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Journal of Trauma & Dissociation最新文献

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Infusion or Confusion- Psychodynamic Currents in the Treatment of Severe Early Trauma. 输注或混淆——早期严重创伤治疗中的心理动力电流。
IF 2.4 3区 医学
Journal of Trauma & Dissociation Pub Date : 2026-01-01 Epub Date: 2025-11-14 DOI: 10.1080/15299732.2025.2589160
Ira Brenner
{"title":"Infusion or Confusion- Psychodynamic Currents in the Treatment of Severe Early Trauma.","authors":"Ira Brenner","doi":"10.1080/15299732.2025.2589160","DOIUrl":"10.1080/15299732.2025.2589160","url":null,"abstract":"<p><p>Contemporary approaches to trauma tend to minimize or even overlook a psychodynamic perspective to treatment. The challenge for the clinician is sensing when such interventions might help or hurt. This chapter illustrates this dilemma by drawing upon the author's experience, both personal and professional, in arriving at some basic principles. The synthesis of his experience on an inpatient dissociative disorders unit with his long-term analytic work in the outpatient setting is a treatment model, Psychoactive Psychotherapy. It is a six stage, transference-based approach, addressing the autohypnotic nature of dissociation as a defense. Integration of the compartmentalized self-states (alters) is facilitated through the delineation of the \"mosaic transference\" and the therapist's capacity for containment.</p>","PeriodicalId":47476,"journal":{"name":"Journal of Trauma & Dissociation","volume":" ","pages":"103-114"},"PeriodicalIF":2.4,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145524269","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Sándor Ferenczi's Psychoanalytic Ground-Breaking Contributions to the Study of Trauma, Therapeutic Technique and Clinical Relationship. Sándor Ferenczi的精神分析对创伤、治疗技术和临床关系研究的开创性贡献。
IF 2.4 3区 医学
Journal of Trauma & Dissociation Pub Date : 2026-01-01 Epub Date: 2025-11-04 DOI: 10.1080/15299732.2025.2583127
Raffaele De Luca Picione, Manuel Aversano, Angelo Maria De Fortuna, Alessandro Germani
{"title":"Sándor Ferenczi's Psychoanalytic Ground-Breaking Contributions to the Study of Trauma, Therapeutic Technique and Clinical Relationship.","authors":"Raffaele De Luca Picione, Manuel Aversano, Angelo Maria De Fortuna, Alessandro Germani","doi":"10.1080/15299732.2025.2583127","DOIUrl":"10.1080/15299732.2025.2583127","url":null,"abstract":"<p><p>Sándor Ferenczi's contribution recognizes the relevant interpersonal aspects and intersubjective dialogue as central to psychoanalytic theory and clinical practice. Through his theoretical, clinical and technical studies, he has developed numerous notions in relation to trauma, the effects of its disavowal and its impact exceeding the victim's capacity for understanding and symbolization. After about 50 years of forced oblivion, Ferenczi's thought has regained full recognition since 1990s among the wider psychoanalytic and clinical community in general. Authors analyze Ferenczi's fundamental intuitions on the <i>\"confusion of tongues\"</i> and trauma, dissociative, and defensive processes, understood as a dysfunctional interpersonal process that undermines the capacity to make sense of experience. Consequently, healing can only occur through new and functional relational experiences within a sincere and affective therapeutic relationship. The latter, moreover, is seen as an exercise in reflective thinking in the form of participatory dialogue that helps the patient to develop, trust, reflective capacity and to integrate his personality.</p>","PeriodicalId":47476,"journal":{"name":"Journal of Trauma & Dissociation","volume":" ","pages":"24-43"},"PeriodicalIF":2.4,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145439630","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
How Psychoanalytic Thinking Enriches Trauma Treatment: An Overview. 精神分析思维如何丰富创伤治疗：综述。
IF 2.4 3区 医学
Journal of Trauma & Dissociation Pub Date : 2026-01-01 Epub Date: 2025-11-28 DOI: 10.1080/15299732.2025.2589149
Sheldon Itzkowitz, Elizabeth F Howell
