Customer Service | Help | FAQ | PEP-Easy | Report a Data Error | About
:
Login
Tip: To see statistics of the Most Popular Journal Articles on PEP-Web…

PEP-Web Tip of the Day

Statistics of the Most Popular Journal Articles on PEP-Web can be reviewed at any time. Just click the “See full statistics” link located at the end of the Most Popular Journal Articles list in the PEP Section.

For the complete list of tips, see PEP-Web Tips on the PEP-Web support page.

Krystal, H. (1985). Trauma and the Stimulus Barrier. Psychoanal. Inq., 5(1):131-161.

(1985). Psychoanalytic Inquiry, 5(1):131-161

Trauma and the Stimulus Barrier

Henry Krystal, M.D.

As psychoanalysts we are most comfortable dealing with the kind of material we derive from our clinical practice: fantasies, conflicts, resistances, defenses, couched in familiar terms of classical formulations. However, our complacency is disturbed by patients who do not fit comfortably into these conceptions. Such difficulties have developed for me in trying to deal with a very large population of survivors of the Nazi Holocaust. Repeatedly, in my early publications, I despaired over the possibility of understanding the phenomena of the post-traumatic residues and the process of traumatization in terms of classical conceptions (Krystal, 1968, 1971).

Finding that I could not explain all the phenomena observed in survivors, particularly the concentration camp inmates, I proceeded to describe the findings, hoping that they would eventually add up to material by which the process of traumatization and recovery could be understood in greater depth and accuracy. I was finally able to formulate a concept of massive traumatization (1978a) that corresponded to what I had learned from my patients. In these formulations I tried to understand the common basis of their experience and to account for the occurrence of certain symptoms not previously explainable. Such post-traumatic pictures included alexithymia, inhibitions in the capacity for self-caring, anhedonia, continuation of extreme hypervigilance, depressive and masochistic patterns, as well as characteristic personality patterns.

[This is a summary or excerpt from the full text of the book or article. The full text of the document is available to subscribers.]

Copyright © 2019, Psychoanalytic Electronic Publishing, ISSN 2472-6982 Customer Service | Help | FAQ | Download PEP Bibliography | Report a Data Error | About

WARNING! This text is printed for personal use. It is copyright to the journal in which it originally appeared. It is illegal to redistribute it in any form.