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Boletim - Academia Paulista de Psicologia

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COCCO, Maria Regina  and  TOSTA, Rosa Maria. Some of Winnicott's ideas about trauma and its clinical manifestations. Bol. - Acad. Paul. Psicol. [online]. 2019, vol.39, n.97, pp. 217-224. ISSN 1415-711X.

The proposal is to reflect on the Winnicott's contribution to the so-called subtle trauma, resulting from the analyst's inevitable flaws, and from the clinical management of the defensive reactions manifested in the clinic of patients, which difficulties come from the initial stages of maturation. Subtle trauma presents itself as a new version of the original trauma and the reaction to it comes accompanied by a primitive defensive organization constituted when the original trauma occurred. In some cases of analytic reliving of trauma through the mechanism of paranoid delirium, hatred appears not as hatred directed at the object but rather as the individual being hated by the object. In other cases, the reaction to subtle trauma may occur by the cleavage mechanism of the self / annihilation expressed in the experiences of the analytical setting and / or the manifest content of the regressive dream. Management of the clinical manifestations of reaction to subtle trauma is based on the reliability of the analytical environment, on the support of regression to dependence and on the psychic connection of traumatic experiences.

Keywords : subtle trauma; regressive dream; paranoid delirium; clinical management; D.W. Winnicott.

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