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lealonnie1: "When you tried to broach the subject in the past, YOU were treated like a crazy person. So what's this letter going to do now?"

THIS!!!

And don't you think there's a good chance she won't even finish reading the letter?

I am curious, though -- you state the psychological abuse continues to this day. What kind of contact do you have with your mother? Are you her POA/HCPOA? Does she call you?

What does your sister think of all the past abuse? Are the two of you close?
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If 100% honest means telling a woman on the point of death that she is a vicious b*tch with a narcissistic personality disorder who devastated her children's mental health and poisoned their lives, how are you going to phrase that kindly?

When you say you want to have closure before she dies, you can only mean that the letter has to have some kind of impact on her. What would that impact look like?

I'm sure you are not a horrible person, but the action you are contemplating is vile. Don't do it. Write the truth by all means only don't do this.
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As others have said, write the letter for yourself, get it all out, then burn it to let it go once and for all.

Once your mom is gone, the abuse will stop but only if you stop reliving it over and over and keeping it alive.
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Your mother has no 'empathy, compassion or shame', meaning, she is incapable of responding to your words, or of feeling anything from them at all. You're looking for a human response from a sociopathic individual. Why would you expect a normal reaction from an abnormal person? When you tried to broach the subject in the past, YOU were treated like a crazy person. So what's this letter going to do now? She's going to 'acknowledge' her wrongdoing to you b/c she's dying, have some sort of epiphany & call to apologize to you? That's about as likely as a snowstorm in Florida in August.

So, if you want to write a letter to bare your soul; to get it all out of YOUR system for YOU, do it, but don't mail it b/c you'll then wait for a response which will never come.

Soon enough your mother will pass and finally understand the impact she had on you; how her behavior affected you and others. That is 'hell' and she will see, through your eyes, what all that abuse did to you. That is my belief, anyhow.

However you decide to handle this matter, best of luck to you in getting past this terrible abuse that was doled out to you. You certainly deserved better, and you deserve better NOW than you will wind up getting from her in the way of an apology that will never come.
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I was told once to write the letter I needed to write to an abusive partner, but not to send it, rather burn it in a ceremony, as it would do no good for him to read it. He would not have seen my point of view. But that was a partner and I could get out of it. I cannot imagine what it's been like for you having had an abusive parent. It may help you to send it, but will most likely have not effect on your mother, since she has already called YOU crazy. I listen a lot to a friend who wants to talk about her abusive parents and over for the last 14 years the stories have gotten less and less frequent. I think she's getting over it. Find a friend to talk to. That will help more than the letter, but do what you must with the letter. You deserve some closure however you find it.
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No I don't think you are a horrible person for wanting to write her a letter detailing her abuse and what she did to you.

More than likely she will never acknowledge getting this letter.
Or if she does she will deny everything in said letter.

Abusers like your mother really don't believe they are abusers. They always lie and deny. It is amazing how they feel no guilt or remorse for the pain and terror they inflicted on their children.
How they just go on living their lives as if none of it ever happened.

If this letter will help you heal from the trauma of your mother's abuse then do it.
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Harrysmom, I think you should write the letter; but for you, not for your mom. As Katykat just said, your mom won't acknowledge it. Never say never but from what you've stated I doubt she has the capacity or ever had the capacity to give you what you want.

I think the closure will come for you by writing it out though. Write it out and release it to the universe. Maybe light it on fire after your mom passes. Symbolic for releasing it
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Look, the only part of her that could respond is that which has compassion, empathy and shame. Otherwise she won’t care.

Instead of sending the letter, I would burn it over moms symbolic or actual ashes.
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No, I don't think you're horrible for wanting this. I just wonder if there's any point in writing a letter to her at this stage, because she may not be capable of understanding.

It's a funny kind of justice, as I've said before...those parents who were abusive in their younger days were protected from hearing the truth by their sense of denial then, and now when they're elderly, they're protected from the truth by confusion and/or Dementia.
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