{"title":"How Psychoanalytic Thinking Enriches Trauma Treatment: An Overview.","authors":"Sheldon Itzkowitz, Elizabeth F Howell","doi":"10.1080/15299732.2025.2589149","DOIUrl":"10.1080/15299732.2025.2589149","url":null,"abstract":"<p><p>The Guest Editors provide an overview of the papers appearing in this issue of the Journal of Trauma and Dissociation. Freud's opus with its emphasis on fantasy while appreciated as a vital contribution to the establishment of psychoanalysis, essentially \"dissociates\" the effect of exogenous trauma on the dissociative structure of the mind. The Guest Editors argue that the papers in the current issue support the idea that exogenous trauma and the resulting dissociative structuring of the mind play a significant role in the development of psychopathology.</p>","PeriodicalId":47476,"journal":{"name":"Journal of Trauma & Dissociation","volume":" ","pages":"44-49"},"PeriodicalIF":2.4,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145641200","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Between Pleasure, Destruction and Protection: Instinct Theories, Trauma and Dissociation. 在愉悦、破坏与保护之间：本能理论、创伤与分离。
IF 2.4 3区 医学
Journal of Trauma & Dissociation Pub Date : 2026-01-01 Epub Date: 2025-11-26 DOI: 10.1080/15299732.2025.2589153
Adah Sachs
{"title":"Between Pleasure, Destruction and Protection: Instinct Theories, Trauma and Dissociation.","authors":"Adah Sachs","doi":"10.1080/15299732.2025.2589153","DOIUrl":"10.1080/15299732.2025.2589153","url":null,"abstract":"<p><p>Freud's instinct theory and Bowlby's attachment theory are generally seen as oppositional approaches. Most crucially, the two theories sharply differ on the question of internal vs. external origins of trauma: whether trauma originates from intra-psychic conflict between innate instincts (Freud), or from various degrees of relational deficiencies in the attachment figure's attentiveness and subsequent protection of the child from actual harm (Bowlby). This disagreement is often deemed completely unbridgeable. This paper, however, views the two theories as two links in a lineage of ideas rather than two opposites, as it follows the gradual shift of psychoanalytic emphasis from innate instincts to external objects; through objects to the Self; and from phantasy relationship to the crucial impact of actual relationships.</p>","PeriodicalId":47476,"journal":{"name":"Journal of Trauma & Dissociation","volume":" ","pages":"76-89"},"PeriodicalIF":2.4,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145606931","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Bion's "Mystic in the Group" Bowlby's Turmoil and Freud's Disavowal: Gifts That Come to the Trauma Field from Psychoanalysis if We Can Grasp Them. 鲍比的混乱和弗洛伊德的否定：如果我们能抓住精神分析对创伤领域的馈赠。
IF 2.4 3区 医学
Journal of Trauma & Dissociation Pub Date : 2026-01-01 Epub Date: 2025-12-01 DOI: 10.1080/15299732.2025.2589167
Valerie Sinason
{"title":"Bion's \"Mystic in the Group\" Bowlby's Turmoil and Freud's Disavowal: Gifts That Come to the Trauma Field from Psychoanalysis if We Can Grasp Them.","authors":"Valerie Sinason","doi":"10.1080/15299732.2025.2589167","DOIUrl":"10.1080/15299732.2025.2589167","url":null,"abstract":"<p><p>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.</p>","PeriodicalId":47476,"journal":{"name":"Journal of Trauma & Dissociation","volume":" ","pages":"90-102"},"PeriodicalIF":2.4,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145649148","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Playmasters at Work: Trauma Processing and the Shared Language of Play in Child Analysis. 工作中的游戏大师：儿童分析中的创伤处理和游戏的共同语言。
IF 2.4 3区 医学
Journal of Trauma & Dissociation Pub Date : 2026-01-01 Epub Date: 2025-11-19 DOI: 10.1080/15299732.2025.2589151
Charis E Claouhos
