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Unassimilated Happenings Pierre Janet

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Title: Unassimilated Happenings Pierre Janet


1
Unassimilated Happenings(Pierre Janet)
  • By Ivor Browne

2
Self-Organisation
Water
H2O
Emergence
H
O2
3
Systems Causality
Reductionist
WHOLE
PART
Systemic
WHOLE
PART
4
Living Systems Definition
OPEN SYSTEM
  • Contains a number of elements
  • Dynamic process
  • Boundary - regulates what goes in and out
  • Maintains and renews itself
  • Locus of control within itself (self-organising)
  • Reproduces itself

5
Key Criteria of a Living System
  • Pattern of Organisation
  • The configuration of relationships that
    determines the
  • systems essential characteristics
  • Structure
  • The physical embodiment of the systems pattern
    of organisation
  • Life Process
  • The activity involved in the continual
    embodiment of the
  • systems pattern of organisation

6
Two Types of Systems
Living Auto-Poeisis (Self-making)
Non-Living Allo-Poeisis (Other making))
(Maturana and Varela) Chilian Biologists
7
History of Traumatic Neurosis
  • From ancient times the adverse emotional effects
    of trauma have been recognised by philosophers
    and writers
  • In 1859 Briquet suggested Hysterical symptoms
    came as a result of traumatic events.
  • He first formulated the concept of dissociation
    (desaggregation).
  • Charcot (1825-1893) first related the symptoms of
    dissociation to brain changes following a
    traumatic event

8
History of Traumatic Neurosis (cont.)
  • Dr. Jacob Da Costa (1871) described a group
    American Civil War veterans who were physically
    sound but complained of palpitations, cardiac
    pain, tachycardia, headache, dimness of vision,
    and giddiness. He labeled the condition
    irritable heart. This became known as Da
    Costas syndrome.
  • After World War One, Sir Thomas Lewis (1919)
    referred to a similar syndrome as soldiers
    heart, Openheimer called it neurocirculatory
    asthenia.

9
Unexperienced Experience
  • When something happens we do not fully experience
    it as it happens
  • The integration of experience is a process,
    taking place over time, involving
    neurophysiologic and somatic work
  • Why has this simple fact of everyday experience
    been overlooked?

10
There Appear to be Two Main Reasons
  • 1. We repeatedly find descriptions of how
    traumatic experiences are re-lived,
    re-experienced, or re-enacted. The
    fundamental error here is the use of the prefix
    Re and the description of unresolved traumatic
    experience as repressed memory.
  • 2. Certain historical factors surrounding the
    early work of Sigmund Freud, for it was he, who
    first clearly drew attention to the whole issue
    of traumatic neurosis.

11
Fight or Flight
  • Walter Cannon (1928) A living creature faced
    with a threat to its physical integrity responds
    to the challenge with a fight or flight
    response.
  • Homeostasis(Cannon) when the threat has been
    dealt with in one way or the other, the
    physiology returns to its more or less steady
    state.
  • Cannon failed to emphasize an equally ancient
    strategy for survival seen in many species.

12
Freeze Response
  • Where fight or flight are not possible an
    organism has the capacity, when faced with an
    overwhelming threat, to freeze or play dead.
  • This involves an immediate, primitive biological,
    adaptive response acting at the level of the
    primitive brain, outside of conscious awareness
    or control.
  • E.g. The cat and the mouse the spider, when you
    touch it with your finger, curls into ball and
    plays dead. Other animals, such as the hedgehog,
    for which this form of inhibition is their only
    means of defense.

13
Freeze Response (cont.)
  • With traumatic events several factors combine to
    determine whether the initial shock and
    freezing which occurs is maintained
    indefinitely.
  • Where there is alcoholism, marital conflict, or
    simply a family with little trust, warmth or
    security and the open expression of emotion is
    discouraged, then freezing is likely to
    supervene. Obviously worse, of course, is the
    situation where physical or sexual abuse, etc. is
    occurring within the family itself, being
    perpetrated by a father or near relative.

