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Quote by Michael Salter

“Some mental healthcare workers are aware of clients with high needs, such as dissociative disorders and personality disorders, who have histories of sexual abuse (contact offences), usually from early childhood, involving two or more adults acting together and multiple child victims (Gold et al., 1996; McClellan et al., 1995; Middleton & Butler, 1998). This has been defined as “organised abuse” (Bibby, 1996; La Fontaine, 1993). Excluded from this definition are cases where a child is sexually abused by multiple perpetrators who are unaware of one another, such as survival sex amongst homeless youths, or where abuse is limited to a single household or family and there are no extra-familial victims (La Fontaine, 1993). Organised abuse: A neglected category of sexual abuse. Journal of Mental Health, 2012; 21(5): 499–508”

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Michael Salter

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“When DID is severe Just as any condition may be mild or severe, this is equally true of dissociation and any condition indicated on the dissociative scale. When someone has endured organized or ritualized abuse, dissociation may be their only defense; sometimes even this is used against them. Whilst DID can be diagnosed with the presence of only two or more distinct parts/'self-states", survivors of chronic and complex abuse, or of organized or ritualized abuse may have many, many more parts. This is called "polyfragmentation" - quite literally "many fragments". Survivors of this form of abuse are likely to need specialized support from professionals experienced and equipped for working with this type of trauma.”

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