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Traumatized infants and children may exhibit syndromes of aggressive, pain-seeking, and self-destructive behavior resembling the so-called sadomasochism seen in adults. Three hypotheses are offered to account for the repetition of sadomasochistic phenomena in childhood and later character disorders: 1) pain and painful affects are sources of aggression; 2) the need to control aggression plays an important role in the development of psychic structure; 3) child abuse and trauma impair the ability to use fantasy for the mastery of impulses. Difficulty in expression and control of aggression are central issues in character disorders.
William I. Grossman (Tue,) studied this question.
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