He sat on the sofa, pulled deeply into himself, almost disappearing before my eyes, as he told me about his dad’s violence. I wondered whether he knew I was in the room with him. “I feel terribly fragmented; I don’t know who I am,” he explained. “I can’t remember ever being like everyone else; they seem so at home in themselves.”
One of my teachers, a Psychoanalytically oriented clinician, always said the real problem is the second trauma. Her view was the first trauma one encounters sets the stage for PTSD and related problems; the second trauma triggers the cascade. Repeated traumas in childhood physically alter the function of the developing brain, leaving one more vulnerable to new trauma. Even if only one trauma occurs in early childhood the person may remain susceptible to PTSD via a second trauma as an adult.