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Somatic Inkblot Test & Projective Assessment

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PTSD and ‘Unfinished Business: Can SIS images lead to Re-experiencing and Gestalt Closure?

Subject Profile: The probable consequences the tiger attack can have on their children and grandchildren make the women more vulnerable. The male children, having to discontinue their schooling, often take up a vocation at a young age, mostly that of their fathers and on

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Intake & Presenting Somatic Complaint

PTSD and ‘Unfinished Business: Can SIS images lead to Re-experiencing and Gestalt Closure?

L S S Manickam and Bankey L. Dubey

(SIS Journal of Projective Psychology & Mental Health, (2021):28:1, 58-62).

Animal attacks on human beings are a rare phenomenon and those who are living in the forest buffer zone areas are at greater risk. In this paper we present the report of a 21-year-old unmarried lady who was exposed to the mutilated body of her father who was killed in a tiger attack and was diagnosed as having post-traumatic stress disorder. The relational dialogue with her using Somatic Inkblot Test (SIS-II) is described and an analysis of her responses are provided, which led her to being free from her embodied disturbances. Using SIS projective images may facilitate the ‘contact-full, dialogical-relational nature of gestalt work’ and can help in processing the painful ‘unfinished business’ caused by a traumatic event.

Tiger attacks are considered as stray incidents and as accidents that are caused in the interface between people and animals living in buffer zones. As per the official report, India has recorded 113 human casualties/deaths due to tiger attacks from 2013-14 to 20
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The Projective Stimulus & Subconscious Projection

Stimulus Plate 2
SIT-30 Stimulus Plate 2 (Secured)
Verbatim Patient Response
“PTSD and ‘Unfinished Business: Can SIS images lead to Re-experiencing and Gestalt Closure?

A. Psychodynamic interpretation of the responses:

A few significant responses are interpreted using content analysis:”
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Clinician Decoding & Subconscious Dynamics

💡 Diagnostic Breakthrough
16-17 and 1224 casualties/deaths due to elephant attacks during the same period (Government of India, 2017).  The trauma and panic it can cause on the survivors vary from region to region. The Post Traumatic Eco-Stress Disorders (PTESD) of the ‘tiger widows’ of Sunderbans, West Bengal (Chowdhury et al 2013) and the impact of tiger attacks on the people are documented both from qualitative and quantitative perspectives. The prominent among the reactions is the stigma with which the women continue to live and are marginalized due to the cultural belief system the community holds towards them (Chowdhury et al 2014). They are being perceived as ‘one who eats her husband’ and they are seen as ‘inauspicious and evil’ and as a result are isolated, branding them as people with ‘divine curse’ from the community which puts them into economic hardships in addition to the psychological trauma.

The probable consequences the tiger attack can have on their children and grandchildren make the women more vulnerable. The male children, having to discontinue their schooling, often take up a vocation at a young age, mostly that of their fathers and on the other hand the girl children suffer being outcasted, leading to low prospect of marriage and sexual exploitation (Chowdhury et al 2014). In Karnataka, 5 deaths were reported due to tiger attacks in the year 2013-2014 and it is not known how it has impacted the survivors (Government of India, 2017).

Unfinished business means the need for oneself to ‘complete the incomplete’ and there are several of them which an individual needs to work with. From a gestalt therapy perspective, the manifestation of PTSD may be viewed as ‘unfinished businesses’ related to the traumatic event that one was exposed to (Cohen, 2003).  There need not be a temp
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Treatment Intervention & Longitudinal Recovery

Intervention Strategy: SIT diagnostic assessment followed by cognitive and psychodynamic therapeutic intervention.

Longitudinal Outcome: Resolution of acute somatic complaints and successful integration of affective boundaries.

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