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Full Description
A Psychoanalytic Understanding of Trauma presents a theory of the nature of trauma and post-traumatic mental functioning based on the concept of the 'zero process'.
Joseph Fernando presents a novel, comprehensive, and clinically useful theory of trauma. The author first presents theories of trauma and describes the zero process, related to the breakdown of various ego functions, such as memory and integration, during trauma. Rather than replacing Freud's ideas of the primary process and repression, Fernando expands on the idea of the mind to include both types of functioning, identifies how they can be differentiated, and examines the different therapeutic techniques they require. He also considers how trauma impacts the construction of reality, the role of human development, the relation of trauma and borderline disorders, and the development of therapeutic technique. Through the unique illustration and narration of cases of three patients, Fernando presents conceptual and clinical innovations.
A Psychoanalytic Understanding of Trauma will be of great interest to psychoanalysts and psychoanalytic psychotherapists in practice and in training.
Contents
Series Editor's Foreword by Gabriela Legorreta
Preface
Acknowledgements
Introduction
Chapter 1 The Traumatic Process
Lack of preparedness, and being overwhelmed
Triggers, repetitions, and conversion symptoms
Repression, dissociation, and ego shut down
Fixation to trauma
Overwhelming from outside versus overwhelming from inside
Chapter 2 Trauma, the Zero Process, and the Construction of Reality
Traumatic memories and the construction of reality
The zero process, the primary process, and the secondary process
Some applications: mourning, intergenerational transmission of trauma, and internal objects
A trip down memory lane
Chapter 3 The Zero Process Drive and Zero Process Defenses
The zero process drive
Repression
Dissociation
Zero process denial and temporal shifting
Dissociative identity disorder and splitting of the identity
Chapter 4 The Relation of Borderline Disorders to Trauma
The zero process, the primary process, and the secondary process revisited
Dynamics, deficits, and development in borderline disorders
Repression, Internalization, and trauma
Projective identification, identification with the aggressor, and splitting of the identity
Chapter 5 Therapeutic Technique in Analyzing Post-Traumatic States
Approaching the zero process
The relation of the analysis of the zero process to the analysis of other phenomena
The central post-traumatic complex
Summary
Conclusion
Glossary
References
Index
