Trauma: Conscious and Unconscious Meaning

Developmental, constructivist theory is applied to increase understanding of conscious and unconscious dynamics of trauma experience. DSM-IV criteria provide the accepted standard guiding research and practice for trauma. Concern is raised that rigid adherence to diagnostic categories is problematic for trauma survivors. Trauma survivors are unique in both conscious and unconscious experience. Saari's (2002) levels of cognitive integration of experience based on Nelson's (1985) tripartite theory of meaning are employed as an investigative tool. Understanding the individual's cognitive integration of the traumatic event is central to facilitating reintegration and healing post-trauma. The therapeutic dyad co-constructs a narrative that allows reintegration and healing. A case study of a childhood sexual abuse survivor demonstrates how relationship dynamics facilitate co-creation of a healing narrative.