The impact of trauma can be both destructive and transformative. This important new book presents not only a range of theoretical frameworks through which different trauma can be understood, from the effects of childhood abuse to those of war and catastrophes, but also gives readers insights into how trauma presents itself in the consulting room.
In each chapter the author uses clinical vignettes and detailed case histories to discuss the multiplicity and complexity of the trauma involved, eschewing a simple binary conception of internal vs external forces. A wide range of topics are covered, including: the lasting imprint of early trauma such as neglect or abuse on subsequent development; the somatic solution involved in life-threatening illness; unmetabolized mourning and embodied memory; the vibrating relationship between catastrophic external forces such as intergenerational effects; and the 9/11 terrorist attacks and the lasting effect of war on combatants and their families.
Each chapter is screened through a different theoretical viewpoint, from Freud and Fairburn to Winnicott, Bion and Ogden, while the work of several contemporary theorists is also discussed. Crucially, the final section of the book looks at those issues faced by analysts when working with traumatized patients, highlighting the key idea of dissociation, the dilemma around empathy and the factors that affect the patient’s unconscious meaning.
Trauma and the Destructive-Transformative Struggle: Clinical Perspectives illuminates the resilience needed by both patient and analyst. It will be a vital resource for both clinical practitioners specializing in trauma and psychoanalytic researchers in the field of trauma studies.
Table of Contents
Introduction, Maureen Murphy; PART I: THE LEGACY OF EARLY TRAUMA; CHAPTER 1 From the black hole to the last frontier: The trauma of childhood abuse and the oedipal stage of development, Terrence McBride; CHAPTER 2 The trauma of Otherness and the struggle for connection: Schizoid and sadomasochistic defenses against contact with the Other, Pamela Dirham; CHAPTER 3 Stubborn love, Lori O’Brien; CHAPTER 4 Finding the impulse: healing from infantile trauma, Judy K. Eekhoff; PART II: EMBODIED ASSAULTS; CHAPTER 5 When life intrudes: Experience of trauma in the body, Maureen Murphy; CHAPTER 6 The Icarus complex and the trauma of falling forever, W. Preston Lear; CHAPTER 7 Psychic deadness and the vicissitudes of unmetabolized mourning, Maxine Nelson; CHAPTER 8 Trauma and embodied memory, Marilyn Rifkin; PART III: POLITICAL CATATROPHES; CHAPTER 9 Trauma and the fate of nations, Robert L. Pyles; CHAPTER 10 Learning to live with ghosts: Linking trauma to an intergenerational collective past, Susan S. Berger; CHAPTER 11 Trauma, destruction and PTSD: Vignettes of resiliency and transformative potential, Helen K. Gediman; CHAPTER 12 Moral injury, the moral defense, and the collapse of emotional containment: An intersubjective alternative to PTSD in the treatment of wartime trauma, Thomas P. Helscher; PART IV: TECHNICAL ISSUES/ANALYTIC RESILIENCE; CHAPTER 13 The clinical significance and problems of a traumaticenteric view, Fred Busch; CHAPTER 14 Sources of internal psychic trauma, Maxine K. Anderson; CHAPTER 15 Treating the traumatized mind: Dissociation and psychoanalytic technique, Michael J. Diamond; CHAPTER 16 The central role of unconscious fantasy in the analysis of child abuse, Alan P. Spivak
Terrence McBride is a Training and Supervising Analyst and Faculty Member at the Los Angeles Institute and Society for Psychoanalytic Studies (LAISPS). He is also Past President and former Dean and Director of Training at LAISPS. He is on the Board of the North American Psychoanalytic Confederation (NAPsaC) and is the current President of the Confederation of Independent Psychoanalytic Societies (CIPS). He is in private practice in Los Angeles, California.
Maureen Murphy is a Personal and Supervising Analyst and Faculty Member at the Psychoanalytic Institute of Northern California (PINC). She was the Founding President of PINC and former chair of NAPsaC. She teaches courses on contemporary psychosomatic concepts, particularly the impact of burgeoning biotechnology on core psychoanalytic concepts. She is in private practice in San Francisco.
"This book provides an excellent overview of current psychoanalytic explorations of the various forms of trauma. It emphasizes that when confronted with the traumatic effects of external destructive events, we must never lose sight of the multiple intrapsychic meaning of traumatic experience. Contributors provide us with new knowledge, and with their extensive clinical material they deepen our insights for treatment. The book helps the psychoanalytic clinician bridge the gap between the theoretical framework of trauma and clinical practice." --Werner Bohleber, Training and Supervising Analyst, German Psychoanalytical Association
"This collection of essays on trauma, broadly and deeply conceived, is a very welcome addition to trauma studies. The types of trauma being written about - to body, to mind, to infant, to social group - suggest how wide we must set our lens if we are to say something genuinely crucial and helpful to those of us who see trauma in the consulting room. Most importantly, this book exposes the wide range of theories and practices in which trauma work is being done. This marks a very significant shift in psychoanalytic theory and practice. Trauma work can be undertaken with care, with precision and with power, across different theoretical traditions. This is a unifying force in psychoanalysis, and I might say, is the deep message of this collection." --Adrienne Harris, New York University
"For all who are interested in learning from different clinical and theoretical perspectives, this book shows a vast array of well-regarded psychoanalysts’ experience in dealing with Trauma – ‘a wound that alters development, disrupts time, obstructs symbolization’, as stated by M. Murphy, one of the book’s editors. It’s really a compilation of a comprehensive psychoanalytic approach to trauma nowadays. I felt so enriched by this truly original and important work and would highly recommend it!" --Sergio Nick, Adult, Child and Adolescent Psychoanalyst, Brazilian Psychoanalytic Society, Rio de Janeiro, and Vice President of the International Psychoanalytical Association