Clinical Social Work Journal

, Volume 46, Issue 1, pp 18–25 | Cite as

Psychoanalytic Psychotherapy at the Margins: The Case of Ana Ortega, a Relational Perspective

Original Paper


This article describes the 4-year treatment in a community setting of a woman who experienced significant childhood trauma that she replayed in her adult life. The case is presented through a relational lens with particular attention to enactments, the transference/countertransference matrix, and the inevitable participation of the therapist in the treatment. The case will demonstrate how the roles enacted by the therapist and patient allowed for therapeutic space to be opened to facilitate mutual recognition between therapist and patient.


Community practice Trauma Relational perspective Enactments 


Compliance with Ethical Standards

Conflict of interest

Author declares that she has no conflict of interest.

Ethical Approval

All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional and/or national research committee and with the 1964 Helsinki declaration and it later amendments or comparable ethical standards.

Informed Consent

Informed consent was obtain from all individual participants included in the study.


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Copyright information

© Springer Science+Business Media New York 2017

Authors and Affiliations

  1. 1.ChicagoUSA

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