Total CE Credit Hours: 1.5
Course Info URL: http://www.ce-credit.com/courses/102070
About the Course:
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. Such women, when able to speak of it will describe the induction by their paternal abuser of orgasm at a very young age, typically around the age of six. Such women have high indices of self-harm and suicidality and are prone to place themselves in dangerous reenactment scenarios. The average duration of incestuous abuse for this group of women was 31 years and the average estimate of episodes of sexual abuse in their lives, 3,320. Most such women experience being “fused” to their father and do not feel that they have ownership of their own body. Generally their mother was reported as an active participant in the sexual abuse or at least as having done nothing to protect their daughter despite seeing obvious evidence of incest. The fathers, despite a propensity to use or threaten violence are generally outwardly productively employed, financially comfortable, stably married and half have had close involvement with a church. However, suicide and murder occur within the first or second degree relatives of these women at a high frequency. All ten had been sexually abused by various groupings of individuals connected to their fathers.
There have been ongoing reports of such cases in isolation for the past one and a half centuries and these reports are summarized in this presentation. The marked increase in the press reporting of such abuse in the wake of the documented abuses of Josef Fritzl, has allowed for the comparison of contemporary cases in the press to be compared with those encountered clinically and has confirmed many congruent similarities in both populations.
This form of extreme abuse has until recently not attracted any form of systematic scientific study and there has been little offered by way of published management guidelines.
Warwick Middleton, MB BS, FRANZCP, MD
Course Material Author
This course is recommended for health care professionals, especially psychologists, counselors and social workers who seek knowledge about dissociative identity disorder as it relates to incestuous abuse in adults. It is appropriate for an intermediate level to advanced level of participants’ knowledge.
Recognize the circumstances where ongoing incestuous abuse of the adult patient has happened and is likely to be continuing to happen.
Explain where this form of abuse fits into the spectrum of severe trauma and why there has been so little focus on it in the scientific literature.
Describe how management of such abused individuals requires addressing a strong attachment to abusers, substantial shame and a virtual life time of sexual conditioning.
American Psychological Association (APA)
CE Learning Systems is approved by the American Psychological Association to sponsor continuing education for psychologists. CE Learning Systems maintains responsibility for this program and its content.
NAADAC, the Association for Addiction Professionals (NAADAC)
Our Provider Number: 192243
This course has been approved by CE Learning Systems, service provider of CE-credit.com, as a NAADAC Approved Education Provider, for educational credits. NAADAC Provider #107243, CE Learning Systems is responsible for all aspects of their programming.
National Association of School Psychologists (NASP)
NASP accepts 30 CPD credits of sequenced self-study per each three year renewal.
American Academy of Health Care Providers in the Addictive Disorders (AAHCPAD)
Our Provider Number: 17-1460
CE Learning Systems dba CE-credit.com has been approved to offer Continuing Education credit for Certified Addiction Specialists (CAS) in accordance with the American Academy of Health Care Providers in the Addictive Disorders. Approval No. 17-1460.
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