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Krystal, H. (1991). Integration and Self-Healing in Post-Traumatic States: A Ten Year Retrospective. Am. Imago, 48(1):93-118.

(1991). American Imago, 48(1):93-118

Integration and Self-Healing in Post-Traumatic States: A Ten Year Retrospective

Henry Krystal

Introduction

On November 22, 1980, I read a paper to the Boston Society for Gerontologic Psychiatry Inc., as part of a symposium on the aging survivor. In 1990, I reviewed and revised this paper bringing it up-to-date for the International Conference “Psychological and Psychiatric Problems of the Naziterror in Survivors and their Offspring” in Hannover, Germany.

In retrospect, it is an amazing history to consider what important developments have taken place in this country in these ten years. I believe that the most important developments have resulted from a joining of forces by the people who had worked with various post-traumatic patients, most importantly the people who have worked with the Vietnam veterans. The people and groups who have contributed to this progress are too numerous to mention. However, a few must be credited with their unique role and merit in these events. Dr. Lawrence C. Kolb, Distinguished Psychiatrist-in-Chief, U.S. Veterans' Administration, was able to contain an eclectic, almost all-encompassing view of the post-traumatic patient, and lead a team that was prepared to try whatever approach showed any promise of help. Dr. Arthur S. Blank, Jr.,

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