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The increased incidence of alcohol and drug  OptiMind dependence among those with PTSD may also relate to a Two Trauma mechanism. I draw this from my broad clinical experience to make the observation

The increased incidence of alcohol and drug  

OptiMind dependence among those with PTSD may also relate to a Two Trauma mechanism. I draw this from my broad clinical experience to make the observation that PTSD patients suffer from all disorders of impulse control. This strengthens the argument for adult PTSD returning the person not only to the trauma in adult life but to previous trauma at an earlier age when there was poor impulse control.

When helplessness in the present links up with helplessness during infancy any prolonged stress or frustration of infancy can be awakened and carry with it the desire to put something in the mouth to feel better. My model defines serious emotional disorder as a coexistence of two minds in one skull the adult mind and the reawakened mind-and brain-of the troubled infant. Thus with the schizophrenic the adult mind may be partially operating but it may be under the control of and acting in accordance with the realities/needs/desires of an infant part of the mind.

 In childhood schizophrenia since there was not as long a delay prior to onset of the illness there is the coexistence of the child's mind and the reawakened mind and brain of the troubled infant. In infantile autism since the onset occurs at the time of the trauma with no period of delay there is only the mind of the infant combined with whatever the infant mind/brain is able to learn.

Symbiosis is a similar disorder. One interesting eight year old boy who was evaluated by me presented clinically as having symbiosis. A terrible trauma occurred at age 20 months when the mother was raped in front of her husband and child. Following this experience the mother became psychotic and thus subsequent to the initial trauma she was physically present but emotionally absent to the child during the remainder of his early formative years. As a result his development including his speech was arrested at age 20 months. Had the woman recovered from her psychosis within a few days her son might have returned to normal development but then would have been vulnerable to the later development of schizo-affective range type of schizophrenia upon separation or rejection from some other most important person later in life.

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