Victims of organized abuse, in particular mind control and ritual abuse, frequently have deliberately designed personality systems with parts trained to maintain the security of the perpetrator group. Survivors' physical safety is endangered by parts trained to maintain ongoing contact with perpetrators. I shall discuss the different kinds of access training, with suggestions for preventing and avoiding ongoing access. Survivors are also endangered by parts trained to punish the person for forbidden behavior such as disclosures, so that telling secrets results in decompensation. I shall talk about the structure of the organized personality system, internal hierarchies, the role of punisher parts and their bosses, and ways to prevent or stop symptoms such as emotional flooding, pain, and self-harm which result from punisher parts doing their jobs.
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.