{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,1]],"date-time":"2026-04-01T19:53:30Z","timestamp":1775073210051,"version":"3.50.1"},"reference-count":5,"publisher":"Frontiers Media SA","license":[{"start":{"date-parts":[[2022,7,22]],"date-time":"2022-07-22T00:00:00Z","timestamp":1658448000000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["frontiersin.org"],"crossmark-restriction":true},"short-container-title":["Front. Psychiatry"],"abstract":"<jats:p>Violence-related post-traumatic stress disorder (PTSD) in the context of war and terrorism has become an increasingly pressing public health issue relevant to refugee children and families. PTSD and related psychopathology in children can adversely affect all domains of development and, in particular, interfere with learning and socialization. When the experience of violent trauma and related loss is shared with the entire family, resulting impairment and distress may prevent caregivers from being psychologically available to process their traumatized children\u2019s emotional communication and otherwise meet their children\u2019s developmental needs. When children suffer from PTSD, it may be impossible to put their experience and related thoughts and feelings into words, let alone a coherent narrative. The latter difficulty can be even more pronounced when the child displays dissociative symptoms, possibly signaling a dissociative subtype of PTSD. Thus, the narrative within the child\u2019s play during psychotherapy becomes all the more important as an indicator of the child\u2019s internal world. This case report is an example both of evaluation and of psychotherapy that is both psychodynamic and trauma-informed with a 10-year-old Afghani boy who suffered the violent loss of his father at age of 3 years, leading to his immigration to Switzerland. This paper addresses the question of how the psychotherapist can accompany the child through the elaboration of his trauma and how the therapist can contribute to the co-construction of a coherent narrative of the child\u2019s experience and to the restoration of an intersubjective connection between the traumatized child and caregiver.<\/jats:p>","DOI":"10.3389\/fpsyt.2022.940862","type":"journal-article","created":{"date-parts":[[2022,7,22]],"date-time":"2022-07-22T14:29:55Z","timestamp":1658500195000},"update-policy":"https:\/\/doi.org\/10.3389\/crossmark-policy","source":"Crossref","is-referenced-by-count":3,"title":["Case Report: Psychotherapy of a 10-year-old Afghani refugee with post-traumatic stress disorder and dissociative absences"],"prefix":"10.3389","volume":"13","author":[{"given":"Nastia","family":"Junod","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Olga","family":"Sidiropoulou","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Daniel S.","family":"Schechter","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"1965","published-online":{"date-parts":[[2022,7,22]]},"reference":[{"key":"B1","doi-asserted-by":"publisher","first-page":"187","DOI":"10.1080\/14616730701453762","article-title":"Caregiver traumatization adversely impacts young children\u2019s mental representations on the MacArthur story stem battery.","volume":"9","author":"Schechter","year":"2007","journal-title":"Attach Hum Dev."},{"key":"B2","doi-asserted-by":"publisher","first-page":"640","DOI":"10.1176\/appi.ajp.2009.09081168","article-title":"Emotion modulation in PTSD: clinical and neurobiological evidence for a dissociative subtype.","volume":"167","author":"Lanius","year":"2010","journal-title":"Am J Psychiatry."},{"key":"B3","doi-asserted-by":"publisher","first-page":"741","DOI":"10.1097\/00004583-198102000-00006","article-title":"\u201cForbidden games\u201d: post-traumatic child\u2019s play.","volume":"20","author":"Terr","year":"1981","journal-title":"J Am Acad Child Psychiatry."},{"key":"B4","doi-asserted-by":"publisher","first-page":"52","DOI":"10.1080\/07351690.2019.1549911","article-title":"And then there was intersubjectivity: addressing child self and mutual dysregulation during traumatic play: in memory of Louis sander.","volume":"39","author":"Schechter","year":"2019","journal-title":"Psychoanal Inq."},{"key":"B5","doi-asserted-by":"publisher","first-page":"167","DOI":"10.1002\/j.2167-4086.2004.tb00156.x","article-title":"The analytic third: implications for psychoanalytic theory and technique.","volume":"73","author":"Ogden","year":"2004","journal-title":"Psychoanal Q."}],"updated-by":[{"DOI":"10.3389\/fpsyt.2023.1182111","type":"erratum","label":"Erratum","source":"publisher","updated":{"date-parts":[[2023,3,16]],"date-time":"2023-03-16T00:00:00Z","timestamp":1678924800000}}],"container-title":["Frontiers in Psychiatry"],"original-title":[],"link":[{"URL":"https:\/\/www.frontiersin.org\/articles\/10.3389\/fpsyt.2022.940862\/full","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,3,16]],"date-time":"2023-03-16T08:26:14Z","timestamp":1678955174000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.frontiersin.org\/articles\/10.3389\/fpsyt.2022.940862\/full"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2022,7,22]]},"references-count":5,"alternative-id":["10.3389\/fpsyt.2022.940862"],"URL":"https:\/\/doi.org\/10.3389\/fpsyt.2022.940862","relation":{"erratum":[{"id-type":"doi","id":"10.3389\/fpsyt.2023.1182111","asserted-by":"object"}]},"ISSN":["1664-0640"],"issn-type":[{"value":"1664-0640","type":"electronic"}],"subject":[],"published":{"date-parts":[[2022,7,22]]},"article-number":"940862"}}