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As in the case of a traumatic neurosis the patient's pathology is rooted in his mode of experiencing, an evaluation of his state must establish the causal connection between his subjective feelings and the traumatic event. By introducing the metapsychological concept of a psychical apparatus we are enabled to see and judge the traumatic experience as a change in the patient's structure. The usefulness of this concept is illustrated by a consultant's opinion on a case of persecution sequelae.