A psychoanalytically oriented approach as primary and secondary prevention: Discussion of Joy Osofsky's "Psychoanalytically based treatment for traumatized children and families"

Violence prevention programs can help children cope with trauma if effective strategies are developed to address youth victimization and children's exposure to domestic violence and trauma. Psychoanalysts are in a unique position to develop such primary and secondary prevention programs for children for whom violence is part of everyday life. An intense long-term relationship is an essential treatment ingredient for these profoundly troubled youngsters. In such a relationship, the therapist/analyst cannot react automatically to the inevitable hostile, destructive aggression that emerges in the treatment of severely traumatized children. A particularly key contribution by Osofsky is her discussion of the ubiquity of "countertransference every day in people who work with traumatized children." Here I provide a clinical example of a failure that resulted from my own countertransference.