural Changes: Individuals may exhibit signs of anxiety, depression, or mood swings. They might also have difficulty trusting others or forming close relationships.

    2. Physical Symptoms: While not always present, some people might have unexplained injuries or frequent health issues. They might also show signs of self-harm.

    3. Social Withdrawal: A person who was once outgoing may become isolated, avoiding social interactions and withdrawing from friends and family.

    4. Difficulty Coping with Stress: They might have intense reactions to stress or changes in their environment, which can manifest as panic attacks, anger, or extreme sadness.

    5. Repressed Memories: Some individuals may have gaps in their memory or struggle with repressed memories of traumatic events.

    6. Behavioural Signs: They might exhibit behaviours that seem out of place, such as childish reactions, or have difficulty managing emotions.

    It’s important to approach this topic with sensitivity and care. If you suspect someone has been abused, offering support and encouraging them to seek professional help can be crucial. If you’re looking for more detailed information or support, organisations like the NSPCC provide resources and advice.

    Is there anything specific you would like to know more about or discuss further?

  • Abuse can have profound and lasting effects on a person’s personality. Here are some key ways it can impact individuals:

    1. Emotional Instability: Victims of abuse often experience heightened emotional responses, such as anxiety, depression, and mood swings. This can lead to difficulties in managing emotions and maintaining stable relationships.

    2. Trust Issues: Abuse can severely damage a person’s ability to trust others. This often results in social withdrawal, isolation, and difficulties in forming new relationships.

    3. Self-Esteem: Many individuals who have experienced abuse struggle with low self-esteem and self-worth. They may internalise negative messages from their abuser, leading to a diminished sense of self.

    4. Hyper-vigilance: Constantly being on guard is a common trait among abuse survivors. This hyper-vigilance can manifest as being overly cautious or anxious in everyday situations.

    5. Behavioural Changes: Abuse can lead to changes in behaviour, such as increased aggression, irritability, or even substance abuse as a coping mechanism.

    6. Cognitive Distortions: Victims may develop distorted thinking patterns, such as believing they are to blame for the abuse or that they deserve it. This can perpetuate a cycle of negative self-perception.

    If you or someone you know is dealing with the effects of abuse, seeking support from a mental health professional can be incredibly beneficial. They can provide strategies and therapies to help manage and heal from these impacts.

    Is there anything specific you would like to know more about or discuss further?

  • Abuse can have profound emotional effects on individuals. Here are five common emotional impacts:

    1. Low Self-Esteem: Victims often feel worthless and doubt their own abilities.

    2. Anxiety: Persistent worry and fear can develop, sometimes leading to panic attacks.

    3. Depression: Feelings of sadness, hopelessness, and a lack of interest in activities they once enjoyed.

    4. Social Withdrawal: Victims may isolate themselves from friends and family, feeling disconnected and alone.

    5. Chronic Stress: Ongoing stress can lead to physical symptoms like headaches, muscle tension, and fatigue.

    If you or someone you know is experiencing these effects, seeking support from a mental health professional can be very helpful. Please don't hesitate to reach out. How are you feeling about this topic?

  • Narcissistic abuse is a form of emotional and psychological abuse inflicted by someone with narcissistic traits or narcissistic personality disorder (NPD). Here are some common signs and behaviours associated with narcissistic abuse:

    1. Gaslighting: Making you doubt your own reality or sanity by denying facts, memories, or feelings.

    2. Manipulation: Using deceit or indirect tactics to control your behaviour and decisions.

    3. Emotional Blackmail: Using threats, anger, or guilt to manipulate you into doing what they want.

    4. Isolation: Cutting you off from friends, family, or other support systems to increase your dependence on them.

    5. Constant Criticism: Regularly belittling, shaming, or demeaning you to undermine your self-esteem.

    6. Withholding: Refusing to give you affection, attention, or approval as a form of punishment.

    7. Volatile Behaviour: Exhibiting unpredictable and aggressive behaviour, often over minor issues.

    These behaviours can have severe emotional and psychological effects, including anxiety, depression, and a diminished sense of self-worth. If you or someone you know is experiencing these signs, it’s important to seek support from trusted friends, family, or professionals.

  • Narcissistic abuse can have profound and lasting effects on a person’s mental and emotional well-being. Here are some common changes and impacts:

    1. Anxiety and Depression: Many survivors experience heightened anxiety and depression due to the constant manipulation and emotional turmoil.

    2. Post-Traumatic Stress Disorder (PTSD): The trauma from narcissistic abuse can lead to PTSD, causing symptoms like hyper-vigilance, flashbacks, and severe anxiety.

    3. Loss of Self-Worth: Victims often feel worthless and struggle with low self-esteem after being repeatedly devalued and criticised.

    4. Self-Doubt and Confusion: Gaslighting and manipulation can make survivors doubt their own reality and judgment, leading to confusion and self-doubt.

    5. Isolation: Abusers often isolate their victims from friends and family, making them feel alone and unsupported.

    6. Physical Symptoms: Chronic stress from the abuse can manifest in physical symptoms like headaches, stomachaches, and other body aches.

    7. Difficulty Trusting Others: After experiencing betrayal and manipulation, survivors may find it hard to trust others and form new relationships.

    Recovery from narcissistic abuse is possible, but it often requires professional support and a strong support network. Therapy can be particularly helpful in rebuilding self-esteem and coping with trauma.

    If you or someone you know is dealing with the effects of narcissistic abuse, please don't hesitate to reach out.. How are you feeling about this information?

  • The awareness of their abusive behaviour can vary among narcissists. Some individuals with Narcissistic Personality Disorder (NPD) are aware that their actions are harmful, but they often rationalise or justify their behaviour to themselves. They might believe that their needs and feelings are more important than those of others, which can lead them to disregard the impact of their actions.

    Others may lack emotional empathy, which means they don’t fully understand or care about the pain they cause. This lack of empathy can make it difficult for them to recognise their behaviour as abusive. Additionally, some narcissists might see themselves as victims, twisting situations to make it seem like they are the ones being wronged.

    It’s a complex issue, and the degree of self-awareness can differ from one person to another. If you have more specific questions or need further information, please reach out.

  • Silence in the face of abuse can take several forms and have various implications:

    1. Silent Treatment: This is when an abuser deliberately ignores or refuses to communicate with the victim. It can be a form of emotional abuse, used to control, manipulate, or punish.

    2. Victim’s Silence: Victims of abuse may stay silent due to fear, shame, or a sense of helplessness. This silence can be a coping mechanism or a result of coercion and intimidation by the abuser.

    3. Bystander Silence: When witnesses or bystanders do not speak out against abuse, it can enable the abuse to continue. This silence might stem from fear of retaliation, uncertainty about how to help, or societal norms that discourage intervention.

    Silence, whether from the victim, the abuser, or bystanders, can perpetuate the cycle of abuse and make it harder for the victim to seek help and support.

    If you or someone you know is experiencing abuse, it’s important to reach out to trusted individuals or professional support services. Do you have any specific concerns or need more information on this topic?

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