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Conti, M. (2017). The Case Study of Jacob: Childhood Sexual Abuse and the Limitations of the Holding Environment. Psychoanal. Soc. Work, 24(1):18-36.

(2017). Psychoanalytic Social Work, 24(1):18-36

The Case Study of Jacob: Childhood Sexual Abuse and the Limitations of the Holding Environment

Megan Marie Conti

Childhood sexual abuse and trauma influence relational development in significant ways. Notable among them are the development of a patient's internal object world, fantasies, and sense of self. Dynamic formulations and holding techniques are used to identify, process, and alter fractured relational dynamics. However, the use of such techniques may also influence a patient's narrative process, pulling them away from the realities of their life as lived. Using the case study method, focusing specifically on the patient's narrative development, this article examines the impact of analytic framing on a patient's experience of child sexual abuse and trauma.

[This is a summary excerpt from the full text of the journal article. The full text of the document is available to journal subscribers on the publisher's website here.]

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