This book presents the case for a new DSM diagnosis of cult and ritual trauma abuse. The authors propose the following criteria for this diagnosis: "A. The presence of clinically significant distress or functional impairment with either…(1) disturbing or intrusive recollections of abuse [or] (2) involuntary dissociated mental states consisting of at least one of the following: (a) dissociated alter identities, (b) involuntary trance states, (c) automatisms, (d) catalepsy, or (e) stupor, coma, or coma-like states. B. The disturbance described in A is the result of ritual (circumscribed or ceremonial) abuse. C. The disturbance described in A cannot be better accounted for by Delusional Disorder or another psychotic disorder in which delusions are present, Malingering or Factitious Disorder, or as a consequence of the patient's suggestibility."