When first presenting for treatment, the patient can be fully aware of their abuse as an event, but their appraisal of it is often distorted, such as believing that the event was unremarkable (a form of isolation).
Ketika pertama kali hadir untuk pengobatan, pasien dapat sepenuhnya menyadari pelecehan mereka sebagai suatu kegiatan, tapi penilaian mereka sering terdistorsi, seperti percaya bahwa kegiatan ini biasa-biasa saja (suatu bentuk isolasi).