Jesta, HI
From what I have read it is trauma rather than our perception of it. Trauma that does the damage, and then lack of any adequate social support than would if we had the 'good stuff', then help us to work through it.
The commonality of some peoples answers here is how we were treated after our traumas, or even in some cases how they were impacted in on and also not even ackowledged in some cases that there was or could be a problem
It is not a conscious decision that we make but one that is 'forced' upon us by the disorder itself.
I have over simplified that here, but this explanation that I have found recurring does make much to help make sense of it for me.
Because I spent a lot of time diminishing what had happeened to me, and believeing I would just keep going and that I had no problem with what had happened, but the truth in actual fact is much different, and while I had lived unknowingly with PTSD; through flashbacks, triggers and intrusive thoughts, (which I did think everyone got), it was not until one particular incident where I was listening to an account that was very similar to something that had happened to me, that I actually completely fell down. And that was when, for me, the PTSD took on a whole new 'bigger and better', 'glorious' life of its own.
I am not saying this is carved in stone, but the diminishment of self and positive self perception during and after trauma does seem to play a factor in whether or even how we get it. And then lack of good supportive social support seems to impact and lessen self worth further and weaken or destroy any good internal self belief that we may or may not have had. If we have never had anything fed into us that we are anything of worth then that is a good foundation for PTSD to grow from. As many abused children seem to have been brought up to believe that we are worth nothing, before anything else comes in on top. The problem is not so much this is not good, I dont like it, I want it to stop, but it is; I have no other use than to be abused, I have no rights, etc and these are not necessarily thought outloud beliefs, these are internal core constructs and not until we start trying to fight against them, can they really be heard as the negative voices within us.
This is very simple how I have put it, I know; there is a lot more to it than this, but I do believe this for me has been a place where I can start to understand from. And this is something I, and I guess I am not alone in this, but I know that understanding for me is where I have needed to start. Because until I could let go some of what happened as being my fault or even anything to do wth me accept that it was me it happened to, well until then; I could not begin to start moving away from my past life of abuse and begin to see that there was and is something we can do to help ourselves in trying to move past it.
I have not let go of self blame completely, and it is a daily and repeatative thing I have to keep trying to do, but I have started and this for me is better than I ever thought possible.
I hope that this has helped in some way Jest. I would try to look at it not as pre because it wasn't before, except in our beliefs of who we are,and also our perception of the world. But it is post; it is everything that happened during and since, and how we have been able to deal with it or not. And how we have been made or we just mis-instinctively know that we are not deserving or worth better an how these negative thoughts feed the pTSD.
This is one of the reasons that I read so often the personal bill of rights and also the chart of human rights as laid down. Because I am still not able to believe I am worth more, I know I should be, but it is not my own central core belief of who I am. The only way I am able to take it on is through logic. I know I am a human being and so by very definition I know that the same rights I believe to be important for all people must therefore be important to and of me.
I hope this helps some Jest, it is not perceived and then thought through injustice, it is injustice and very real in that too. It is our internal perception also of injustice and that is very real and very valid, and it does stink. We have to keep working on it in the bast way we can, please don't give up trying on this Jest. I am sorry you are wrestling with it again, know please you aren't alone. But this can be won, we can make it somehow better than it is. It is unfair and it is crap that we are having to go through this time and again, but we can do this, YOU can do this- believe that please, try to; because it will help to let go of the anger or even the if you can.
your friend
~fin