Erotic Transference as a Presentation of cPTSD: A Case Report using TF-CBT

Abstract

The cumulative effect of recurring traumatic experiences in early childhood substantially increases the risk of adjustment problems later in life. Enduring these adverse circumstances can develop a complementary constellation of emotional and interpersonal symptoms currently understood as complex posttraumatic stress disorder (cPTSD). The present case study illustrates the narrative of a twenty-three-year-old woman with a history of repeated interpersonal trauma, which presents in the therapeutic setting as erotic transference. Provocative behaviour, asking personal questions, making repeated requests for closeness and constant contact outside of session timings were noted. In a clinical space, erotic transference, unlike other transference phenomena, presents as a wish for sexual contact as a duplication of past trauma, rupturing the therapeutic alliance. The case report highlights the clinical presentation, with the theoretical framework, management plan, and treatment details of TF-CBT used throughout the sessions.