This paper reveals the impact of psychoanalysis on trauma therapy, indicating how denial and disavowal hinder treatment progress.
The author addresses how psychoanalysts sometimes create theories enabling the treatment of conditions which they themselves fail to acknowledge. When working with trauma clinicians are subject to disavowal, denial, detachment, and/or dissociation. Papers by Bion, Bowlby, and Freud are discussed for their clinical interest and how their theories prevented them from making use of their own ideas. Bion's outlining of the impact of hierarchy and conformity aids trauma work and its connection to whistleblowing although he didn't discuss child abuse. Bowlby regretted avoiding child abuse yet his work on attachment and loss benefits trauma workers. Freud's avoidance of externality such as socio-political embedded ideas on family and class prevented him from addressing the impact of reality on the structuring of mind. The author identifies examples from her own work illustrating where internalized theory aided her work with patients and where the impact of patients' trauma prevented her from using the tools at her disposal.
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Sinason et al. (2025) studied this question.
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