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Archived Webinar

Ongoing Incestuous Abuse During Adulthood

PRESENTED BY:  Professor Warwick Middleton
Friday, May 9, 2014 3:30- 5:00 PM EDT

1.5 CE Credits AVAILABLE for this 90 minute webinar

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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. 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 summarised 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.

Upon completion of this webinar, participants will be able to: 

1-  Recognize the circumstances where ongoing incestuous abuse of the adult patient has happened and is likely to be continuing to happen.
2-  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.
3-  Describe how management of such abused individuals requires addressing a strong attachment to abusers, substantial shame and a virtual life time of sexual conditioning.

Presenter Bio:
Professor Warwick Middleton, MB BS, FRANZCP, MD
holds honorary appointments as Adjunct Professor, at the School of Public Health, La Trobe University, Melbourne, at the School of Behavioural, Cognitive & Social Sciences, University of New England, and at the Psychology Department, College of Science, University of Canterbury. He is Associate Professor, School of Medicine, University of Queensland. Professor Middleton has made substantial and ongoing contributions to the trauma and bereavement literature and was the primary architect in establishing Australia’s first inpatient/day hospital program for individuals with complex trauma/dissociative disorders in January 1997. He was the principal author of the first published series of individuals with DID to appear in the Australian scientific literature. He has had extensive involvement in teaching, including providing seminars and workshops as well as the supervision of health professionals. He chairs the Cannan Institute.

Professor Middleton has been a member of ISSTD for well over two decades, is a Fellow of the Society and has been a long term member of the Editorial Board of the Journal of Trauma & Dissociation. He is currently an ISSTD Board member, Vice-Chair of the Scientific Committee, and Co-Chair of the Membership Committee. He was the recipient of the 2013 ISSTD Morton Prince Award for Scientific Achievement.

How The Webinar Works
Once you register for the webinar you will receive an automated registration confirmation email. In that email you will be provided the link to join the webinar come May 9, 2014. Do not lose this email! On May 9, 2014 you will need to click on the link to join the presentation. Please remember we will begin on-time so log in early.

If It Is Free For Members, Do I Need to Register?
Yes. You will need to register that way you can receive the link to join the webinar. Don't worry when you go to register your price will show $0.

What Do I Need To Do To Join The Webinar?
To join the webinar you will need both a computer with internet connection and a telephone (preferably a land line). You will view the webinar on your computer as well as type questions to the presenter as they come to you throughout workshop. Your phone will provide you the audio to listen into the webinar.

Drats, I Can't Attend!
If your schedule won't allow for you to attend, the webinar will be recorded and available to members for free in the Member's Corner within a week of the original presentation. The webinar recording can be accessed in the CE Learning Systems Online Library.  Archived webinar content is $25 on the CE Learning Systems site.  Exam fees for credits start at $10.46.

To access the recording, click here

Whats Next?
June Webinar  "Crisis Management for Clients with Complex Trauma" on Friday, June 13, 2014 at 11:30AM (EDT). More information to come!

Questions? Contact ISSTD - info@isst-d.org - 703-610-9037


1.5 Continuing Education Credits are available for this Webinar

Continuing Education Sponsor:
CE Learning Systems is a co-sponsor of this event. Purchase of continuing education credits is included as an option in the registration form and is available in the U.S. and Canada.

NBCC  - CE Learning Systems, LLC is an NBCC-Approved Continuing Education Provider (Provider # 5951) and a cosponsor of this event/program.  CE Learning Systems, LLC may award NBCC-approved clock hours for events or programs that meet NBCC requirements. CE Learning Systems maintains responsibility for the content of this event.

ASWB - CE Learning Systems, (Provider #1020), is approved as a provider for social work continuing education by the Association of State Social Work Boards (ASWB) www.aswb.org, through the Approved Continuing Education ACE program.  ASWB Approval Period: 02/23/2013 - 02/23/2016.  Social workers should contact their regulatory board to determine course approval. Social workers participating in this course will receive continuing education clock hours. This course has been approved for 1.5 credit hours.

NAADAC - ISSTD's Continuing Education Co-sponsor, CE Learning Systems, is approved by the National Association of Addiction and Drug Abuse Counselors (NAADAC Provider # 410) to provide continuing education courses.  CE Learning Systems maintains responsibility for this program and its content.

APA - ISSTD's Continuing Education Co-sponsor, CE Learning Systems, is approved by American Psychological Association to sponsor continuing education for psychologists. CE Learning Systems maintains responsibility for this program and its content.


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