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The need for a screen is of primary importance for the development of a trauma. The readiness to develop a traumatic state occurs following the summation of many fantasy traumata which are screens for old unresolved narcissistic injuries. These are reactivated by multiple narcissistic injuries in the recent present. Such
injuries are occasioned by losses of objects necessary for the gratification of instinctual aims, losses of ego ideals, and losses of ego control. A traumatic event externalizes an internal conflict and is related to acting out. It aids in the establishment of a phobic type of defense. It also bolsters the mechanisms of avoidance, denial, and dissociation, and protects against primary anxiety, severe ego disintegration, deep depression, and severe regressive states.