Current psychoanalytic thinking reflects important differences concern
ing external reality. It is absent from the theories of the hermeneuti
cists, and it is excessively present in self psychology. Those treatin
g victims of ''real'' trauma frequently believe that psychoanalysis is
not appropriate for their patients. This has led to the unacceptable
separation of individuals: those who are traumatized and those who are
neurotic. I believe that a review of the role of external reality in
psychic functioning is overdue, and the present work is an attempt to
reassess our Knowledge of this important dimension and to find its pro
per place in psychoanalysis.