Severe abuse often occurs in settings where the grouping, whether based around a family or a community organisation or institution, outwardly appears to be very respectable. The nature of attachment dynamics allied with threat, discrediting, the manipulation of the victim's dissociative defences, long-term conditioning and the endless invoking of shame mean that sexual, physical and emotional abuse may, in some instances, be essentially unending. Even when separation from the long-term abuser is attempted, it may initially be extremely difficult to achieve, and there are some individuals who never achieve this parting. Even when the abuser is dead, the intrapsychic nature of the enduring attachment experienced by their victim remains complicated and difficult to resolve. This volume includes multiple perspectives from highly experienced clinicians, researchers and writers on the nature of the relationship between the abused and their abuser(s). No less than five of this international grouping of authors have been president of the International Society for the Study of Trauma and Dissociation, the world's oldest international trauma society. This book, which opens with a highly original clinical paper on 'weaponized sex' by Richard Kluft, one of the foremost pioneers of the modern dissociative disorders field, concludes with a gripping historical perspective written by Jeffrey Masson as he reengages with issues that first brought him to worldwide prominence in the 1980s. Between these two pieces, the contributors, all highly acclaimed for their clinical, theoretical or research work, present original, cutting edge work on this complex subject. This book was originally published as a double special issue of the Journal of Trauma and Dissociation.

This outstanding book is an update on where the mental health profession's complaints system is now. Its timely analysis follows in the wake of prior work on reform, which include the attempt in 2001 at the House of Lords to statutorily regulate psychotherapists in the UK. (Alderdice/Casement et al.) -- Professor Ann Casement, LP, Past-Chair UKCP. The patient's word was once easily dismissed against the word of the psychiatrist, doctor or therapist, leaving the patient vulnerable. Recognising this inherent risk in the relationship between clinicians and patients, professional regulations have gradually been established to facilitate patients' access to information, support and recourse. However, while most professions also explicitly protect their own members, there are, notably, no systems in place to protect psychotherapists. The current complaint procedure presumes the therapist's guilt until proven innocent, rather than the reverse. The Psychotherapist and the Professional Complaint explores this problem with sensitivity and rigour. In these chapters, the contributors examine ways to address serious conflicts in the psychotherapy relationship and the role of professional bodies in protecting their members while regulating their performance. Acknowledging both strengths and flaws, they outline the historical context and future prospects of the current complaint procedures. This book invites us to think and speak on the controversial subject of complaints, supporting patients, therapists and policymakers alike.

This ground-breaking book examines the role of crime in the lives of people with Dissociative Identity Disorder, formerly known as Multiple Personality Disorder, a condition which appears to be caused by prolonged trauma in infancy and childhood. This trauma may be linked with crimes committed against them, crimes they have witnessed, and crimes they have committed under duress. This collection of essays by a range of distinguished international contributors explores the complex legal, ethical, moral, and clinical questions which face psychotherapists and other professionals working with people suffering from Dissociative Identity Disorder. Contributors to this book are drawn from a wide range of professions including psychotherapy, psychoanalysis, counselling, psychology, medicine, law, police, and social work.

Personality Disorder is a baffling, confusing and rather bizarre condition. Although Dissociative Identity Disorder (DID) is a formal DSM-IV diagnosis, it is still very controversial, and many professionals claim that it is extremely rare, does not exist or is fictitious. There are many reasons why professionals may be reluctant to acknowledge DID: it is, indeed, baffling, confusing and bizarre. However, there are, perhaps, other reasons for the "low popularity" of this condition. DID, like Post Traumatic Stress Disorder (PTSD), appears to be caused by trauma. But unlike PTSD, it appears to be caused by prolonged trauma, trauma which started in early childhood or infancy. Listening to accounts of people with DID is confusing due to the multiplicity of speaker(s)-it is also upsetting. The traumatic content of the stories is upsetting. The un-proved claims about terrible crimes are unsettling. We are faced with very difficult legal, ethical, moral and clinical questions, not knowing how to respond, what to believe, how to think.This book focuses on the most unsavory aspects of DID, namely, the forensic. It explores the role of crime in the lives of people with DID: crimes committed against them, by them and crimes that they have witnessed. The various papers reflect the experiences and thoughts of a range of professionals who have worked with this group: a GP, a psychiatrist, a police officer, a lawyer, psychotherapists and counselors and, most generously, a person who has DID.

Severe abuse often occurs in settings where the grouping, whether based around a family or a community organisation or institution, outwardly appears to be very respectable. The nature of attachment dynamics allied with threat, discrediting, the manipulation of the victim's dissociative defences, long-term conditioning and the endless invoking of shame mean that sexual, physical and emotional abuse may, in some instances, be essentially unending. Even when separation from the long-term abuser is attempted, it may initially be extremely difficult to achieve, and there are some individuals who never achieve this parting. Even when the abuser is dead, the intrapsychic nature of the enduring attachment experienced by their victim remains complicated and difficult to resolve. This volume includes multiple perspectives from highly experienced clinicians, researchers and writers on the nature of the relationship between the abused and their abuser(s). No less than five of this international grouping of authors have been president of the International Society for the Study of Trauma and Dissociation, the world's oldest international trauma society. This book, which opens with a highly original clinical paper on 'weaponized sex' by Richard Kluft, one of the foremost pioneers of the modern dissociative disorders field, concludes with a gripping historical perspective written by Jeffrey Masson as he reengages with issues that first brought him to worldwide prominence in the 1980s. Between these two pieces, the contributors, all highly acclaimed for their clinical, theoretical or research work, present original, cutting edge work on this complex subject. This book was originally published as a double special issue of the Journal of Trauma and Dissociation.