Building upon the theoretical work of Ferenczi, Fairbairn, and
Berliner, the author describes four basic relational patterns in
the lives of abused children: the reliving of abusive
relationships, either as victim or as perpetrator; identification
with the aggressor; masochistic self-blame; and the seeking of
object contact though sex or violence. The interweaving of these
patterns creates what Dr. Prior calls 'relational dilemmas.'
According to him, these four basic relational patterns are held in
place by the child's profound fear of falling into primitive states
of unrelatedness and consequent annihilation anxiety. For example,
the abused child believes that victimization by or identification
with the bad object, no matter how horrible that may be, is
preferable to the psychic disintegration that complete
nonrelatedness creates. Dilemmas of this nature tear apart the
child's psyche, leading to unstable and tormented models of self,
other, and relationship. Object Relations in Severe Trauma provides
sensitive understanding of childhood traumatization and a
conceptual and technical framework for the treatment of patients
both children and adults who have suffered from it."
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