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This paper looks primarily at the consequences for an adolescent of a childhood doubly traumatic: a psychologically intrusive primary object, a paranoid mother who literally ran away from the child's father and most ordinary life when the patient was a toddler. Then, when the patient was a young adolescent, a violent separation was repeated, when the increasingly reclusive mother/child couple were separated by a state intervention, the patient eventually returning to her father, never to see her mother again. At the age of 18, the adolescent girl, living with a benign, caring and sane parent, breaks down as she faces looming adulthood, giving up on studies and on real friendships, reacting with terror to a sexual experience sought with curiousity and desire, but felt to be a violent assault.
The paper looks particularly at the patient's “No Entry Defence”, its use in the therapy, the emergent transformation of a negative hallucination into the establishment of a containing space which could eventually become symbolically permeated. After several years of psychotherapy, the patient is happier with her body and some drives, but she remains sexually impenetrable.