Rosenberg understands trauma as a process that requires a distinction between the traumatic situation, internalization, and the processing process. In the analytical treatment of a young adult, he describes the therapy process following childhood sexual abuse, which later manifests in perverse-sadistic behavior. Rosenberg attempts to overcome the separation between trauma therapeutic and psychoanalytic approaches and to justify the success of combining both within the framework of psychoanalytic work. The therapeutic approach aims for a symbolization of introjects. This is achieved through working through the patients' traumatic experiences as well as the work within transference. Trauma therapeutic techniques are employed, including the observer and screen technique.