Abstract
Developmental, constructivist theory is applied to increase understanding of conscious and unconscious dynamics of trauma experience. DSM-IV criteria provide the accepted standard guiding research and practice for trauma. Concern is raised that rigid adherence to diagnostic categories is problematic for trauma survivors. Trauma survivors are unique in both conscious and unconscious experience. Saari's (2002) levels of cognitive integration of experience based on Nelson's (1985) tripartite theory of meaning are employed as an investigative tool. Understanding the individual's cognitive integration of the traumatic event is central to facilitating reintegration and healing post-trauma. The therapeutic dyad co-constructs a narrative that allows reintegration and healing. A case study of a childhood sexual abuse survivor demonstrates how relationship dynamics facilitate co-creation of a healing narrative.
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References
American Psyciatric Association (APA). (1994). Diagnostic and Statistical Manual of Mental Disorders (4th Ed.). Washington DC: American Psyciatric Association (APA).
American Psychiatric Association (APA). (2000). Diagnostic Criteria from DSM-IV-TR. Washington DC: American Psyciatric Association (APA).
Brett, E. (1996). “The Classification of Posttraumatic Stress Disorder.” In B. van der Kolk, A. McFarlane, & L. Weisaeth, Eds. Traumatic Stress: The Effects of Overwhelming Experience on Mind, Body, and Society.New York: The Guilford Press.
De Salzmann, M. (2002). “Awaken to the Question.” Parabola, 27:1, pp. 54–57.
Deardorff, J. (2001). “Sharing the Grief: Telling Stories is Strong Medicine”. The Chicago Tribune. October 7, Section 2, pp. 1 & 6.
Foa, B., and O. Olasov Rothbaum. (1998). Treating the Trauma of Rape, Cognitive-Behavioral Therapy for PTSD. New York: The Guilford Press.
Foucault, M. (1972). The Archaeology of Knowledge & The Discourse on Language. New York: Pantheon Books.
Gay, P. (1989). The Freud Reader. New York: W.W. Norton & Company.
McFarlane, A., and G. de Girolamo. (1996). “The Nature of Traumatic Stressors and the Epidemiology of Posttraumatic Reactions.” In B. van der Kolk, A. McFarlane, & L. Weisaeth, Eds. Traumatic Stress: The Effects of Overwhelming Experience on Mind, Body, and Society. New York: The Guilford Press.
McWilliams, N. (1999). Psychoanalytic Case Formulation. New York: The Guilford Press.
Mitchell, S. (1988). Relational Concepts in Psychoanalysis. Cambridge, MA: Harvard University Press.
Mitchell, S. (2000). Relationality, From Attachment to Intersubjectivity. Hillsdale, NJ: The Analytic Press.
Nelson, K. (1985). Making Sense: The Acquisition of Shared Meaning. Orlando, FL: Academic Press, Inc.
Nelson, K. (1986). Event Knowledge: Structure and Function in Development. Hillsdale, NJ: Lawrence Erlbaum.
Prather, H. (1988). Spiritual Notes to Myself, Essential Wisdom for the 21st Century. New York: MJF Books.
Saari, C. (1986). Clinical Social Work Treatment: How Does It Work? New York: Gardner Press.
Saari, C. (1988). “Interpretation: Event or Process?” Clinical Social Work Journal. 16, pp. 378–390.
Saari, C. (1991). The Creation of Meaning in Clinical Social Work. New York: The Guilford Press.
Saari, C. (1996). “Relational Factors in the Creation of Identity: A Psychodynamic Perspectice.” In H. Rosen & K. Kuehwein, Eds. Constructing Realities: Meaning Making Perspectives for Psychotherapists. San Francisco: Jossey-Bass.
Saari, C. (2002). The Environment: Its Role in Psychosocial Functioning and Psychotherapy. New York: Columbia University Press.
Socor, B. (1989). “Listening for Historical Truth: A Relative Discussion.” Clinical Social Work Journal. 17, pp. 103–115.
Spence, D. (1982). Narrative Truth and Historical Truth: Meaning and Interpretation In Psychoanalysis. New York: WW Norton & Company.
Stern, D. (1999, 1983). “Unformulated Experience: From Familiar Chaos to Creative Disorder.” In S. Mitchell, & L. Aron, Eds. Relational Psychoanalysis: The Emergence of a Tradition. Hillsdale, NJ: The Analytic Press.
Terr, L. (1994). Unchained Memories: True Stories of Traumatic Memories, Lost And Found. New York: Basic Books.
van der Kolk, B. (1996). “The Complexity of Adaptation to Trauma: Self-Regulation, Stimulus Discrimination and Characterological Development.” In B. van der Kolk, A. McFarlane, & L. Weisaeth, Eds. Traumatic Stress: The Effects of Overwhelming Experience on Mind, Body and Society. New York: The Guilford Press.
van der Kolk, B. (1999). “The Body Keeps the Score: Memory and the Evolving Psychobiology of Posttraumatic Stress.” In M. Horowitz, Ed. Essential Papers On Posttraumatic Stress Disorder. New York: New York University Press.
van der Kolk, B., O. van der Hart, and C. Marmar. (1996). “Dissociation and Information Processing in Posttraumatic Stress Disorder.” In B. van der Kolk, A. McFarlane, & L. Weisaeth, Eds. Traumatic Stress: The Effects of Overwhelming Experience on Mind, Body and Society. New York: The Guilford Press.
van der Kolk, B., L. Weisaeth, and O. van der Hart. (1996). “History of Trauma in Psychiatry.” In B. van der Kolk, A. McFarlane, & L. Weisaeth, Eds. Traumatic Stress: The Effects of Overwhelming Experience on Mind, Body and Society. New York: The Guilford Press.
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Wrenn, L.J. Trauma: Conscious and Unconscious Meaning. Clinical Social Work Journal 31, 123–137 (2003). https://doi.org/10.1023/A:1022958210165
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DOI: https://doi.org/10.1023/A:1022958210165