By Caroline Garland
Revised variation with extra bankruptcy. This booklet, from the Tavistock hospital sequence, is ready what follows the breakdown in functioning, both brief- or longer-term, provoked by means of a anxious occasion. The authors provide a psychoanalytical figuring out of the that means of the trauma for somebody, illuminating conception with unique medical representation and case histories. a number of healing approaches is defined.
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Extra resources for Understanding Trauma: A Psychoanalytical Approach
In 'Beyond the Pleasure Principle' he makes explicit his carefully arrived-at belief that all human activity can, broadly speaking, be placed into two categories: that which pushes in the direction of constructiveness, connectedness and life, and that which pulls in the opposite direction, towards destructiveness, disintegration and ultimately, death. 'All pain comes from living,' Hanna Segal (1993) points out. The wish to avoid that pain, to end the struggle, can become very powerful. ' Understanding Trauma Freud pointed out how these two great opposing forces stimulate each other, provoke each other into renewed activity.
A psychoanalytic treatment is at once a therapy and a research exercise. This careful study of individuals can yield much information in regard to our understanding of accidents. Accidents that occur during an analytic treatment provide an opportunity to study in detail the relevance of various internal and external factors. In some cases the accident is entirely independent of the individual (for example where the train he regularly travels on crashes). Others are less independent, such as, I suspect, many car crashes.
Segal's (1957) description of uneven development in the personality offers a clear way of understanding this phenomenon. She shows how where there is only a partial attainment of the depressive position (Klein, 1952) the result can be a situation in which earlier, unintegrated ego experiences are retained in a split-off, sealed pocket of vulnerability whose existence forms 'a constant threat to stability. ' The experience of an external traumatic event will open up such pockets of disturbance, and through the process of binding, keep them open, giving their contents fresh life and imbuing the present with the significance of the past.