Psychic Trauma Dynamics, Symptoms, and

This book is about the psychoanalytically informed understanding, recognition, and treatment of severe psychological trauma. It goes beyond the limited notion of posttraumatic stress disorder (PTSD) and addresses the issues associated with problems ranging from physical and sexual abuse to genocidal persecution.

Ira Brenner is clinical professor of psychiatry at Jefferson Medical College and training and supervising analyst and director of the psychotherapy program for the Psychoanalytic Center of Philadelphia.

List of Illustrations

vii

Acknowledgments

ix

Introduction

xi

PART I DYNAMICS

Trauma and Dissociation

3

(44)

Mother--Adult Daughter Incest

47

(28)

The Elusive Defense of Dissociation

75

(38)

PART II SYMPTOMS

The Lifelong Persistence of Symptoms

113

(26)

Intergenerational Transmission of Symptoms

139

(22)

Unresolved Grief

161

(30)

PART III TREATMENT

The Analyst's Own Trauma

191

(24)

Falling Asleep as Countertransference Enactment

215

(28)

Eye Movement Desensitization and Reprocessing (EMDR)?

243

(60)

References

303

(26)

Index

329

(14)

About the Author

343

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Psychic Trauma Dynamics, Symptoms, and Treatment

Summary

Author Biography

Table of Contents

Supplemental Materials