14
Freeze Response (cont.)
  • The freezing of an experience can take several
    forms, from a complete blocking of the entire
    experience, in both its cognitive and emotional
    aspects, to a partial suspension of the event.
  • The latter response is seen where, after a first
    rush of emotion, there is a complete inhibition
    of all feeling, but not of action. This leaves
    the person free to take whatever measures are
    necessary for survival. But, short of actual
    survival, it is also an essential device to
    enable individuals to deal with the practical
    problems which arise following a tragedy.

15
The Frozen Present
  • In humans this defense is now used as a way of
    avoiding internal destabilisation.
  • The potentially disintegrative effect of the
    external threat is signalled by the initial surge
    of emotion.
  • Our biological structure seems to be able to
    specify in advance that to fully experience the
    threatening encounter would destroy or
    disintegrate our core organisation.
  • The capacity to suspend the integration of the
    experience appears to involve the Medial Temporal
    Lobe.

16
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17
The Frozen Present
  • When an event takes place we may not fully
    experience it as it happens. We do take an
    impression of the raw experience, otherwise it
    would no longer exist within us.
  • But integration fails to progress beyond this
    point. This is why such experiences, if
    activated years later, are experienced as
    happening now.

18
Declarative Memory
  • Most research into memory has been an attempt to
    understand the various forms of dementia. This
    memory processing system involves the hyppocampus
    and related areas of the primitive brain.
  • What is missing from this research is whether we
    have the capacity, when subjected to an
    overwhelming traumatic experience, to block this
    memory processing system.

19
The Amygdala.
  • The amygdala are not a component of the medial
    temporal lobe memory system. They are important
    for other functions concerning conditioned fear
    and the attachment of affect to neural stimuli.
    They also have a role in making associations
    among sensory modalities.
  • In identifying these emotional connections of the
    amygdala we are perhaps getting closer to the
    site for the blocking mechanism which occurs when
    one is faced with an overwhelming trauma.

20
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21
Traumatic Experience
  • Traumatic experiences can be of many kinds
    including the following
  • Life threatening - birth, near death, drowning,
    etc.
  • Loss - key relationship, pet, job, self-esteem,
    suicide, etc.
  • Physical trauma - accident, operation, illness.
  • Cruelty - physical, sexual abuse, torture, etc.
  • Family conflict, alcoholism, drug abuse,
    gambling, etc.

22
Traumatic Experience (cont.)
  • How traumatic an event is depends not only on the
    seriousness of the event, but also on the
    internal state of the person at that time.
  • The traumatic experience therefore is the
    summation of the external event and all the
    learned past of that person, including previous
    insults or experiences of a similar kind which
    were frozen and not integrated.

23
Traumatic Experience (cont.)
  • It is now as if the trauma is within the person
    but not part of them.
  • This internalised stressor now exists, outside
    of time, in a potentially unstable state.
  • The person retains these subsidiaries in an
    inchoate form, some of which may be represented
    somatically as well as centrally. One may be
    unable therefore to consciously identify the
    threatening experience, it is as if it had never
    happened.

24
Traumatic Experience (cont.)
  • If activated later by some life event, the
    experience breaks through and causes flashbacks,
    nightmares, etc. This triggers painful emotional
    responses, which the individual once again tries
    to suspend, but now only partially successfully.
  • This then gives rise to the full-blown syndrome
    of Post Traumatic Stress Disorder.

25
Freud and Janet
  • Freud and Janet were contemporaries. Freud
    (1826) was three years older, but Janet (1829),
    who died in 1947, outlived him by almost 8 years.
  • Although they never met they were aware of each
    others work. In a letter to Fliess freud stated
    Our work on hysteria has at last received
    proper recognition from Janet in Paris.
  • Janet Praised the work of Breuer and Freud
  • We are glad to find that several authors,
    particularly M.M.
  • Breuer and Freud have recently verified our
    interpretation,
  • already somewhat old, of subconscious fixed
    ideas with
  • hystericals.

