Comment by BLKNSLVR

Comment by BLKNSLVR 4 days ago

1 reply

ACE Score: 0, therefore I apologise if this is too flippant since I don't suffer the depth of lows of clinical depression provides, although I've been through some unpleasant troughs in my time I'm sure I can't comprehend the potential psychological damage of most ACE scores above mine.

There's a particular line of The Desiderata[0] that says so much in so few words:

no less than the trees and the stars; you have a right to be here.

It provides armour to me when the negative voices come. It reminds me that I am privileged to be alive at this point in time and help to remind me of the (good kind of) "holy shit" feeling I should have at that realisation.

Some holes are too deep for this to have an effect, but for the shallower ones, this has helped me escape them quicker.

You Have A Right To Be Here!

[0]: https://desiderata.com/desiderata.html

Cushman 4 days ago

ACE 1, so I’m qualified to respond :)

An important thing for you and I to keep in mind is that we aren’t just talking about psychology.

ACEs cause (or exacerbate) depression, anxiety, and so on; they also cause (or exacerbate) cancer, heart disease, autoimmune disorders, and so on.

It’s obviously a lot of work to disentangle causation from secondary health impacts of mental illness, but to our shame there is more than enough data, and the work has been done. An appreciable fraction of the damage done by ACEs is physical and irreversible after adolescence.

I think this is important for us to remember because it’s easy for us to say, oh, they must need some extra support. And yeah, they do. But it’s too little, too late. They — the children — need us to stop the ACEs from happening.

Editing in a caveat I remembered elsewhere: of course the scores don’t cause these things, and of course the individual variance is huge. As a diagnostic criterion, ACE is useful as a screener and that’s about it. As a statistic, it’s revealed a pandemic.