O, I've had severe anxiety and improving self esteem (possibly through CBT) is part of the recommended recovery now. Maybe 'cause' isn't the right word, but low self esteem (often beginning in infancy) is recognised by experts as being one of the things that needs fixing on the way to recovery. I came through my CBT quite literally not knowing who I was because in forty-odd years I'd been fed so much shit about how weak and worthless I was, I believed it all. The irony is that much of it came from people who loved me and who wanted the best for me, and because of their own (Christian) upbringing believed the way to make me turn out right was to shame me into it. It's no surprise then that my relationships followed a similar pattern.
Thankfully my Aspergers' went undiagnosed through childhood - whilst not having any justification for my behavioural differences created issues, at least I didn't have to put up with the significant stigma that would have been attached at that time to what is still pitched as a mental 'problem', but is really simply an acknowledgment of a difference in attitude.
CBT is widely prescribed for autistic children, and I'm in two minds on it. For some of the most severe cases it offers an opportunity to mimic acceptable behaviours without understanding them - affording them and their families opportunities to take part in everyday life that would otherwise be difficult - but it is predicated on the idea that understanding will follow the behaviour, and that simply isn't the case with autistics, necessarily. Instead you have little autistic robots, blindly following a script to afford other people comfort - as opposed, of course, given the nature of autism, to have autistic children probably following their own script to afford them comfort, often to the detriment of those around them.
Part of healthy self esteem is accepting the imperfections; they make us who we are. But as you say, they don't define us; indeed, what we regard as our flaws can sometimes be utilised to the benefit of others and ourselves.
I don't really like the term 'imperfections'. The implication there is that there is a perfect, somewhere - that variety of humanity is perfection, it affords us versatility and differing viewpoints. We aren't whole individually, we are part of a community, and perfection lies not in our individual capacity but what we can achieve as a collective.
O.
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