Since trauma is a thoroughly relational phenomenon, it is highly
unpredictable, and cannot be made to fit within the scientific
framework Freud so admired. In Toward a Psychology of Uncertainty:
Trauma-Centered Psychoanalysis, Doris Brothers urges a return to a
trauma-centered psychoanalysis. Making use of relational systems
theory, she shows that experiences of uncertainty are continually
transformed by the regulatory processes of everyday life such as
feeling, knowing, forming categories, making decisions, using
language, creating narratives, sensing time, remembering,
forgetting, and fantasizing. Insofar as trauma destroys the
certainties that organize psychological life, it plunges our
relational systems into chaos and sets the stage for the emergence
of rigid, life-constricting relational patterns. These
trauma-generated patterns, which often involve denial of sameness
and difference, the creation of complexity-reducing dualities, and
the transformation of certainty into certitude, figure prominently
in virtually all of the complaints for which patients seek analytic
treatment. Analysts, she claims, are no more strangers to trauma
than are their patients. Using in-depth clinical illustrations, Dr.
Brothers demonstrates how a mutual desire to heal and to be healed
from trauma draws patients and analysts into their analytic
relationships. She recommends the reconceptualization of what has
heretofore been considered transference and countertransference in
terms of the transformation of experienced uncertainty. In her view
the increased ability of both analytic partners to live with
uncertainty is the mark of a successful treatment. Dr. Brothers'
perspective sheds fresh light on a variety of topics of great
general interest to analysts as well as many of their patients,
such as gender, the acceptance of death, faith, cult-like training
programs, and burnout. Her discussions of these topics are
enlivened by references to contemporary cinema and theatre.
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