Analyzing the Traumatic Impact of Childhood Visual Impairment

Abstract

Material is presented from three analyses involving the impact on adult functioning of childhood trauma to the visual system. The clinical process by which unrecognized but ongoing traumatic reactions are identified for subsequent analysis is described. It is of particular importance, with these patients, to recognize their lifelong experience of visual confusion resulting from problems in their visual anatomy. Only then can fantasies and affects related to these physically induced states of confusion be worked through. Working through these reactions promotes the neutralization of related primitive narcissistic affects, mourning, and realistic accommodation, and leads to a more intact and integrated sense of self, and a marked increase in self-esteem. With this newly integrated sense of self, the complex interaction between physically induced confusion states and more typical developmental conflicts with objects can be worked through, resulting in more realistic and intense cathexes of the external world. The trauma suffered by these patients had been greatly compounded by its having gone unrecognized. To miss this yet again in an analysis is to repeat the past and retraumatize the patient. These findings have clear implications for patients with other biologically related symptoms (e.g., ADD, ADHD, and dyslexia).

Trauma and traumatic neurosis: Freud’s concepts revisited

“…Like other psychoanalytic concepts ‘trauma’ is likewise not a term that has a precise definition. Without specifying how they differ from one another, psychoanalysts have spoken at the same time of ‘catastrophic trauma’ (Anderson and Gold, 2003, p. 537; Petty, 1953, p. 412), ‘cumulative trauma’ (Auerhahn and Peskin, 2003, p. 632; Khan, 1963, p. 290), ‘extreme trauma’ (Lustmann, 1970, p. 499; Varvin, 2003, p. 6), ‘massive trauma’ (Auerhahn and Peskin, 2003, p. 618; Novey, 1962, p. 669), ‘pure trauma’ (Baranger et al, 1988, p. 113; Laub and Lee, 2003, p. 445), ‘silent traumas’ (Hertel, 2003, p. 919; Hoffer, 1952, p. 38) and ‘strain trauma’ (Hurvich, 2003, p. 603; Kris 1956, p. 73). As Sandler et al (1991, pp.…”