Oliveira, Rui Aragão GomesMilliner, Eric K.Page, Richard2013-10-102013-10-102004American Journal of Psychotherapy, 58, 430-4410002-9564http://hdl.handle.net/10400.12/2412The psychological sequelae of physical impairments present complex challenges for scientiftc investigation and clinical practice. This paper explores some ofthe psychodynamic factors that are relevant to the experience of heing physically handicapped, which may either impede or facilitate rehahilitation efforts. The importance of psychotherapy is illustrated hy the case of a female with paraplegia who struggled with an impass in physical rehabilitation following a medullary stroke. