ABSTRACT
This chapter explores how spaces between romantic partners can be widened following injury so people who were previously close become distanced, or how inter-subjective space is intruded upon in a way that is experienced as challenging or even disturbing. It presents a theoretical unpacking of strained relationship and challenges. The chapter presents a combination of systemic and neuroscientific ideas, while also bringing in ideas from psychoanalysis. It utilizes the term 'intimacy' in its widest sense—an inter-personal, psychological connection between two people, which may include personal sharing and inter-connection of mental life. The closeness of psychotherapeutic relationships, connections made within these sessions, personal knowledge, and experiences shared, can approach some qualities of couples relationships. The development of a caregiving relationship between survivor and romantic partner during the acute phase is often necessary and over a long period of time may be organized by the physical self-care needs of the survivor.