{"title":"Playmasters at Work: Trauma Processing and the Shared Language of Play in Child Analysis.","authors":"Charis E Claouhos","doi":"10.1080/15299732.2025.2589151","DOIUrl":"10.1080/15299732.2025.2589151","url":null,"abstract":"<p><p>Therapeutic play is a foundational discovery from psychoanalysis and is now a major contribution to child treatment in all its forms. Underacknowledged derivatives from child's play in adult treatments include: the attention to principles of development; the application of nonverbal relational process; utilization of somatic movement; and above all, the therapeutic engagement with child self-states in the full spectrum of dissociative disorders. This case report describes psychoanalytic play with a therapist/analyst who is schooled in principles of trauma treatment and its dissociative manifestations as well as principles of dyadic, countertransferential attentiveness. The treatment mode - child psychoanalysis - allows for a natural integration of other forms of trauma work while still <i>following the child</i>, in all the twists and turns that her treatment illustrates and which both adult and child psychoanalysis privilege so uniquely.</p>","PeriodicalId":47476,"journal":{"name":"Journal of Trauma & Dissociation","volume":" ","pages":"63-75"},"PeriodicalIF":2.4,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145551628","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Interpersonal and Relational Psychoanalytic Contributions to the Treatment of Dissociative Identity Disorder. 人际和关系精神分析对分离性身份障碍治疗的贡献。
IF 2.4 3区 医学
Journal of Trauma & Dissociation Pub Date : 2026-01-01 Epub Date: 2025-11-03 DOI: 10.1080/15299732.2025.2583125
Sheldon Itzkowitz
{"title":"Interpersonal and Relational Psychoanalytic Contributions to the Treatment of Dissociative Identity Disorder.","authors":"Sheldon Itzkowitz","doi":"10.1080/15299732.2025.2583125","DOIUrl":"10.1080/15299732.2025.2583125","url":null,"abstract":"<p><p>The author discusses the break interpersonalists made with Freud's drive, defense, fantasy model by shifting the focus of inquiry to what occurs between people creates mind while retaining Freud's concepts of transference, countertransference, dream interpretation and the unconscious. Additionally, they acknowledged influences from culture, class, and religion as contributing factors to the organization of family structure and individual minds. The relational school bifurcated psychoanalytic theory into the drive structure model (Freudian theory, Ego Psychology), and the relational structure model (interpersonal school, British Object Relations, and SelfPsychology). Its strength lies in its recognition that interactions in the interpersonal world effects the formation of mind along with object relations theory emphasizing that intrapsychic structure influences perceptions and interactions in the relational world. Since both schools of thought acknowledge Sandor Ferenczi as their progenitor, a brief discussion of his influential contributions is offered.</p>","PeriodicalId":47476,"journal":{"name":"Journal of Trauma & Dissociation","volume":" ","pages":"9-23"},"PeriodicalIF":2.4,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145432667","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Dissociative Multiplicity and Psychoanalysis. 解离性多重性与精神分析。
IF 2.4 3区 医学
Journal of Trauma & Dissociation Pub Date : 2026-01-01 Epub Date: 2025-11-21 DOI: 10.1080/15299732.2025.2589158
John A O'Neil
{"title":"Dissociative Multiplicity and Psychoanalysis.","authors":"John A O'Neil","doi":"10.1080/15299732.2025.2589158","DOIUrl":"10.1080/15299732.2025.2589158","url":null,"abstract":"<p><p>This paper examines the relationship between psychoanalysis and trauma, focusing specifically on dissociation-and, more narrowly, on <i>dissociative multiplicity</i>, the most challenging form for psychoanalysis to address. Dissociative multiplicity involves the presence of more than one center of consciousness, more than one \"I,\" a feature of multiple personality, now called Dissociative Identity Disorder or DID, and OSDD-1, or subthreshold DID. The central question is whether classic psychoanalytic constructs, such as splitting, repression, various triadic views (oedipal, topographic, structural, Fairbairnian, Kohutian), object relations, and attachment theory, can adequately account for dissociative multiplicity. I explain how they cannot, but also how they remain applicable to multiplicity. I conclude with a summary view and reflection on what still needs to occur to reintegrate dissociation into mainstream psychoanalytic theory and practice.</p>","PeriodicalId":47476,"journal":{"name":"Journal of Trauma & Dissociation","volume":" ","pages":"115-128"},"PeriodicalIF":2.4,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145574656","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
