Why this trauma and why now? The contribution that psychodynamic theory can make to the understanding of post-traumatic stress disorder

Abstract

Although trauma and its consequences have long been recognised, the understanding of the associated emotions and symptoms is a relatively recent development (Shea & Zlotnick, 2002). Indeed, the first appearance of trauma in the Diagnostic and Statistical Manual of Mental Disorders (DSM-III) in 1980 is confirmation of this fact. This paper discusses the categorisation of post-traumatic stress disorder (PTSD) as outlined within DSM-IV-TR; recommendations by the National Institute for Clinical Excellence (NICE, 2005) guidelines; and then situate this within an exploration of psychodynamic interventions that relate to the treatment of PTSD. My work with one particular client will be explored, although some details have been altered to ensure anonymity.