Martin in the Field

Martin Strel, a Slovenian hero, swam all 3004 km of Danube in 200, and Mississippi in 2002, to become one of nominees for the sportsperson of the year award. Surprisingly, an orchestrated attack on his status as a sportsperson and on status of his achievements as sport records followed successfully. Martin did not get the award. He continued with his activities, swimming Parana, Jang Tse, and Amazonas lately, but was never mentioned in sport context again. This case is examined to show how definition struggles serve to strengthen the border control between sport as such, and its internationally institutionalised realm. To make a comparison, the case of art and its definition is mentioned. Martin Strel did not endanger sport, being a false pretender on sport-status, but he endangered sport management and sport business. He was thrown out of the “sport city”, to swim “extra portes” and to inhabit a place where sport as “esportes” originally belonges.     

Posttraumatic Stress Disorder in Children and Adolescents: A Review and Analysis

Only recently has the mental health community recognized the applicability of diagnostic criteria for posttraumatic stress disorder (PTSD) in children and adolescents, including a consideration of specific age-related features. This paper provides a current review of the literature on PTSD pertaining to children and adolescents. Following a discussion of issues on diagnostic criteria and assessment of this affective disorder in this population, there is an overview of the existing literature on prevalence, comorbidity, risk factors, parental and family factors, and issues of gender and age of onset. The remainder of the paper focuses on the range of traumatic stressors in children and adolescents that can result in PTSD, including natural or human disasters, war and violence, chronic or life-threatening medical conditions, community violence and the witnessing of traumatic events, and physical and/or sexual abuse and other forms of interpersonal violence. Throughout the paper, there is an emphasis on the importance of considering developmental factors. Finally, implications of the existing literature for future areas of research are addressed.     

Commentary on Becoming a Daughter: Trauma is a Powerful Teacher

Personal life crises profoundly impact genetic counselor practice. In this commentary, themes from Matloff’s (in press) article, Becoming a Daughter are highlighted and expanded upon. These themes include: personal impact of a life crisis, and professional impact vis a vis empathy countertransference, self-disclosure, nondirectiveness, and self-confidence. Strategies that help genetic counselors manage personal life crises within their clinical practice and also promote their professional development are emphasized, including normalization of life crises, self-reflection, boundary-setting, and use of peer supervision and consultation.     

Psychological Trauma,Christ’s Passion,and the African American Faith Tradition

This article argues that Christ’s passion/crucifixion functioned within the African American psyche as a religious narrative and symbol that uniquely addressed the severe trauma they underwent during the Middle Passage and slavery by enabling them to experience the presence of God in the depths of extreme suffering. Christ’s passion/crucifixion mirrored their experience of racial oppression and, thereby, provided a critique of the system and actors that perpetuated it. The Spiritual “Were You There?” is interpreted in this light. This correspondence between the African American’s historical experience and the narrative symbol of Christ’s passion/crucifixion helps explain their conversion to Christianity.     

From Benign Mirror to Demon Lover: An Object Relations View of Compulsion Versus Desire

This article addresses the terrifying power of the father as a dynamic force within the psyche of the female. Its particular focus is on how the psychodynamic form of father internalization within the female effects her creative process and her creative work. Two cases vignettes of female writers are used to illustrate the interaction of traumatizing parental behavior and the daughters incestuous desire on promoting compulsions and inhibitions in creative work. Writing blocks will be seen as a symptom of trauma and psychic conflict that has taken place in the oedipal and post oedipal years, as opposed to the creative compulsions that result from primal stage preoedipal trauma.Address correspondence to Susan Kavaler-Adler, Ph.D., ABPP, Object Relations Institute for Psychotherapy and Psychoanalysis, 115 East 9th Street, 12P New York, NY 10003; e-mail: SUSKA674@aol.com.     