The Buried, but Recently Unearthed Treasure of Sandor Ferenczi's Work: Its Relevance to Current Practice and Sociocultural Life. 埋藏但最近出土的桑德尔·费伦齐作品的宝藏：它与当前实践和社会文化生活的相关性。
IF 2.4 3区 医学
Journal of Trauma & Dissociation Pub Date : 2026-01-01 Epub Date: 2025-11-25 DOI: 10.1080/15299732.2025.2589152
Elizabeth Howell
{"title":"The Buried, but Recently Unearthed Treasure of Sandor Ferenczi's Work: Its Relevance to Current Practice and Sociocultural Life.","authors":"Elizabeth Howell","doi":"10.1080/15299732.2025.2589152","DOIUrl":"10.1080/15299732.2025.2589152","url":null,"abstract":"<p><p>Sandor Ferenczi contributed some of the best formulations of complex trauma and dissociation that exist. No one has described more passionately than Ferenczi the traumatic induction of dissociative trance with its resulting fragmentation of the personality. His concept of <i>identification with the aggressor</i> (which differed significantly from Anna Freud's later concept using the same term) describes how the traumatized child splits/dissociates the perpetrating aspects from the nurturing aspects of the aggressor and internalizes these in separate self-states, enabling the traumatically overwhelmed child to maintain a bond of tenderness with the aggressor. This article applies Ferenczi's concept of identification with the aggressor, along with some of Freud's and Bion's concepts of group dynamics, to the bond with and appeal of authoritarian leaders to their followers. Here, we find both dissociated parts that Ferenczi described operating in tandem, involving an idealization of the aggressor simultaneous with the enactment of aggressor-identified parts.</p>","PeriodicalId":47476,"journal":{"name":"Journal of Trauma & Dissociation","volume":" ","pages":"50-62"},"PeriodicalIF":2.4,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145606917","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Dreamers of the Day: An Exploration of Identity, Shame, and Maladaptive Daydreaming. 白日做梦者：对身份、羞耻和不适应白日梦的探索。
IF 2.4 3区 医学
Journal of Trauma & Dissociation Pub Date : 2025-12-24 DOI: 10.1080/15299732.2025.2599755
Faisal M Lalani, Eli Somer, Hisham M Abu-Rayya
{"title":"Dreamers of the Day: An Exploration of Identity, Shame, and Maladaptive Daydreaming.","authors":"Faisal M Lalani, Eli Somer, Hisham M Abu-Rayya","doi":"10.1080/15299732.2025.2599755","DOIUrl":"https://doi.org/10.1080/15299732.2025.2599755","url":null,"abstract":"<p><p>This study explores the relationship between maladaptive daydreaming (MD) and identity shame among individuals with MD. Participants described how MD originated or intensified during periods of distress related to aspects of their identity they felt shame toward, such as sexuality, culture, or disability. They constructed idealized versions of themselves in fantasies and imaginary communities, which provided them with belonging and acceptance. These fantasies seemed to allow participants to process shame without external support. The obsessive nature of MD narratives suggests participants were trapped in an incomplete emotional processing loop. Identity shame may be a core driver in some cases of MD, with fantasies serving as maladaptive coping when authentic identity expression is impeded. We utilized psychoanalytic concepts of projection and dissociation to provide a framework for understanding MD rooted in identity issues.</p>","PeriodicalId":47476,"journal":{"name":"Journal of Trauma & Dissociation","volume":" ","pages":"1-21"},"PeriodicalIF":2.4,"publicationDate":"2025-12-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145821687","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
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