26
Freud in Paris
  • Freud went to Paris from October 1885 until
    February 1886 to study under Charcot, the great
    French neurologist. In 1914 Freud wrote
  • Influenced by Charcots use of the traumatic
    origin of hysteria, one was readily inclined to
    accept as true and etiologically significant the
    statements made by patients in which they ascribe
    their symptoms to passive sexual experience in
    the first years of childhood, to put it bluntly,
    to seduction.

27
Freud and Breuer
  • Back in Vienna Freud joined forces with Joseph
    Breuer to work on the traumatic origin of the
    neuroses.
  • In The Aetiology of Hysteria Freud stated
  • We must take our start from Joseph Breuers
    momentous discovery the symptoms of hysteria.
    are determined by certain experiences of the
    patient which have operated in a traumatic
    fashion
  • They further stated
  • Hysterics suffer mainly from reminiscences

28
Freud and Breuer
  • They stated that these memories were
  • Found to be astonishingly intact and to
    possess remarkable
  • sensory force and when they returned, they
    acted with all the effective strength of new
    experience.
  • They stressed the importance of the affective
    component
  • We found to our great surprise that each
    individuals hysterical symptom immediately and
    permanently disappeared when we
  • had succeeded in bringing to light the memory
    of the event by
  • which it was provoked and in arousing its
    accompanying affectRecollection without affect
    almost invariably produces no result.

29
Seduction Theory
  • Freuds other great contribution (and why he
    parted company with Breuer) was to stress the
    importance of sexual abuse in early childhood,
    in the genesis of hysteria.
  • Unfortunately he went too far
  • what ever case and whatever symptom we take as
    our
  • point of departure, in the end we infallibly
    come to the field
  • of sexual experience.

30
Hoist with his own Petard
  • In The Aetiology of Hysteria Freud stated
  • If you submit my assertion that the aetiology
    of hysteria lies in sexual life to the strictest
    examination, you will find thatin some 18 cases
    of hysteria I have been able to discover this
    connection in every single symptom, and where
    circumstances allowed, to confirm it by
    therapeutic success.

31
Seduction Theory (cont.)
  • In the French journal Review Neurologique
    (March 1986) Freud said
  • In none of these cases was an event of the
    kind found above (seduction in childhood)
    missing. It was represented either by a brutal
    assault committed by an adult or by a seduction
    less rapid and less repulsive but reaching the
    same conclusion.

32
From Fact to Fantasy
  • In little more than a year Freud underwent a
    complete change of heart. Earnest Jones in his
    biography of Freud described what happened
  • Up to the spring of 1897 Freud still held
    firmly to his
  • conviction of the reality of child traumasAt
    that time
  • doubts began to creep inThe great secret of
    something,
  • which in the last few months has gradually
    dawned on me.
  • It was the awful truth that most - not all - of
    the seductions in childhood which his patients
    had revealed and on which he had
  • built his whole theory of hysteria, never
    occurred.

33
The Assault on Truth
  • Jeffrey Masson in his book The Assault on
    Truth(1985) described the circumstances
    surrounding Freuds abandonment of the Seduction
    Theory.
  • Masson was working as project director of the
    Freud Archives and was to be appointed as full
    director by Anna Freud and Kurt Eissler, but
    because he published the hidden correspondence
    from Freud to Fleiss he was quickly dismissed for
    letting the cat out of the bag.

34
Abandonment of the Seduction Theory
  • In April 1896 Freud presented his paper The
    Aetiology of Hysteria to the Society for
    Psychology and Neurology in Vienna and he
    described to Fleiss what happened
  • A lecture on the aetiology of hysteria at the
    Psychiatric Society
  • met with an icy reception from the asses, and
    from Kraft-Ebbing
  • the strange comment it sounds like a
    scientific fairytale and this after one has
    demonstrated to them the solution to a more than
    a thousand year old problem, a source of the
    Nile.
  • A month later, on the 4th May he wrote
  • I am as isolated as you could wish me to be,
    and a
  • void is forming around me.

35
The Debacle of Emma Eckstein
  • Fleiss believed the nose was an alternate sexual
    organ. Operate on the nose and you would cure
    hysteria.
  • Fleiss came to Vienna (Feb. 1895) and operated on
    Emma. The operation was not a success, he left
    soon afterwards.
  • She developed a purulent discharge. Freud called
    in another surgeon. He pulled out a yard of
    gauze, a flood of blood came and she almost bled
    to death.

