“Recovering from family scapegoating requires recognizing that being the ‘identified patient’ is symptomatic of generations of systemic dysfunction within one’s family, fueled by unrecognized anxiety and even trauma. In a certain sense, members of a dysfunctional family are participating in a ‘consensual trance‘, i.e., a ‘survival trance’ supported by false narratives, toxic shame, anxiety, and egoic defense mechanisms, such as denial and projection.”