ABSTRACT This is a discussion of psychodynamic psychotherapy with unaccompanied asylum-seeking children in a Child and Adolescent Mental Health Service setting. The clients discussed present with symptoms of post-traumatic stress disorder. The paper draws on cultural concepts of trauma and distress and psychoanalytic theories of trauma. It explores how the self experiences an overwhelming experience of fear, as a frozen moment in time, which cannot be mentalized and may be expressed in a compulsive repetition of the moment, in bodily states, and in dissociative states of mind. The paper considers a therapeutic approach based on the therapeutic relationship and the therapist’s capacity to witness the traumatic event alongside the client. This approach, it is argued, enables the client to begin to mentalize the traumatic event and to begin to mourn their experience. The client can thus become able to recover some of the memories and sense of identity which had been fragmented and temporarily lost, as a result of the traumatic event.

中文翻译：

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孤身寻求庇护儿童治疗之旅中的时间和记忆

摘要 这是对儿童和青少年心理健康服务环境中无人陪伴的寻求庇护儿童的心理动力学心理治疗的讨论。所讨论的客户目前有创伤后应激障碍的症状。该论文借鉴了创伤和痛苦的文化概念以及创伤的精神分析理论。它探索了自我如何体验一种压倒性的恐惧体验，就像一个凝固的时间，它不能被心理化，可能会在这一刻的强迫性重复、身体状态和精神分裂状态中表现出来。该论文考虑了一种基于治疗关系和治疗师与来访者一起见证创伤事件的能力的治疗方法。这种方法，有人认为，使来访者开始对创伤事件进行心理化，并开始哀悼他们的经历。因此，来访者可以恢复一些因创伤事件而破碎和暂时丢失的记忆和身份感。