36
Emma Eckstein (cont.)
  • She suffered a relapsing course with recurrent
    bleeding for several months.
  • On 16 April 1896 Freud told Fleiss
  • A completely surprising explanation of
    Ecksteins
  • haemorrhages which will give you much pleasure
  • you were right, that her episodes of bleeding
    were hysterical
  • On 4 May
  • when she saw how affected I was by her first
    haemorrhage
  • she experienced this as an old wish to be
    loved in her illness
  • she became restless during the night because
    of an unconscious wish to entice me to go there
    and since I did not come during the night she
    renewed the bleeding as an unfailing means of
    rearousing my affection.

37
Fact to Fantasy
  • So, in one masterly stroke, a botched operation
    was changed from fact to fantasy bleeding out of
    her longing for Freud himself.
  • Thus he found a way to rehabilitate himself in
    the eyes of his medical colleagues, so that he, a
    Jew, could once again find himself accepted in
    conservative catholic Vienna, and be able to earn
    a living.
  • While in Paris Freud used to go down to the
    morgue and he would have been familiar with the
    issue of sexual assaults on children which was
    under active discussion at that time.

38
Ambroise Auguste Tardieu
  • He was professor of legal medicine at University
    of Paris. His Etude medico Legale (1857) drew
    attention, for the first time, to the frequency
    of sexual assaults on children. In France during
    1858 to 1869, there were 9,125 persons accused of
    rape or attempted rape of children, most aged
    between 4 and 12, almost all of them were girls.
  • Tardieu did not doubt the authenticity of these
    sexual assaults on children.

39
Alfred Fournier P.C. Brouardel
  • Within 30 years his two successors took a starkly
    different view. Articles by
  • 1) Fournier Simulation of sexual attacks on
    young children (1880)
  • 2) Brouardel The Causes of Error in Expert
    Opinion with Respect to Sexual Assaults(1883).

40
Brouardel
  • Hysteria plays a considerable role in the
    genesis of these false accusations, either
    because of the genital hallucinations which stem
    from the great neurosis or because hysterics do
    not hesitate to invent mendacious stories with
    the sole purpose of attracting attention to
    themselves and to make themselves interesting.

41
Fact to Fantasy (cont.)
  • In The History of the Psychoanalytic
    Movement (1914) Freud explained
  • When this ideology broke down under the weight
    of its
  • own improbability and contradiction in
    definitely ascertainable circumstances, the
    result at first was helpless bewilderment
  • .if hysterical subjects trace back their
    symptoms to traumas
  • that are fictitious, then the new fact which
    emerges is precisely that they create such
    scenes in fantasy This reflection was soon
    followed by the discovery that these fantasies
    were intended to cover up the auto-erotic
    activity in the first years of childhoodand
    now, from behind the fantasies, the whole range
    of a childs sexual life came to light.

42
Fact to Fantasy
  • This new insight opened the way to turn painful
    reality into fantasy and to blur the distinction
    between them. Out of this came the whole
    development of classical psychoanalysis.
  • Psychoanalysis and psychotherapy in general have
    remained in a state of confusion because of this
    up to the present day. Thus awareness of the
    frequency, and serious implications, of sexual
    abuse was delayed for nearly a hundred years.

43
Pierre Janet
  • The widespread popularity of psychoanalysis
    virtually eclipsed the work of Pierre Janet so
    that, when he died in 1947, his death was hardly
    reported in the media.
  • Nevertheless, the emphasis he placed on
    traumatic antecedents, dissociation, and the
    retraction of the field of consciousness,
    offered a model of psychological trauma which
    remains valid today.

