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Neuropsychoanalysis
An Interdisciplinary Journal for Psychoanalysis and the Neurosciences
Volume 16, 2014 - Issue 2
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Articles

Acute trauma in adulthood in the context of childhood traumatic experiences

Pages 129-137 | Received 09 Apr 2014, Accepted 05 Sep 2014, Published online: 08 Oct 2014
 

Abstract

In this paper I will present the case of Paul, who survived an assault as a young adult, resulting in a traumatic brain injury and post-traumatic epilepsy. Paul's reactions to this traumatic event in adulthood are considered in the context of his earlier traumatic experiences, his psychodynamic conflicts, and his characteristic defense patterns. Transference and countertransference will be considered from the viewpoint of psychodynamic therapy with a traumatized patient who has been in a complex, dependent relationship with one of the perpetrators. Paul's progress in therapy will be reviewed, including his realization of the profound impact of trauma on his life and his strong will to work through his issues.

The original version of this paper was presented at the American Psychological Association and won the 2013 Donald K. Freedheim Student Development Award (Division 29). The Abstract of this paper has been published on the web site of American Psychological Association Division 29’s “Bulletin.”

This paper is in memory of James H. Hansell, Ph.D.

The original version of this paper was presented at the American Psychological Association and won the 2013 Donald K. Freedheim Student Development Award (Division 29). The Abstract of this paper has been published on the web site of American Psychological Association Division 29’s “Bulletin.”

This paper is in memory of James H. Hansell, Ph.D.

Acknowledgment

I am grateful to Loring J. Ingraham, Ph.D. and Joseph C. Viola, Ph.D. for their valuable comments on the early version of this paper.

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