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Related Experiment Video

Updated: May 26, 2026

Virtual Hand with Ambiguous Movement between the Self and Other Origin: Sense of Ownership and 'Other-Produced' Agency
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Published on: October 28, 2020

Losing the certainty of self.

Teresa Pinheiro1, Diane Viana

  • 1Federal University of Rio de Janeiro, Brazil. teresapinh@gmail.com

American Journal of Psychoanalysis
|December 7, 2011
PubMed
Summary

Adults disbelieving a child's trauma narrative can shatter their sense of self. This loss of self-certainty, a core trauma consequence, will be explored in patients at the NEPECC clinic.

Area of Science:

  • Psychoanalysis
  • Psychology
  • Trauma Studies

Background:

  • Sandor Ferenczi's trauma theory highlights adult disbelief as a key traumatizing factor.
  • Consequences of trauma include identification with the aggressor, psychic coma, and loss of self-certainty.
  • Disbelief undermines a child's trust in their perceptions and senses, leading to a fundamental loss of self.

Purpose of the Study:

  • To analyze the loss of self-certainty in patients.
  • To investigate the impact of disbelief on psychic dynamics.
  • To explore Ferenczi's trauma theory in contemporary clinical cases.

Main Methods:

  • Case study analysis of patients from NEPECC (Center of Studies in Psychoanalysis and Contemporarity Clinic).
  • Application of Ferenczi's psychoanalytic concepts to clinical observations.

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  • Qualitative analysis of patient experiences related to trauma and self-perception.

    • Main Results:

    • Loss of self-certainty is a prevalent characteristic across distinct psychic dynamics in patients.
    • The disbelief of adults significantly contributes to the annihilation of a child's belief in their own experiences.
    • Trauma's impact on self-perception is profound, affecting trust in one's senses and reality.

    Conclusions:

    • The study confirms Ferenczi's emphasis on loss of self-certainty as a fundamental trauma consequence.
    • Clinical analysis at NEPECC supports the theory that external disbelief erodes internal certainty.
    • Understanding this dynamic is crucial for psychoanalytic treatment of trauma.