The vignettes presented in Chapters 5 and 6 illustrated how early preverbal traumatic events may be recreated and relived in the enacted dimension of the treatment. In this chapter I will describe how a consciously acknowledged, but simultaneously denied, adult trauma – specifi cally a devastating object loss during adolescence – required an extensive period of time for the trauma to achieve symbolic actualization within the transferencecountertransference matrix before the patient could emotionally acknowledge and mourn the loss.