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Working with severely traumatized, chronically depressed analysands.

Marianne Leuzinger-Bohleber1

  • 1Sigmund-Freud-Institut, Myliusstrasse 20, D-60323, Frankfurt am Main, Germany.

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|July 16, 2015
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Summary

Chronic depression in psychoanalysis often stems from unconscious coping with severe trauma. Further research integrating neurobiology and epigenetics is crucial for advancing psychoanalytic understanding and treatment of trauma-related depression.

Keywords:
chronic depressionembodied cognitive sciencepsychoanalysisresearchtransferencetraumaworking through

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Area of Science:

  • Psychology
  • Psychiatry
  • Neuroscience

Background:

  • Psychoanalysis offers a unique framework for understanding chronic depression.
  • Severe trauma can lead to complex psychological responses, including dissociative states and emotional numbing.

Observation:

  • Depression in chronically depressed patients can be an unconscious defense mechanism against unbearable psychic pain resulting from severe trauma.
  • Treatment of these patients challenges analysts, with risks of trauma denial and re-traumatization.

Findings:

  • Psychoanalysis possesses a differentiated conceptualization of chronic depression's psychic determinants and treatment.
  • There's a need for systematic, extra-clinical research to enhance conceptualization, particularly regarding severe traumatization's role in chronic depression.

Implications:

  • Integrating findings from psychotherapeutic research, neurobiology, epigenetics, and embodied cognitive science can enrich psychoanalytic theory.
  • Clinical research focusing on meticulous analysis of trauma reactivation within the analytic relationship is vital for effective treatment.