44
Psychological Healing
  • In the above work, under a sub-heading -
    Unassimilated Happenings, he described the
    effects of psychological trauma as follows
  • All the patients seem to have had the
    evolution of their
  • lives checked they are attached upon an
    obstacle that
  • they cannot get beyond. The happening we
    describe as
  • traumatic has been brought about by a situation
    to which
  • the individual ought to reactwhat
    characterises these
  • attached patients is that they have not
    succeeded in
  • liquidating the difficult situationStrictly
    speaking then,
  • one who retains a fixed idea of a happening
    cannot be
  • said to have a memory of the happening. It
    is only for
  • convenience that we speak of it as a traumatic
    memory.

45
Diagnostic and Statistical Manual
  • In DSM4 the distinction between acute, chronic
    and delayed onset PTSD is now accepted.
  • In their list of symptoms no distinction is made
    as to the different times when these occur.
  • In fact a long period, often of many years, may
    elapse following the trauma, before the emergence
    of the acute symptoms of PTSD.
  • During this latent phase they may show few
    symptoms, only a constricted life pattern, with
    recurrent episodes of depression. Most had been
    attending psychiatrists with a diagnosis of
    clinical depression.

46
False Memory Syndrome
  • For generations the abuse of women and children
    of both sexes, both physical and sexual, carried
    out primarily by men, was a dark secret.
  • It was only through the courage of a few
    pediatricians, the feminist movement, and one or
    two psychiatrists, which finally, over the past
    30 or 40 years, brought this abuse , and the
    extent of it, out into the light of day.
  • Until then there was a culture of silence which
    meant that victims had no where to turn.

47
False Memory Syndrome (cont.)
  • Unfortunately, when the wall of silence was
    finally broken, because those who have been
    abused tend to present with a range of symptoms,
    a number of over-enthusiastic therapists and
    counselors saw abuse lurking below the surface,
    where no abuse had actually occurred.
  • They actively suggested this to clients using
    peer pressure, regression techniques,
    fundamentalist therapeutic groups, etc., and
    highly suggestible subjects complied with the
    production of pseudo memories.
  • Thus innocent parents and others were wrongly
    accused, and the wheel turned full circle,
    giving rise to organised groups of parents and
    others attempting to protect themselves from
    false accusations.

48
The Repression Debate
  • A number of studies have shown that both children
    and adults can and do distort past memories.
  • If subjected to suggestive influence they can
    invent occurrences which have never happened, or
    which happened to someone else.

49
The Repression Debate (Contd).
  • It was Bartlett who said as far back as 1932
  • Some widely held views have to be completely
    discarded
  • and none more completely than that which treats
    recall as
  • the re-excitement in some way of fixed and
    changeless traces(remembering) is an
    imaginative reconstruction or construction built
    out of the relation of our attitude towards a
    whole mass of organised past reactions or
    experience.

50
The Repression Debate (Contd).
  • Psychologist Endel Tulving has also described
    this misconception
  • One of the most widely held, but wrong,
    beliefs, that
  • people have about memory, is that memories
    exist,
  • somewhere in the brain, like books exist in a
    library, or
  • packages of soap on the supermarket shelves,
    and
  • that memory is equivalent to somehow retrieving
    them.
  • The whole concept of repression is built on
    this misconception.

51
Repression
  • The usual explanation of what is happening is
    summed up in Freuds own words in 1924 when he
    wrote
  • The theory of repression is the corner stone
  • of our understanding of the neurosis.

52
Repression Continued
  • It is now clear that when a long-term memory is
    retrieved, it is reassembled from a number of
    inputs, from various times in the past, and
    therefore is essentially a new creation.
  • Hence, if what we are dealing with here is simply
    repressed memory, it will be quite impossible
    to distinguish between a true recollection and a
    fantasy.
  • This is the argument put forward in questioning
    the reliability of traumatic experiences
    retrieved by means of experiential methods.

53
Repression Continued
  • This argument, however, conceals a crucial
    misunderstanding of the nature of unresolved
    traumatic experience.
  • For these experiences are not long-term memories,
    nor indeed memories in the accepted sense at
    all, but the suspended frozen present.
  • These are experiences which have not yet been
    integrated into memory, and therefore have yet
    to be experienced.

