The debilitating impact of trauma on people with learning disabilities is increasingly recognised in research. Sinason’s influential psychoanalytic writing has drawn direct links between the presence of an opportunistic secondary handicap and pervasive exposure to trauma. Traumatic events often occur within families, implying that more than one family member may be exposed to the same traumatic stressor(s). Because adults with learning disabilities require additional support from caregivers to live socially valorised lives with optimal degrees of self-direction, in the context of home living, a parent’s experience of severe trauma could have a deleterious impact on her caregiving capacity to meet her child with learning disabilities’ support needs in an equitable manner. This paper contains a case study that describes how a mother’s experience of earlier trauma, which resulted in complex post-traumatic stress, had a profound influence on her object-relations and object-relatedness with both of her children, including her daughter who had mild learning disabilities and severe behavioural difficulties. While the mother’s own experience of trauma deserves attention in its own right, her defences against traumatic recollection also affected her responsiveness to her daughter’s high behavioural support needs.

中文翻译：

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身患ID者亲属的复杂PTSD：来自南非的说明性临床案例研究

在研究中越来越认识到创伤对学习障碍者的虚弱影响。辛纳森（Sinason）有影响力的心理分析著作在机会性继发性残障的存在与普遍遭受创伤之间建立了直接联系。创伤事件通常发生在家庭内部，这意味着一个以上的家庭成员可能会遭受相同的创伤性压力。由于有学习障碍的成年人需要照料者的额外支持，才能以最佳的自我指导的方式度过社会认可的生活，因此在家庭生活中，父母遭受严重创伤的经历可能会对其照料孩子的照料能力产生有害影响。以公平的方式学习残疾的支持需求。本文包含一个案例研究，描述了母亲的早期创伤经历如何导致复杂的创伤后压力，对她与两个孩子（包括轻度女儿）的对象关系和对象相关性产生了深远的影响。学习障碍和严重的行为困难。虽然母亲自己的外伤经历本身就值得关注，但她对外伤记忆的防御措施也影响了她对女儿对高行为支持需求的反应。