The culmination of three decades of studying and treating
survivors of adult onset trauma, Wounded by Reality is the first
systematic attempt to differentiate adult onset trauma from
childhood trauma, with which it is frequently confused.
When catastrophic events overtake adult lives, they often scar
the psyche in ways that psychodynamically oriented clinicians
struggle to understand. For Ghislaine Boulanger, the enormous
challenge of working with these patients is unsurprising. Survivors
of major catastrophe, whether a natural disaster, a
life-threatening assault, a serious accident, or an act of
terrorism, experience a near-fatal disruption of fundamental
aspects of self experience. The sense of agency, of affectivity, of
bodily integrity, the capacity for self-reflection, the sense of
time, and the ability to relate to others - all are called into
question.
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