54
Retrospective Study
  • We reviewed 180 cases and they broke down as
    follows
  • True - 110
  • FMS - 6
  • Unclear - 53
  • Dropped out -
  • ------------------
  • Total - 180

55
Activation
  • Activation may occur due to another trauma of a
    similar kind e.g. a person who was sexually
    abused as a child may in adult life be raped.
  • But the Activation need not be a further
    serious traumatic episode. It can be something
    as simple as the first night in the marriage bed,
    or watching a TV programe about sexual abuse.
    This for most people may be entirely normal.
  • But because this touched the sensitive frozen
    experience, for this person, the effect may be
    catastrophic and unleash full-blown PTSD.

56
Activation Continued
  • The Activation of Frozen experience explains
    why so many cases of traumatic neurosis only
    present for treatment in adult life.
  • Once Activation has taken place the individual
    is now in a dysfunctional state. They are unable
    to maintain the freeze so as to be able to
    cope, but, on the other hand, they are unable to
    fully experience and integrate the blocked
    trauma of many years earlier.

57
Dissociation
  • When a person is subjected to the same traumatic
    experience again, and again. e.g.. Where there is
    incestuous abuse within the family.
  • In such cases the child is face with an
    impossible situation. Dissociation is then
    likely to supervene with a splitting of the
    personality.
  • In this way the two dimensions of the personality
    continue to learn and develop quite separately -
    one visible and available to consciousness, the
    other hidden and only likely to appear when
    activated.

58
Multiple Personality
  • Such Dissociation is very common in Traumatic
    neurosis.
  • Very rarely this may spontaneously give rise to
    multiple personality - historically there are a
    few recorded examples of this.
  • There is ample evidence however that the majority
    of the latter are iatrogenic i.e. the result of
    active suggestion by enthusiastic therapists who
    believe this to be a common clinical reality.

59
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60
D.S.M.
  • It was only in the closing years of the 20th
    century that the realisation that trauma could
    lead to enduring consequences was finally
    accepted.
  • The essential symptoms of what is now recognised
    as P.T.S.D were described by Kardiner as far back
    as the Second World War, Which he termed a
    Physioneurosis. Yet it was only as a result of
    the Viet-Nam War and the publication of D.S.M. 3,
    that P.T.S.D. was finally enshrined in an
    official psychiatric classification.
  • Erich Lindemann(1944) Symptomatology and
    Management of Acute Grief.

61
Post Traumatic Stress Disorder
  • (As described in D.S.M. IV)
  • (A) The person has been exposed to a traumatic
    event in which both of the following were
    present
  • (1) the person experienced, witnessed, or was
    confronted with an event or events that involved
    actual or threatened death, or serious injury, or
    a threat to the physical integrity of self or
    others.
  • (2) the persons response involved intense fear,
    helplessness, or horror. In children this may be
    expressedby disorganised or agitated behaviour.

62
P.T.S.D. (cont.)
  • (B) The traumatic event is persistently (re-)
    experienced in one or more of the following ways
  • (1) recurrent and intrusive distressing
    recollections of the event, including images,
    thoughts, or perceptions.
  • (2) recurrent distressing dreams of the event.
  • (3) acting or feeling as if the traumatic event
    were recurring (illusions, hallucinations, and
    dissociative flashback episodes,including those
    that occur on awaking or when intoxicated.

63
P.T.S.D. (cont.)
  • (4) intense psychological distress at exposure
    to internal or external cues that symbolise or
    resemble an aspect of the traumatic event.
  • (5) physiological reactivity on exposure to
    internal or external cues that symbolise or
    resemble an aspect of the traumatic event.

64
P.T.S.D. (cont.)
  • (C) Persistent avoidance of stimuli associated
    with the trauma and numbing of general
    responsiveness, as indicated by three or (or
    more) of the following
  • efforts to avoid thoughts, feelings or
    conversations associated with the trauma.
  • (2) efforts to avoid activities, places, or
    people that arouse recollections of the trauma.
  • (3) inability to recall an important aspect of
    the trauma.

