The term Family Scapegoating Abuse (FSA) was coined by psychotherapist and clinical researcher Rebecca C. Mandeville. Mandeville’s work is foundational to the field, and she has collaborated with other researchers to study this insidious systemic phenomenon. Her recent peer-reviewed quantitative studies serve to further legitimatize the devastating reality of FSA and recovery challenges survivors face. Mandeville’s work is seen as foundational to the field, providing a crucial linguistic and conceptual framework that is now used world-wide by adult survivors, clinicians, and researchers.
Key researchers and their contributions
Rebecca C. Mandeville
As the central figure in FSA research, Mandeville’s work includes:
- Creating and defining the term ‘Family Scapegoating Abuse’ (FSA): This has provided a crucial framework for understanding the systemic psycho-emotional abuse that occurs when a dysfunctional family unfairly targets one member with blame and criticism.
- Qualitative research: Through her clinical practice and studies, she identified that FSA often leads to Complex Trauma (C-PTSD), Betrayal Trauma, Complicated Grief; Anxiety Disorders; Depressive Disorders; Impostor Syndrome; and Toxic Shame.
- Quantitative research: In 2024, she co-authored (with Doctoral Research Scholar Dr. Kartheek R. Balapala and his team) the first peer-reviewed quantitative study on Family Scapegoating Abuse (FSA), followed by a second study in 2025 (scroll down for links to these studies, which were published in peer-reviewed health and medical journals in Europe and Asia).
- Authoring content: Mandeville wrote Rejected, Shamed, and Blamed: Help and Hope for Adults in the Family Scapegoat Role, which details her findings and provides resources for survivors. She also publishes new articles about FSA regularly on her Healing the Scapegoat Wound Substack and is a licensed Healthcare Partner on YouTube via her Beyond Family Scapegoating Abuse channel.
- A Unique Nomenclature: Other terms coined by Mandeville as a result of her original FSA research that enhance survivor and clinician discussions include ‘family scapegoat trauma’; ‘scapegoat narrative’; ‘righteous rage’; and ‘scapegoat grief’.
Key findings from the research of Rebecca C. Mandeville
- Complex trauma and other effects of FSA: Mandeville’s research revealed that many FSA survivors suffer from complex trauma as a result of chronic systemic relational trauma; betrayal trauma; attachment trauma; anxiety; depression; and toxic shame. As such, FSA results in a variety of psycho-emotional symptoms and social impediments, including feeling that the world is an unsafe place, emotional dysregulation, a sense of not belonging anywhere, and difficulty forming healthy, secure relationships.
- Systemic dynamics: The research reveals that scapegoating is a systemic issue often fueled by intergenerational trauma, projection, and the splitting of family roles, where one child is designated as the “scapegoat”.
- Clinical consequences: Survivors often report a long history of seeking treatment for various diagnoses like depression, anxiety, or personality disorders without the root cause of the scapegoating being identified.
- Impact on relationships: FSA can lead to a distorted relationship with oneself and others, self-doubt, difficulty expressing emotions, and a tendency to engage in “fawning” or people-pleasing behaviors due to the betrayal trauma and toxic shame experienced within their family-of-origin.
Dr. Kartheek R. Balapala
Co-authored quantitative studies: As a research fellow and MD, Dr. Balapala co-authored the first peer-reviewed quantitative study on FSA with clinician and Family Systems researcher Rebecca C. Mandeville in 2024. This study was published in the European Journal of Public Health Studies. Mandy Sizalobuhle Mpofu, Research Scholar, also co-authored this study.
*Read our first FSA quantitative study at https://oapub.org/hlt/index.php/EJPHS/article/view/202/202
Dr. Kartheek R. Balapala also collaborated on a second quantitative study with Family Systems and Scapegoat Abuse expert Rebecca C. Mandeville; Research Scholar Dr Suriyakala Perumal Chandran; and researcher Chanda Chisanga, which focused on how Family Scapegoating Abuse (FSA) affects women with Postpartum depression (PPD).
*Read our second FSA quantitative study at https://oapub.org/hlt/index.php/EJPHS/article/view/232/232
In Summary: Mandeville’s research on Family Scapegoating Abuse (FSA) shows it’s a severe form of family dysfunction where one child absorbs the family’s negativity, leading to complex trauma (C-PTSD) in the victim, marked by anxiety, depression, low self-worth, and relationship issues, often fueled by generational trauma, and results in deep emotional wounds like toxic shame and identity confusion, requiring trauma-informed healing. The abuse involves a distorted “scapegoat narrative” and systemic blame, impacting mental health, self-perception, and future relationships, even extending into adulthood as siblings perpetuate the narrative.
Core Concepts, Unique Nomenclature, & Dynamics Associated With FSA
- Systemic Mechanism: Scapegoating is a structural defense mechanism for dysfunctional families (not just narcissistic ones) to manage overwhelming stress or trauma, often involving intergenerational patterns.
- Scapegoat Narrative: A false, defamatory story created by the family that labels the child as the problem, which becomes deeply ingrained, causing identity confusion and internalized shame.
- Righteous Rage (a form of Functional Anger): Anger that is a direct, proportional, and self-affirming response to a real and systemic injustice (like FSA). This anger serves as a vital signal and motivator for differentiation and boundary setting.
- Perpetuation: Even after a parent’s death, siblings, especially the “golden child,” may continue the narrative to maintain family balance.
Psychological & Emotional Impacts (C-PTSD)
- Complex Trauma: The chronic nature of FSA leads to C-PTSD, disrupting self, emotional regulation, and relational capacity.
- Mental Health: High rates of anxiety, depression, chronic stress, and suicidal ideation.
- Self-Perception: Profound low self-esteem, self-doubt, toxic shame, guilt, and feelings of worthlessness.
- Emotional Dysregulation: Difficulty trusting, expressing emotions, and feeling safe, leading to fawning or people-pleasing behaviors.