This chapter brings into question one of the basic assumptions operating in the public mental health field today : that mental illness is biological or genetic in origin and is therefore treatable primarily by symptom control or management . A case study of my daughter Anna, a victim of early childhood sexual trauma, is used to demonstrate the need for inclusion in the field of an additional view of the etiology of mental illness . Forces supporting the emergence of a new trauma paradigm are highlighted.
ANNA'S STORYFrom the age of 13 to her recent death at the age of 32, Anna was viewed and treated by the mental health system as "severely and chronically mentally ill ." Communication about who she was, how she was perceived and treated, and how she responded took place through NOTE ; e reader is forewarned that to provide a realistic account of Anna's experience and her attempts to communicate it to others, explicit language and graphic descriptions of her behavior are included.