When basic human needs are ignored, rejected, or invalidated by those in roles and positions to appropriately meet them; when the means by which these needs have been previously met are no longer available: and when prior abuse has already left one vulnerable for being exploited further, the stage is set for the possibility these needs will be prostituted. This situation places a survivor who has unmet needs in an incredible dilemma. She can either do without or seek the satisfaction of mobilized needs through some "illegitimate" source that leaves her increasingly divided from herself and ostracized from others.

While meeting needs in this way resolves the immediate existential experience of deprivation and abandonment. it produces numerous other difficulties. These include experiencing oneself as “bad” or "weak" for having such strong needs; experiencing shame and guilt for relying on “illegitimate” sources of satisfaction: experiencing a loss of self-respect for indulging in activities contrary to personal moral standards of conduct; risking the displeasure and misunderstanding of others important to her; and opening oneself to the continued abuse and victimization of perpetrators who are all too willing to selfishly use others for their own pleasure and purposes under the guise of being 'helpful.

J. Jeffrey Means