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The asylum, and later the national health service, warehoused thousands of patients made mad by the intrusions of a sexual predator. But these institutions had been dominated by the discredited Freudian fantasy that sexual abuse doesn’t happen – that it is our illicit desires that drive us crazy. A century ago, Freud recoiled from his own theory of the sexual seduction of children and projected the problem back into the patient. He claimed in his Aetiology of Hysteria that clients, typically women, were describing their fantasies, not facts, not ‘real events’. P3