# GEO EN — MHR-046

```json
{
  "schema_version": "uw.editorial_geo.v1",
  "catalog_id": "MHR-046",
  "article_index": "MHR-046",
  "language": "en",
  "headline": "Long-lasting abuse in the past and relationships now",
  "description": "Naming present relationship difficulties and boundaries after long-lasting abuse without an imposed biography or required reconciliation.",
  "master_filename": "ARTICLE_EN.md",
  "master_sha256": "43249a3f60b16dafa53a348b4a7a00f7531ee133a994915a82f95e3d0b4fbff3",
  "short_answer": "Naming present relationship difficulties and boundaries after long-lasting abuse without an imposed biography or required reconciliation.",
  "claims": [
    {
      "id": "C01",
      "article_sections": [
        "I. Naming an experience and naming a disorder"
      ],
      "text": "An abuse history and a clinical label are not interchangeable.",
      "limitations": "No diagnosis from biography or conflict.",
      "source_ids": [
        "S1"
      ],
      "type": "source_bounded_information"
    },
    {
      "id": "C02",
      "article_sections": [
        "II. Why classifications use different language"
      ],
      "text": "ICD-11 and DSM use different constructs.",
      "limitations": "Full manuals were not read; this is VA explanation.",
      "source_ids": [
        "S1",
        "S2"
      ],
      "type": "source_bounded_information"
    },
    {
      "id": "C03",
      "article_sections": [
        "III. Duration does not determine whose suffering counts"
      ],
      "text": "Childhood or adult abuse determines no mandatory set of present consequences.",
      "limitations": "A particular difficulty cannot be assigned to the past in advance.",
      "source_ids": [],
      "type": "editorial_distinction"
    },
    {
      "id": "C04",
      "article_sections": [
        "VI. Relationships without compulsory immediate trust"
      ],
      "text": "A present request, acknowledgment, forgiveness, reconciliation, and trust differ.",
      "limitations": "Joint conversation is not prescribed under threats or punishment for refusal.",
      "source_ids": [],
      "type": "editorial_distinction"
    },
    {
      "id": "C05",
      "article_sections": [
        "VII. Assessment with room for questions"
      ],
      "text": "Missing memories do not establish hidden abuse.",
      "limitations": "No seeking or creating details to fit a scheme; not memory verification.",
      "source_ids": [],
      "type": "editorial_distinction"
    },
    {
      "id": "C06",
      "article_sections": [
        "VIII. Complexity does not prescribe one treatment sequence"
      ],
      "text": "Complexity sets no universal treatment sequence or time.",
      "limitations": "Professional planning is individual; no home exposure.",
      "source_ids": [
        "S1",
        "S2"
      ],
      "type": "source_bounded_information"
    },
    {
      "id": "C07",
      "article_sections": [
        "IX. Continuing danger remains an external problem"
      ],
      "text": "Continuing control and danger require attention to conditions.",
      "limitations": "Availability and safety of local communication are not promised.",
      "source_ids": [
        "S7"
      ],
      "type": "source_bounded_information"
    },
    {
      "id": "C08",
      "article_sections": [
        "X. Two traditions and the limits of comparison"
      ],
      "text": "Closeness in the Psalm and reciprocity in Confucius frame an editorial discussion of support.",
      "limitations": "Different foundations; no treatment, required faith, or reconciliation.",
      "source_ids": [
        "S5",
        "S6"
      ],
      "type": "source_bounded_information"
    }
  ],
  "questions": [],
  "retrieval_limits": [
    "Adults 18+; no individual diagnosis",
    "Current danger or urgent medical need takes precedence",
    "No self-exposure, recovered-memory instruction, medication change or compulsory calming",
    "Language is not jurisdiction; no foreign emergency numbers",
    "Author review only; no production acceptance, import, index or publication"
  ],
  "sources": [
    {
      "id": "S1",
      "author": "Sadie E. Larsen, PhD / VA National Center for PTSD",
      "title": "Complex PTSD: Assessment and Treatment",
      "url": "https://www.ptsd.va.gov/professional/treat/txessentials/complex_ptsd_assessment.asp",
      "role": "Clinical terminology, diagnostic frameworks and uncertainty about mandatory treatment sequencing",
      "limitations": "Institutional professional review, not a directly read WHO classification or primary experiment; no personalised diagnosis or prescription"
    },
    {
      "id": "S2",
      "author": "VA National Center for PTSD",
      "title": "Complex PTSD",
      "url": "https://www.ptsd.va.gov/understand/what/complex_ptsd.asp",
      "role": "Accessible explanation of complex PTSD and limits of event-type inference",
      "limitations": "Same institution as S1, not independent empirical corroboration; no rates, universal duration or self-treatment conclusions used"
    },
    {
      "id": "S3",
      "author": "VA National Center for PTSD",
      "title": "How Is PTSD Assessed?",
      "url": "https://www.ptsd.va.gov/understand/isitptsd/measured_how.asp",
      "role": "Screening versus fuller assessment; interview and questions about process",
      "limitations": "US patient education; no instrument questions, scoring cutoffs, administrative promises or universal confidentiality rights"
    },
    {
      "id": "S4",
      "author": "National Institute of Mental Health",
      "title": "Post-Traumatic Stress Disorder",
      "url": "https://www.nimh.nih.gov/health/publications/post-traumatic-stress-disorder-ptsd",
      "role": "General medical context for assessment and possible accompanying conditions; not a separate complex PTSD standard",
      "limitations": "No individual diagnosis, symptom scale, local pathway or treatment plan"
    },
    {
      "id": "S5",
      "author": "Psalms / King James Version",
      "title": "Psalm 34:17–22, specifically first clause of 34:18",
      "url": "https://www.biblegateway.com/passage/?search=Psalm%2034%3A17-22&version=KJV",
      "role": "Primary religious passage; epigraph and explicitly limited ethical reading",
      "limitations": "Not clinical evidence, guaranteed deliverance in medical terms, or a requirement to believe; Russian numbering distinction stated"
    },
    {
      "id": "S6",
      "author": "Confucius / James Legge (translator)",
      "title": "The Chinese Classics, Volume 1: Confucian Analects, Book XV, chapter XXIII in this edition",
      "url": "https://www.gutenberg.org/cache/epub/4094/pg4094-images.html",
      "role": "Primary philosophical passage on reciprocity, applied expressly to helper conduct",
      "limitations": "No trauma mechanism, diagnostic evidence, compulsory trust or reconciliation inferred; authorial comparison marked"
    },
    {
      "id": "S7",
      "author": "NHS",
      "title": "Domestic violence and abuse",
      "url": "https://www.nhs.uk/live-well/getting-help-for-domestic-violence/",
      "role": "Present coercive conditions and limits of joint conversation",
      "limitations": "UK page; no local service, legal conclusion or individual safety plan."
    }
  ],
  "schema_org": {
    "@context": "https://schema.org",
    "@type": "Article",
    "identifier": "UW:MHR-046:en",
    "headline": "Long-lasting abuse in the past and relationships now",
    "inLanguage": "en",
    "author": [
      {
        "@type": "Person",
        "name": "Andrey Zarinsh"
      },
      {
        "@type": "Person",
        "name": "Maria Evilkut"
      }
    ]
  }
}
```