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Warwick Middleton, MB BS, FRANZCP, MD

Director, Trauma and Dissociation Unit, Belmont Hospital; Chair, The Cannan Institute; Board Member ISSTD, Professorial Appointments at Latrobe University, Canterbury University and University of New England, Associate Professor, University of Queensland, Brisbane, Australia

presenter photoProfessor Middleton has had substantive ongoing involvement with research, writing, teaching (including workshops and seminar presentations), supervision and conference convening. 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. Professor Middleton, who holds senior honorary appointments at La Trobe University, the University of New England, the University of Canterbury and the University of Queensland, was the first researcher to publish systematic research into ongoing incestuous abuse during adulthood. He is the current President-Elect of the ISSTD, is Chair of the ISSTD Membership Committee, and Vice-Chair of the ISSTD Scientific Committee. Prof Middleton chairs The Cannan Institute. In 1996 he was a principal architect in establishing Australia’s first dedicated unit treating dissociative disorders (the Trauma and Dissociation Unit, Belmont Hospital).

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Martin Dorahy, PhD, DClinPsych

University of Canterbury, Christhchurch, New Zealand

presenter photoMartin Dorahy, PhD, DClinPsych, is a clinical psychologist and associate professor in the Department of Psychology, University of Canterbury, Christchurch, New Zealand. Most of his published work has focused on complex trauma and dissociative disorders, their phenomenology, and cognitive and affective underpinnings. He is a fellow of the International Society for the Study of Dissociation (ISSTD) and a director on the Board of the ISSTD. Along with his academic and research work, he maintains a clinical practice focused primarily on the adult sequelae of childhood relational trauma.

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049 – Abuse: Organized and Unending

Plenary 8: Abuse: Organized and Unending

Sunday, November 29

4:15 PM - 5:00 PM

Room: Ballroom 1 & 2

Presenter(s):

Warwick Middleton, MB BS, FRANZCP, MD

Director, Trauma and Dissociation Unit, Belmont Hospital; Chair, The Cannan Institute; Board Member ISSTD, Professorial Appointments at Latrobe University, Canterbury University and University of New England, Associate Professor, University of Queensland, Brisbane, Australia

Chair(s):

Martin Dorahy, PhD, DClinPsych

University of Canterbury, Christhchurch, New Zealand

Until recently the widespread reality of ongoing incestuous abuse during adulthood had attracted no systematic research. A minimal literature was supplemented by biographical works written by or about victims of this form of abuse, and by press reports. The Josef Fritzl case stimulated a very marked increase in the press reporting of such abuse, and this in turn provided a reference point for more fine-grained data collection and scientific reporting. This paper discusses prolonged incest via the lens of organized abuse, summarizes research on incestuous abuse and incorporates multiple clinical examples to elucidate the mechanisms by which such abuse merges with, or develops into, variations of organized abuse, including that centered on the family, on prostitution, or on other abuse networks. The abuse practices, the net-working, and the tactics used to avoid prosecution practiced by the father perpetrating ongoing incestuous abuse during adulthood have much in common with other variants of organized sexual abuse.

Handout