Modern Psychoanalytic Clinical Practice from the viewpoint of Miller's theory: towards an extension of the trauma concept

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  • アリス・ミラーの理論からみた、現代の精神分析臨床 --心的外傷概念の拡張をめざして--
  • アリス ・ ミラー ノ リロン カラ ミタ 、 ゲンダイ ノ セイシン ブンセキ リンショウ : シンテキ ガイショウ ガイネン ノ カクチョウ オ メザシテ

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In this paper, we discuss how to treat trauma in clinical psychology, focusing mainly on its definition. Thecurrent PTSD diagnostic criteria in DSM are limited to objectively identifiable singular trauma, whereaswe explored the expandability of trauma definition by introducing the perspective of recurrent trauma asseen in the concept of closed/persistent trauma in complex PTSD and in the concept ofattachment/relational trauma in dissociative disorders. In addition, in the field of Psychoanalysis, afterFreud's change to drive theory, actual trauma came to be neglected. From the theory of Miller who decidedto drop out of Psychoanalysis due to this disconnection, we examined the background of this neglect, andexplored the need for new clinical practice of trauma, in which we should keep in mind the possibility oftrauma even without PTSD and dissociation symptoms, without being bound by symptomology.

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