ABSTRACT

This chapter discusses a frequently occurring phenomenon in older adults: the simultaneously experienced affects from both current and earlier trauma. The difficulties that accompany older age can precipitate late-onset trauma, particularly disrupting four aspects of the core self: Agency, cohesion of the body, the sense of “going on being,” and affectivity. In addition, difficulties in older age may revive feelings, memories, and self-states stemming from early trauma. When this occurs, affects as well as experiences of the self and of the other which accompanied earlier traumatic episodes may be attributed to present circumstances. The use of psychodynamic psychotherapy in the treatment of both types of trauma is discussed. Treating current trauma and the reawakened earlier trauma can not only reduce suffering but also lead to psychological growth. Clinical illustrations are provided.