65
P.T.S.D. (cont.)
  • (4) markedly diminished interest or
    participation in significant activities.
  • (5) feeling of detachment or estrangement from
    others.
  • (6) restricted range of affect (e.g. unable to
    have loving feelings.)
  • (7) sense of foreshortened future (e.g. does not
    expect to have a career, marriage, children, or a
    normal life span.

66
P.T.S.D. (cont.)
  • (D). Persistent symptoms of increased arousal
    (not present before the trauma), as indicated by
    two (or more) of the following
  • (1) difficulty in falling or staying asleep
  • (2) irritability or outbursts of anger
  • (3) difficulty concentrating.
  • (4) hypervigilance
  • (5) exaggerated startle response

67
The Family - A Living System
  • The family is a living system with its own
    separate life and existence.
  • Where there is a block in the clients family we
    typically find there is not only a secret , but
    also a myth.
  • The myth is that if these things were ever spoken
    of, somebody would break down or be destroyed.

68
The Family Myth
  • The thing to do then is bring the family together
    face to face with the client.
  • It is obviously most satisfactory when the truth
    can be brought out and accepted by all.
  • If they refuse to be involved, they can still be
    faced openly with the truth, or one can even
    write an account of it and send it to them.
  • If there is denial by the family the client may
    become the guardian of the secret.

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70
Reappraisal
  • Persons who have been traumatised or abused over
    many years will typically, have a strongly
    negative self-image.
  • They may have self-destructive tendencies, either
    to mutilate themselves or attempt suicide.
  • When they come for therapy major areas of their
    personality may be dissociated.
  • They dont know why they have all these negative
    feelings about themselves.

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Reappraisal Continued
  • As the experiential phase nears completion they
    are able to take responsibility for their
    dissociated aspects and to integrate these.
  • Then a reappraisal of their situation becomes
    possible.
  • They can then dis-confirm their previous
    anticipation that things will always be the same.
  • Thus reappraisal is essentially a cognitive
    phase.

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73
Revictimisation
  • The strange finding that many patients suffering
    from Post Traumatic Stress seem to be stuck
    as if there were a theme running through their
    life.
  • They continue to be subjected to the same kind of
    traumatic experience, over and over again. (e.g.
    where there has been sexual abuse early in
    childhood, one finds the person being abused by
    others in adolescence and then perhaps subjected
    to rape or other kinds of sexual abuse again and
    again in adult life).

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Revictimisation Continued
  • In these instances it is as if the individual
    lives out a theme, which the external world
    continually plays back to them.
  • This phenomenon is usually explained as
    arising from early personality formation, which
    then tends to attract the same kind of traumatic
    insult later, and evokes a reciprocal response in
    those who carry a complimentary tendency. ( e.g.
    the daughters of alcoholics who in adult life are
    attracted by, and attractive to, alcoholics whom
    they often end up marrying. A similar situation
    of mutuality has been noted in battered wives who
    attract those who will brutalise them.)

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Revictimisation Continued
  • This undoubtedly represents part of the
    explanation. However, in a sizeable minority of
    patients, one finds traumatic incidents
    happening, which could conceivably be due to
    coincidence, but, when these occur over and over
    again, the odds against their happening by chance
    are unconvincing. It was this phenomenon which
    Carl Jung, in his tentative way, adverted to in
    his essays on Synchronicity. . He commented on
    the way the external world seemed to match the
    internal preoccupation of the person concerned.

76
Transpersonal Experience
  • The ancient yogic philosophy of Karma points to
    another possible explanation of these strange
    repetitive interactions. Stanislav Grof calls
    these obscure linkages co-ex systems and points
    out that the theme usually extends into the
    transpersonal area. He cites those who have
    experiences which are not from their present
    life, but have all the immediacy and vividness of
    real experiences. I too have frequently found
    the subject spontaneously going into an
    experience, which is not from their present life,
    but which they experience as an episode from a
    former lifetime.

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Transpersonal Experience (cont.)
  • I have often found that it is only when the
    person has fully experienced one or more of these
    transpersonal episodes they are able to take a
    new direction in life.
  • They are then no longer subjected to the same
    kind of traumatic insult again and again.

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END
  • Thank you Ladies Gentlemen
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