ABSTRACT
This chapter highlights how each of the discussants used Michael Sebek’s case to illustrate the process. Marianne Leuzinger-Bohleber gives an overview of the project in relation to clinical research, then traces changes in Paula and focuses on the changes concerning her traumatisation. She identifies an attachment trauma and one that is transgenerationally transmitted. She shows how Sebek has carefully approached her “wall of trauma, understood and empathised with her, leading to evidence of her being on her way to a separate life and identity”. She compares two models of trauma, the psycho-economic arousal and anxiety that cannot be contained and an object relations model in which both internal object relations and internal communication breakdown, resulting in an ability to integrate trauma through narrative. Leuzinger-Bohleber illustrates Paula’s increased ability to use narrative while noting that many areas, for example, her sexuality, have not yet emerged as a focus for her attention.
