Ongoing incentuous abuse during adulthood

Middleton, Warwick (2013) Ongoing incentuous abuse during adulthood. Journal of Trauma and Dissociation, 14 3: 251-272. doi:10.1080/15299732.2012.736932

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Author Middleton, Warwick
Title Ongoing incentuous abuse during adulthood
Journal name Journal of Trauma and Dissociation   Check publisher's open access policy
ISSN 1529-9740
Publication date 2013-05
Year available 2012
Sub-type Article (original research)
DOI 10.1080/15299732.2012.736932
Open Access Status
Volume 14
Issue 3
Start page 251
End page 272
Total pages 22
Place of publication Philadelphia, United States
Publisher Routledge
Collection year 2013
Language eng
Formatted abstract
Individual cases of adult incestuous abuse have surfaced repeatedly in the lay and professional literature of the last one and a half centuries without it occasioning systematic investigation, such as the reporting of a case series of individuals subjected to such extreme abuse. Yet substantial numbers of patients with Dissociative Identity Disorder at the time of presentation report incestuous abuse continuing into the adult years and for many, the abuse is ongoing. Data relating to a series of 10 such incestuously abused women is presented. Such patients have been sexually abused from a very early age (typically from under age three), with the manipulation of their sexual response a key component in conditioning an enduring sexualized attachment. Shame and fear are also used to ensure compliance and silence. Such women, when able to speak of it, will describe the induction by their paternal abuser of orgasm at an early 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 total episodes of sexual abuse, 3,320. Most such women do not feel they own their body and experience being “fused” to their father. Their mother was reported as an active participant in the sexual abuse or as having done nothing to protect their daughter despite seeing obvious evidence of incest. The fathers, despite a propensity to use or threaten violence were generally outwardly productively employed, financially comfortable, stably married and half had close church involvement. 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.
Keyword Dissociative Identity Disorder
Sexual Abuse
Q-Index Code C1
Q-Index Status Confirmed Code
Institutional Status UQ
Additional Notes Accepted author version posted online 6 December 2012.

Document type: Journal Article
Sub-type: Article (original research)
Collections: Official 2013 Collection
School of Medicine Publications
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Citation counts: TR Web of Science Citation Count  Cited 6 times in Thomson Reuters Web of Science Article | Citations
Scopus Citation Count Cited 8 times in Scopus Article | Citations
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Created: Mon, 15 Apr 2013, 11:55:32 EST by Sheila Cleary on behalf of Psychiatry - Royal Brisbane and Women's Hospital