“…For example, clients reporting prolonged incest may still be victimized while treatment is ongoing (Middleton, 2013b), and therapists may experience the moral injury of witnessing but being unable to help or prevent violence, ill-health, or abuse, often due to the persistence of the abusers and/or the systemic limitations of health and welfare systems (Čartolovni et al, 2021; Mantri et al, 2020). These limitations include the tendency for reports of abuse by highly dissociative and mentally unwell individuals to be disbelieved or invalidated, which often restricts the capacity of therapists to constructively engage other providers and professionals in the care of this client group (Middleton, 2022; Salter, 2017).…”