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Always daddy's little girl: Incestuous abuse during adulthood

Professor Warwick Middleton

The research and clinical experience of the author working long-term with patients with Dissociative Identity Disorder is that at the time of presentation as adults approximately one in eight report incestuous abuse continuing into the adult years and in this group for many, the abuse is current and ongoing. Such patients typically have been sexually abused from a very early age, with the manipulation of their sexual response a key component in building an enduring sexualized attachment, at the same time as using shame as a key component in maintaining compliance and silence. Although rarely a focus of clinical enquiry, typically 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. 

24-28 August 2011 Sydney Convention and Exhibition Centre
Darling Harbour, Australia.
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Warwick Middleton
Warwick Middleton
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Professor Warwick Middleton

Warwick Middleton MB BS, FRANZCP, MD., holds appointments as Adjunct Professor, School of Public Health, La Trobe University, and, Associate Professor in Psychiatry, University of Queensland. He has made substantial and ongoing contributions to the bereavement and trauma literatures and was with Dr Jeremy Butler, author of the first published series in the Australian scientific literature detailing the abuse histories and clinical phenomenology of patients fulfilling diagnostic criteria for Dissociative Identity Disorder. He is Chair of The Cannan Institute as well as its research and conference organising committees. In 1996 he was a principal architect in establishing Australia’s first dedicated unit treating dissociative disorders (the Trauma and Dissociation Unit, Belmont Hospital – Health Care).
He has been in full time private practice since 1995. He has had substantive ongoing involvement with research, writing, reviewing, teaching (including workshops and seminar presentations), conference convening and supervision of health and research professionals. He is a member of the International Advisory Board of the Australian and New Zealand Journal of Psychiatry and is a member of the Editorial Board of the Journal of Trauma and Dissociation. In 2008 he was elected a Fellow of the International Society for the Study of Trauma and Dissociation (ISSTD). Dr Middleton recently served on the ISSTD committee revising the treatment guidelines for dissociative identity disorder and he is a member of the ISSTD Internationalisation Taskforce.

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Australia Society for Psychological MedicineANZAPWorld Council for PyschtherapyPACFABrisbane Institute of Strength Base PraticeISHHR - International Society for Health and Human RightWAS - World Association for Sexual HealthMissing of HopeAABCAPSTARTTSANSA