The author describes a sub-group of anorexic patients who present themselves clinically as "invisible" and "insubstantial". The concept of "invisibility" is understood in terms of primitive object relations. The underpinning of this dynamic is a lack of separation and differentiation from mother and a consequent effort to live inside her skin. The…

Case histories of four women who developed symptoms of posttraumatic stress disorder after learning of their daughters' sexual abuse are presented. The women also exhibited depression and personality disorders. Their children's abuse catalyzed a reliving of their own childhood victimization. Case psychodynamics and treatment strategies are…