Psychotherapy of a man with panic,somatization, and traumatic anxiety: A psychoanalytic case study

This is the case of a 42-year-old Englishman who suffers from acute anxiety attacks and panic episodes. His professional life is severely limited because he cannot tolerate separation from home and family. The relationship between himself and the significant others in his life has deteriorated and he is continually made to feel like the inadequate outsider. The roots of the psychopathology presented in adulthood are frequently found buried in the past. In this case, the traumatic episodes experienced in the first five years of life are being replayed over and over in the present. Whether he is home watching television, driving to work or in a store with other shoppers, he is alone—deserted, abandoned, lost. The first five years of this man's life were spent on an island during World War II. He experienced nightly bombardments. The patient recovers fragments of past episodes: darkness, lonely roads, uniformed men and the overriding feeling of helplessness. As he proceeds through his analysis, the shadowy places become illuminated for brief moments, as he relives the feelings of the past as they seem to be reenacted before him.