Intake & Presenting Somatic Complaint
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
The Projective Stimulus & Subconscious Projection
A. Psychodynamic interpretation of the responses:
A few significant responses are interpreted using content analysis:”
Clinician Decoding & Subconscious Dynamics
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
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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