Romancing the Family: Umberto Eco’s <Emphasis Type="Italic">Baudolino</Emphasis>

Referencing Umberto Eco’s novel Baudolino, the author discusses issues concerning the authenticity of the narrative, specifically the distortions in the story presented to the audience and doubts surrounding the veracity of the tale. The act of narration is associated with the shame caused by the abuse and neglect that is an integral part of this story. The ambivalence of the protagonist—to tell his story and to keep it (and his true identity) concealed—associates narration, a creative act, with lying. Trauma generates the lies and hiddenness as a means of coping with abuse and indifference. In order to deal with the feelings of inadequacy caused by his humble birth, the traumatized protagonist lies: he romanticizes his family origins, the illusion of being the offspring of distinguished parents. His attempt to win the love of the parents, by being both good and all-knowing, is one of the motivating forces of his family romance. Telling lies makes the protagonist omniscient: he is the only one who knows if and when he is telling the truth. Paradoxically, the narrator creates and undermines that image of omniscience by revealing the thought processes of one character while leaving opaque those of the protagonist, and by denying the trueness of the tale affirmed when he presents as objective his own subjective sentiments by indirectly attributing them to the protagonist. The uncertainty that underpins the narration is indicative of the storyteller’s absence. This vacancy structures the work because it allows kindred spirits, nonjudgmental readers (listeners) who willingly suspend disbelief, to enter the world of the narrator. This uncritical participation counters the chaos of the storyteller’s reality, as they create their own new world where the split parental images are united.     

Shadowed reality or the 'Prometheus-complex': analytical psychotherapy after political imprisonment and persecution

Traumatic experiences of violence like those that were brought about by the communist regime of the former German Democratic Republic (GDR) are still present as if they happened yesterday, causing severe disadvantages in everyday life even after all those years. Consequently, in cases of extreme traumatization induced by political imprisonment, persecution and applied psychological methods of disintegration, regressive processes take place which corrode the ego. The breakdown of cathexis, i.e., the failure of empathic connection at the time of the trauma, is the strongest characteristic of severe traumatization. As a result of this destruction for the traumatized there is an inability to keep upright an inner empathic, emotional connection. As we try to grasp, from a Jungian point of view, the psychodynamics of severe traumatization, we can speak of a powerful pathogenous complex, which I call the 'Prometheus-complex'. Gustav Bovensiepen speaks of this complex as a sub-network, a limited fragment of the matrix of all internalized experiences, consisting of internal working models, feelings and patterns of anticipation which interact mutually. The human being, captured in such isolation and paralysis of the mind, can find himself 'in the therapist' on a mental level.     

School Entry After a Community-Wide Trauma: Challenges and Lessons Learned from September 11th, 2001

The purpose of this paper is to describe the implementation of a school-based trauma-specific mental health program in New York City following the terrorist attacks on September 11, 2001. This program aimed to serve children most at risk for developing mental health problems as a result of physical proximity (e.g., evacuation from schools surrounding the World Trade Center) to the trauma. As we present the components of the program, we will review the literature that guided our decision making. The ongoing struggle between searching for answers from established science and immediate needs in a crisis is highlighted. Lastly, a discussion of the lessons learned and recommended next steps is presented.     

Breaking the Solid Ground of Common Sense: Undoing “Structure” with Michael Balint

Balint's great merit was to question what, in the classical perspective, was assumed as a prerequisite for analysis and thus located beyond analysis: the maturity of the ego. A fundamental premise of his work was Ferenczi's distrust for the structural model, which praised the maturity of the ego and its verbal, social, and adaptive abilities. Ferenczi's view of ego maturation as a trauma derivative was strikingly different from the theories of all other psychoanalytic schools and seems to be responsible for Balint's understanding of regression as a sort of inverted process that enables the undoing of the sheltering structures of the mature mind. Balint's understanding of the relation between mature ego and regression diverged not only from the ego psychologists, who emphasized the idea of therapeutic alliance, but also from most of the authors who embraced the object-relational view, like Klein (who considered regression a manifestation of the patient's craving for oral gratification), Fairbairn (who gave up the notion of regression), and Guntrip (who viewed regression as a schizoid phenomenon related to the ego weakness). According to Balint, the clinical appearance of a regression would depend also on the way the regression is recognized, is accepted, and is responded to by the analyst. In this respect, his position was close to Winnicott's reformulation of the therapeutic action. Yet, the work of Balint reflects the persuasion that the progressive fluidification of the solid structure could be enabled only by the analyst's capacity for becoming himself or herself [unsolid].     

“A Forgotten History” and Related Risks for Speech Genre Users in Trauma Mental Health: A Commentary

This paper utilizes the concept of the speech genre as defined by the Russian literary scholarly Mikhail Bakhtin to examine several discourses related to trauma psychotherapy. It explores the theme of A Forgotten History in trauma mental health and then relates it to current problematic patterns in trauma mental health work with international survivors of human rights violations. It considers the theme of A Forgotten History which has been an important narrative in shaping the trauma mental health movement. It argues that it may put genre users at risk of undesirable practices, and cites as examples current trends in torture treatment and trauma training being used with international survivors of human rights violations. Several recommendations for how the trauma mental health field can better conduct itself as a speech genre are proposed.