“As is true in many families where children create enormously upsetting diversions from core family secrets, Elana’s family fixed on her behavior as further proof that the secret should remain buried. When behavior is truly a distraction for the unspeakable, therapist after therapist may be brought in, each attempting to intervene at the wrong level, mistakenly addressing such signals at the biological, behavioral, intrapsychic, or interpersonal level, while completely missing the unimaginable maze of secrecy in which such actions are embedded.”