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Shapiro, S.H. (1973). Preventive Analysis Following a Trauma—A 4½-Year-Old Girl Witnesses a Stillbirth. Psychoanal. St. Child, 28:249-285.

(1973). Psychoanalytic Study of the Child, 28:249-285

Preventive Analysis Following a Trauma—A 4½-Year-Old Girl Witnesses a Stillbirth

Stanley H. Shapiro, M.D.

THE BRIEF BUT INTENSIVE TREATMENT OF A 4½-YEAR-OLD GIRL WILL be presented in some detail. Such close-up opportunities for the observation of the effects of a traumatic incident in a young child are not readily available. Yet the opportunity for increasing our understanding of the developmental process as well as perfecting and broadening the scope of our therapeutic approach is potentially large. For traumatic interference with development serves to bring into focus crucial elements and interacting forces which are less easy to discern and examine under conditions of smooth functioning where all the diverse elements of the psyche are merged harmoniously. The clinical material will provide the basis for a discussion of the possibilities that a brief period of analysis affords in preventing the damaging effects of trauma on the unfolding personality of the young child.

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