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    s us neurotic in adulthood is what we learned in childhood to stay alive." The key is the breakdown in the growing psychic apparatus and its ability to provide stimulus barrier. Therefore, effecting a breach in the ego's boundaries or protective shield.

    These stimuli are experienced as overwhelming and producing a sense of helplessness, often leading to a sense of hopelessness. Clearly,

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    Post Traumatic Stress Disorder (PTSD) is a psychological syndrome first recognized by the Diagnostic and Statistical Manual of Mental Disorders in 1980 (American Psychiatric Association).

    The literature on traumatic anxiety covers a wide range of varying circumstances and experiences. The effects of these experiences, whether from natural disasters or events of human creation, war, terrorism or single acts of violence against one person are often determined by the individual's capacity to cope with stress. This in turn is a function of each person's early developmental experiences with trust, constancy and mastery. Traumatic abuse, sexual or otherwise, in the first years of human life not only effects the child in the moment, but has a more lasting effect on the ongoing development of the defense system itself.

    Individual psychology believes that traumatic anxiety is most often seen as resulting when the ego is "overwhelmed or disorganized" with the defenses employed in the service of maintaining a sense of self-constancy and continuity. More specifically, the defense function acts to ward off a sense of discontinuity or void in one's identity. Therefore, the trauma is considered an attack, real or potential, escalating the anxiety to terror as a consequence the protective rage is rendered unconscious and turned inward to depression and guilt, or outward to action discharge. This process is called into action to protect against these powerful threats to the integration of the self. It reminds one of the often-quoted words of Freud "that what makes us neurotic in adulthood is what we learned in childhood to stay alive." The key is the breakdown in the growing psychic apparatus and its ability to provide stimulus barrier. Therefore, effecting a breach in the ego's boundaries or protective shield.

    These stimuli are experienced as overwhelming and producing a sense of helplessness, often leading to a sense of hopelessness. Clearly,

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    rism or single acts of violence against one person are often determined by the individual's capacity to cope with stress. This in turn is a function of each person's early developmental experiences with trust, constancy and mastery. Traumatic abuse, sexual or otherwise, in the first years of human life not only effects the child in the moment, but has a more lasting effect on the ongoing development of the defense system itself.

    Individual psychology believes that traumatic anxiety is most often seen as resulting when the ego is "overwhelmed or disorganized" with the defenses employed in the service of maintaining a sense of self-constancy and continuity. More specifically, the defense function acts to ward off a sense of discontinuity or void in one's identity. Therefore, the trauma is considered an attack, real or potential, escalating the anxiety to terror as a consequence the protective rage is rendered unconscious and turned inward to depression and guilt, or outward to action discharge. This process is called into action to protect against these powerful threats to the integration of the self. It reminds one of the often-quoted words of Freud "that what makes us neurotic in adulthood is what we learned in childhood to stay alive." The key is the breakdown in the growing psychic apparatus and its ability to provide stimulus barrier. Therefore, effecting a breach in the ego's boundaries or protective shield.

    These stimuli are experienced as overwhelming and producing a sense of helplessness, often leading to a sense of hopelessness. Clearly,

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    opment of the defense system itself.

    Individual psychology believes that traumatic anxiety is most often seen as resulting when the ego is "overwhelmed or disorganized" with the defenses employed in the service of maintaining a sense of self-constancy and continuity. More specifically, the defense function acts to ward off a sense of discontinuity or void in one's identity. Therefore, the trauma is considered an attack, real or potential, escalating the anxiety to terror as a consequence the protective rage is rendered unconscious and turned inward to depression and guilt, or outward to action discharge. This process is called into action to protect against these powerful threats to the integration of the self. It reminds one of the often-quoted words of Freud "that what makes us neurotic in adulthood is what we learned in childhood to stay alive." The key is the breakdown in the growing psychic apparatus and its ability to provide stimulus barrier. Therefore, effecting a breach in the ego's boundaries or protective shield.

    These stimuli are experienced as overwhelming and producing a sense of helplessness, often leading to a sense of hopelessness. Clearly,

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    e trauma is considered an attack, real or potential, escalating the anxiety to terror as a consequence the protective rage is rendered unconscious and turned inward to depression and guilt, or outward to action discharge. This process is called into action to protect against these powerful threats to the integration of the self. It reminds one of the often-quoted words of Freud "that what makes us neurotic in adulthood is what we learned in childhood to stay alive." The key is the breakdown in the growing psychic apparatus and its ability to provide stimulus barrier. Therefore, effecting a breach in the ego's boundaries or protective shield.

    These stimuli are experienced as overwhelming and producing a sense of helplessness, often leading to a sense of hopelessness. Clearly,

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    These stimuli are experienced as overwhelming and producing a sense of helplessness, often leading to a sense of hopelessness. Clearly, the trauma can be psychological, emotional, physical, or sexual (most commonly, incest), often involving aspects of all four. In the case of incest what stands out - adding to the terror caused by the actual and potential attack, with its accompanying sense of helplessness - is the humiliation, shame, and feelings of degradation. Commonly, these feelings lead to an identification with the aggressor internalizing the sadistic and masochistic components (all rendered unconscious), resulting in intense guilt and self-blame. Perhaps the most crucial component of the trauma for survivors of sexual abuse is not only that it results from acts causing severe pain, suffering, humiliation and intimidation, but that it is inflicted by those deemed protectors. Another factor in this process is the strong demand from the instigators that the victim become part of a conspiracy of silence. This leads to further operations by the victim's defense system in order "to stay alive," primary among them being the defense of denial.

    My interest in traumatic stress and anxiety began over two decades ago. At the time I was involved in a project working with Vietnam veterans addicted to various kinds of drugs. This project was designed to study the effect of psychotherapy as an adjunct to chemotherapy (methadone) on the addicted veterans. While working with this group, I noticed that many of the patients diagnosed with divergent kings of addictive disorders also exhibited symptoms of depression, anxiety, sadness, profound withdrawal, and brooding. Also, I observed that these ve

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