Publisher： Guilford Publications Inc
E-ISSN： 1943-2860|20|2|277-293
ISSN： 0090-3604
Source： American Academy of Psychoanalysis. Journal, Vol.20, Iss.2, 1992-06, pp. : 277-293
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Abstract
This essay presents the case of a young man with severe posttraumatic stress disorder (PTSD) in order to demonstrate how a self-psychological orientation and psychotherapeutic approach enables acute symptoms to be relieved, while concomitantly addressing vulnerability in character structure. The self-psychological conceptualization of the psychodynamics of PTSD is discussed, along with a recently proposed neuropsychological theory of PTSD. After viewing the pertinent neurobiological research, an integration of the self-psychological concepts of transmuting internalization (a purported curative factor in psychotherapy) with neurobiological data and behavioral observations is presented.
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