Revised edition with additional chapter. This book, from the Tavistock Clinic Series, is about what follows the breakdown in functioning, either short or longer-term, provoked by a traumatic event. The authors offer a psychoanalytical understanding of the meaning of the trauma for an individual, illuminating theory with detailed clinical illustration and case histories. A range of therapeutic procedures is described. Major disasters draw attention forcibly to their effects on the survivors. Less often recognised are the long-term after-effects of the huge number and variety of more private events, either accidental or deliberately inflicted, on an individual's subsequent emotional and working life. This book is about what follows the breakdown in functioning, either short or longer-term, provoked by a traumatic event. What is distinctive about this book is that its authors offer a psychoanalytical understanding of the meaning of the trauma for an individual, illuminating theory with detailed clinical illustration and case histories.
Series Editors' Preface -- Introduction -- Introduction -- Thinking About Trauma -- Human Error -- Assessment and Consultation -- The Psychodynamic Assessment of Post-Traumatic States -- Preliminary Interventions -- Treatment in Psychoanalytic Psychotherapy -- Trauma and Grievance -- Mental Work in a Trauma Patient -- Issues in Treatment -- Dreaming After a Traumatic Bereavement -- Identificatory Processes in Trauma -- Psychoanalysis -- Developmental Injury -- External Injury and the Internal World -- Groups -- The Traumatised Group -- Action, Identification and Thought in Post-traumatic States
'I recommend this book to all who are interested in clinical work with trauma survivors and those with severe borderline personality disturbances with which early traumata are frequently associated. There has long been a connection between trauma and psychoanalysis but it is a subject given a fresh enquiry in this book.'- Marion Lipkin in Reflections'Garland's editorial work has produced a coherent and readable account of the work of the unit wihout denying the contributors their individual voices. The great strength of the book is in its clear and detailed clinical descriptions of the psychoanalytic method as it can be applied in an NHS setting and its demonstration of the subtlety and complexity of thinking that the different authors bring to their therapeutic work.'- Susan Davison in Psychoanalytic Psychotherapy