an old movie reel

Waking Up With American Dreamer: Patriarchy, Trauma, and Choosing a Different Story

September 07, 20253 min read

"Patriarchy is not just a relic of the past—it is the trauma we risk repeating unless we choose a different story." - Mary Coughlin

The first time I saw American Dreamer with JoBeth Williams and Tom Conti, I thought I was watching a lighthearted romantic adventure. But something inside me shifted as the story unfolded. What should have been simple escapism cracked open a deeper awareness: I was watching misogyny and patriarchy dressed up as entertainment.

The subtle dismissal of women’s voices. The way “romance” was coded as male control and female submission. The unspoken assumption that a woman’s worth was measured in how much she could be remade to fit a man’s story.

I remember sitting there, feeling my chest tighten. This wasn’t just a movie. This was culture. This was what we were taught to laugh at, long for, and normalize. And suddenly, I was awake to it.

The Heartbreak of Recognition

It crushes me now to realize how accepted this worldview was—not just tolerated but celebrated. Entire generations were steeped in it. And the heartbreak is sharper still as I look around today and see how quickly we are being dragged backward.

Policies rolling back women’s autonomy. Leaders who wield power through domination rather than care. A culture that once again rewards silence and punishes dissent.

The patriarchy never left; it only shape-shifted. And now, with the current administration, it bares its teeth more openly.

Why This Awakening Matters

When I think about trauma—in the NICU, in healthcare, in communities, in democracy—it all comes back to the same root: the misuse of power. Whether in an incubator or a legislative chamber, trauma takes hold when human dignity is ignored and one group assumes the right to control another.

Patriarchy is not just a cultural backdrop; it is trauma by design. It teaches people—especially women, children, and marginalized groups—that their voices don’t matter. That their safety is secondary. That their dreams must be deferred.

Refusing to Go Back

We cannot let nostalgia or resignation lull us into believing “that’s just how things are.” American Dreamer showed me how insidiously patriarchy weaves itself into stories, but lived reality today is showing us the cost of letting those stories go unchallenged.

My work in trauma-informed developmental care is about more than babies in the NICU—it is about re-imagining how we hold one another in this world. It is about refusing to accept systems built on domination, silence, or erasure. It is about daring to weave a future where care is the culture, not the exception.

A Call to Wakefulness

So here’s the question for all of us:
What “movies” are we still watching without seeing what’s really playing out?

Because the fight for equity, justice, and belonging is not theoretical. It is happening in our policies, in our workplaces, in our homes, in our bodies. And if we do not stay awake, we risk becoming extras in someone else’s script of control.

The dream we are called to is bigger than the American Dream—it is the human dream of dignity, belonging, and care. And it will only come alive if we wake up to the stories that have lulled us into forgetting.

Until care becomes culture,
Mary

Mary Coughlin, BSN, MS, NNP, is a globally recognized leader in Trauma-Informed Developmental Care and the founder of Caring Essentials Collaborative. With over 35 years of clinical experience and a deep passion for nurturing the tiniest and most vulnerable among us, Mary’s work bridges the art and science of neonatal care. She is the creator of the Trauma-Informed Professional (TIP) Assessment-Based Certificate Program, a transformative initiative designed to empower clinicians with the knowledge, skills, and support to deliver exceptional, relationship-based care.

Mary is also an award-winning author, sought-after speaker, and compassionate educator who inspires healthcare professionals worldwide to transform their practice through empathy, connection, and evidence-based care. As the visionary behind the B.U.F.F.E.R. framework, Mary helps clinicians integrate love, trust, and respect into every interaction.

Through her blog, Mary invites readers to explore meaningful insights, practical tools, and heartfelt reflections that honor the delicate balance of science and soul in healthcare. Whether you’re a seasoned clinician, a passionate advocate, or simply curious about the profound impact of compassionate care, Mary’s words will leave you inspired and empowered.

Mary Coughlin

Mary Coughlin, BSN, MS, NNP, is a globally recognized leader in Trauma-Informed Developmental Care and the founder of Caring Essentials Collaborative. With over 35 years of clinical experience and a deep passion for nurturing the tiniest and most vulnerable among us, Mary’s work bridges the art and science of neonatal care. She is the creator of the Trauma-Informed Professional (TIP) Assessment-Based Certificate Program, a transformative initiative designed to empower clinicians with the knowledge, skills, and support to deliver exceptional, relationship-based care. Mary is also an award-winning author, sought-after speaker, and compassionate educator who inspires healthcare professionals worldwide to transform their practice through empathy, connection, and evidence-based care. As the visionary behind the B.U.F.F.E.R. framework, Mary helps clinicians integrate love, trust, and respect into every interaction. Through her blog, Mary invites readers to explore meaningful insights, practical tools, and heartfelt reflections that honor the delicate balance of science and soul in healthcare. Whether you’re a seasoned clinician, a passionate advocate, or simply curious about the profound impact of compassionate care, Mary’s words will leave you inspired and empowered.

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