The article gives an inside look at a case where posttraumatic stress is in
tertwined with disturbances in object relations and ego-identity. The patie
nt was a victim of a brutal authoritarian father who had abused her sexuall
y. The trauma left her powerless and isolated The treatment was alined at e
nabling the patient to achieve connection and empowerment. Hypnotherapy: ps
ychoanalytic psychotherapy and hypnosis allowed the patient to understand a
nd overcome symptoms and underlying conflicts in the context of the therape
utic relationship.
In spite of regressions and resistances during the course of treatment ther
apy yielded the following results: 1. Symptoms were in remission at the end
of treatment, and at one- and two-year follow-ups. 2. During the course of
psychotherapy the patient was able to process traumatic events cognitively
and affectively. 3. There were corrective changes in relatedness modes. 4.
Modifications in object internalization and representation were made.