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​​​​​​​Substantial numbers of patients with Dissociative Identity Disorder at the time of presentation as adults report incestuous abuse continuing into the adult years and for many, the abuse is current and ongoing. Data relating to a series of 10 such incestuously abused women is presented. Such patients usually have been sexually abused from a very early age (typically from under age 3), with the manipulation of their sexual response a key component in conditioning an enduring sexualized attachment, at the same time shame and fear are used as key components in maintaining compliance and silence.
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Therapists can be overwhelmed by working with clients with frequent crises that threaten the life, safety, and health of the client. Often, clients suffering from Complex Trauma and Dissociative Disorders present with a phenomenal array of crisis events. Therapists often struggle with the complexity, frequency, and severity of these events, and their overwhelming emotional toll on both client and therapist.
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  • 1.50 ISSTD Certificate Program

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