Falling forever: the price of chronic shock

International Journal of Group Psychotherapy
Kathleen Adams

Abstract

Manifestations of chronic shock and annihilation anxiety-including autistic defenses, chaotic relationships, disorganized attachment, split-off affective states, and vulnerability to disintegration--exist side by side with apparent ego strength and high functioning, even in nonabused patients. Chronic shock stemming from uncontained distress and failed dependency during childhood can persist throughout the lifespan, creating ripples of dysfunction that mask as character distortion and contribute to therapeutic impasse. Patients rely on omnipotent defenses to provide a sense of "having skin" in the face of the fear of breakdown, striving to avoid vulnerability, and trying to insulate themselves from shock experience. Although the relinquishment of autistic defenses and subsequent integration of disowned affect states are overwhelming and painful, patients can emerge from this process with significant shifts in intrapsychic, interpersonal, and existential/spiritual functioning. Clinical material from one psychodynamic psychotherapy group tracks the group process and growth trajectories of seven group members struggling with chronic shock. The ability to recognize subtle dissociative states is a valuable tool in the repertoire of ...Continue Reading

References

Feb 1, 1989·The American Psychologist·E Z Tronick
Apr 1, 1995·Journal of the American Academy of Child and Adolescent Psychiatry·M Lewis
Jun 1, 1994·Scientific American·J E LeDoux
Jan 15, 1997·Annals of the New York Academy of Sciences·S W Porges
Jun 15, 1999·Journal of the American Psychoanalytic Association·S Akhtar
Apr 25, 2000·Psychotherapy and Psychosomatics·H J GrabeH J Freyberger
Apr 25, 2001·The Journal of the American Academy of Psychoanalysis·D S Goldman
Jan 1, 2001·Journal of Trauma & Dissociation : the Official Journal of the International Society for the Study of Dissociation (ISSD)·Kathy SteeleEllert R S Nijenhuis

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Citations

Jul 7, 2011·International Journal of Group Psychotherapy·Kathleen Adams
Jul 7, 2011·International Journal of Group Psychotherapy·Suzanne L Cohen
Oct 12, 2011·International Journal of Group Psychotherapy·Gloria Batkin Kahn, Darryl B Feldman

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