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The traumatic syndrome

The traumatic syndrome BY HAROLD KELMAN * HE PREMISE of this paper is that the trauma- What "breaks," then, is an organization within T a structure having neurotic and healthy com- tic syndrome is a unitary phenomenon. By ponents, to be followed by a reorganization and this I mean a circumscribed entity which has a definable beginning, course, and ending during realignment which may be better or worse or simply different. which certain consistent patterns manifest them- Qualitatively and quantitatively, such a break selves. The "traumatic syndrome"---or parts thereof--has received the following designa- may be limited or extensive. In a life span it may happen many times. It may occur because tions: traumatic neurosis, traumatic neuroses of of unfavorable pressures which increase or be- war or peace, shell-shock, war neuroses, combat fatigue, effort syndrome, post-concussion syn- cause of mitigating factors which alleviate ten- sions. As a consequence, a break may be drome, lightning neurosis, railroad spine, com- followed by a more or less effective integration. pensationitis, and even malingering. (1) We could speak of a breakup when the integra- The traumatic syndrome is neither a neurosis nor a psychosis, although there may appear as tion is in the direction of becoming less http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png The American Journal of Psychoanalysis Springer Journals

The traumatic syndrome

Kelman, Harolo
The American Journal of Psychoanalysis , Volume 6 (1): 8 – Dec 1, 1946
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References (14)

Publisher
Springer Journals
Copyright
1946 The Association for the Advancement of Psychoanalysis
ISSN
0002-9548
eISSN
1573-6741
DOI
10.1007/BF01873949
Publisher site
See Article on Publisher Site

Abstract

BY HAROLD KELMAN * HE PREMISE of this paper is that the trauma- What "breaks," then, is an organization within T a structure having neurotic and healthy com- tic syndrome is a unitary phenomenon. By ponents, to be followed by a reorganization and this I mean a circumscribed entity which has a definable beginning, course, and ending during realignment which may be better or worse or simply different. which certain consistent patterns manifest them- Qualitatively and quantitatively, such a break selves. The "traumatic syndrome"---or parts thereof--has received the following designa- may be limited or extensive. In a life span it may happen many times. It may occur because tions: traumatic neurosis, traumatic neuroses of of unfavorable pressures which increase or be- war or peace, shell-shock, war neuroses, combat fatigue, effort syndrome, post-concussion syn- cause of mitigating factors which alleviate ten- sions. As a consequence, a break may be drome, lightning neurosis, railroad spine, com- followed by a more or less effective integration. pensationitis, and even malingering. (1) We could speak of a breakup when the integra- The traumatic syndrome is neither a neurosis nor a psychosis, although there may appear as tion is in the direction of becoming less

Journal

The American Journal of Psychoanalysis – Springer Journals

Published: Dec 1, 1946

Keywords: Clinical Psychology; Psychotherapy; Psychoanalysis

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