Abstract

This paper considers the disruptive effects of defensively forgetting childhood sexual abuse on the sense of self. Defense analysis, leading to access to and control of affects and associated recall of forgotten events is a crucial aspect of understanding and treating the resulting self disorders. The defenses of dissociation, denial and repression will be considered with regard to some of the basic effects on the sense of self which come from employing them. A case discussion illustrates the strengthening of the sense of self of a patient with a profoundly traumatic past when these defenses are systematically disrupted through psychotherapy.

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