It means that um particularly in therapy it can be very difficult later on because things that we would ordinarily consider to be supportive like being kind, like erm y'know kind of putting a comforting arm round somebody's shoulders, like erm y'know ways in which people express support and affection for each-other ah are very very difficult for the survivor to accept because they're sort of the part of the way in which she, and it usually is a she, has been abused in the past.