I would like to turn in my skin and change it for a new epidermis. It feels as if I will never be able to rinse the sadness from my soul. All the while I am cognizant of the fact that I am trying to purge myself of my feelings. I start with my shell. I am in the water at least an hour. I immerse my head. My long, thick mane is so heavy, but I feel the lightness of my hair as it floats. I can hear my heart beating in my ears. I wonder what would happen if I died in this water. I drain the bathtub and refill it. I scrub my skin until it stings. I still don't feel clean. I close my eyes.I switch to lying on my back. I gaze at the heavens through the skylight on the ceiling above the tub. I am thinking about Isabella. I am struck by the feeling of uncleanness that I have been immersed in that day. I would imagine that this child feels unclean always, in body and in mind. I am hoping that the sheets in her foster home are snow white and fragrant. I am hoping that she felt safe. I am worried that she is so deeply alone and frightened. I know somewhere deep inside of me that the decisions and choices I made today were sound. I am praying, with eyes glued to the stars, that I will not awaken in the night with my heart beating out of my chest; that I will not be haunted by Francis's diseased body; that I will not perseverate on ever nuance of my day - the smells, the cockroaches, the piercing torment of Isabella's unseeing eye, her father's sore-ridden penis penetrating her tiny body. Yet in many ways this is an experience I hope never to forget. The pearls. I must not forget the pearls that I have promised her.

Carla's description was typical of survivors of chronic childhood abuse. Almost always, they deny or minimize the abusive memories. They have to: it's too painful to believe that their parents would do such a thing. So they fragment the memories into hundreds of shards, leaving only acceptable traces in their conscious minds. Rationalizations like "my childhood was rough," "he only did it to me once or twice," and "it wasn't so bad" are common, masking the fact that the abuse was devastating and chronic. But while the knowledge, body sensations, and feelings are shattered, they are not forgotten. They intrude in unexpected ways: through panic attacks and insomnia, through dreams and artwork, through seemingly inexplicable compulsions, and through the shadowy dread of the abusive parent. They live just outside of consciousness like noisy neighbors who bang on the pipes and occasionally show up at the door.