“Severity and the ritual nature of abuse has a significant causative relationship with polyfragmentation in A.D.D. and/or in M.P.D. Ritual, satanic abuse is usually administered by parents and other family cult members, and incest is of necessity involved. Incestuous abuse is not necessarily related to the most severe, polyfragmented forms of MPD; however, ritual abuse, with or without incest, is the most common underlying cause of polyfragmentation for MPD or dissociative disorders NOS.”