Analysing Patients with Traumas: Separation, Illness, Violence PDF
Preview Analysing Patients with Traumas: Separation, Illness, Violence
ANALYSING PATIENTS WITH TRAUMAS ANALYSING PATIENTS WITH TRAUMAS Separation, Illness, Violence Franziska Henningsen First published in German in 2012 as Psychoanalysen mit traumatisierten Patienten. Trennung—Krankheit—Gewalt by Klett-Cotta First published in English in 2018 by Karnac Books Ltd 118 Finchley Road London NW3 5HT © 2012 Klett-Cotta—J. G. Cotta’sche Buchhandlung Nachfolger GmbH, Stuttgart For the English language version translated by Andrew Jenkins © 2018 Bernd Henningsen The translation of this work was made possible thanks to generous funding by the Sigmund Freud Foundation, Frankfurt The right of Franziska Henningsen to be identified as the author of this work has been asserted in accordance with §§ 77 and 78 of the Copyright Design and Patents Act 1988. All rights reserved. No part of this publication may be reproduced, stored in a retrieval system, or transmitted, in any form or by any means, electronic, mechanical, photocopying, recording, or otherwise, without the prior written permission of the publisher. British Library Cataloguing in Publication Data A C.I.P. for this book is available from the British Library ISBN-13: 978-1-78220-335-3 Typeset by Medlar Publishing Solutions Pvt Ltd, India Printed in Great Britain www.karnacbooks.com Note For ease of reading, throughout the book “she” is used for the therapist and “he” for the patient, the victim, or the child, but, at any point, the opposite gender can be substituted. CONTENTS ACKNOWLEDGEMENTS xi AbOuT ThE AuThOr xv FOrEWOrD xvii by Werner bohleber INTrODuCTION The rift in the ego xxi PART I SICK CHILDREN—SICK MOTHERS ChAPTEr ONE “No sick children in my house today”: death fears in children 3 ChAPTEr TWO “That’s my mother’s trauma, not mine”: concretistic fusion, acting-out, symbolisation 21 vii viii coNTENTS ChAPTEr ThrEE “We aren’t starving yet”: silence in withdrawal and communicating in images 43 ChAPTEr FOur Splitting and fusion 65 PART II SEPARATION TRAUMAS ChAPTEr FIVE “This is my daughter. Take good care of her!” From objectless anxiety to separation anxiety 81 ChAPTEr SIX “Everyone knows my mother. Everyone except me.” Concretistic fusion and denial of object loss 97 ChAPTEr SEVEN “The greatest danger comes from myself”: destruction and guilt 109 ChAPTEr EIGhT Acting out and compulsive repetition 133 PART III EXPERIENCES OF VIOLENCE AND ABUSE IN CHILDHOOD ChAPTEr NINE A helper in search of help: splitting and psychic reality 143 ChAPTEr TEN “I want no part of this hell”: en route to perversion 161 ChAPTEr ELEVEN “I can look after myself”: destruction and consolation in one and the same object? 179 coNTENTS ix ChAPTEr TWELVE Love and hate 197 PART IV EXPERIENCES OF VIOLENCE AND ABUSE IN ADULTHOOD: TORTURE AND WAR ChAPTEr ThIrTEEN Post-traumatic stress disorder 209 ChAPTEr FOurTEEN Negative countertransference: depletion and resilience 223 PART V CONCLUSION ChAPTEr FIFTEEN Consequences for psychoanalytic technique 241 ChAPTEr SIXTEEN Trauma in society and politics: an outlook 257 rEFErENCES 267 INDEX 281
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