In Patrick Susskind’s novel Perfume, the protagonist, Grenouille, is able to concoct fragrances that overwhelm those inhaling them with a sense of the fragile beauty of lost innocence. Liberally using perfume in this way he brings to control even a crowd who, seconds before, would have killed him: they halt their attack and revere him.
Recent research and social debate and policy have directed increased attention to the many children who - on single occasions or repeatedly during their entire childhood - experience their parents'violence
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.
Within the clinical setting, shame can manifest as a central self-conscious emotion in the aetiology and maintencance of psychological problems. In chronic manifestations, typically present in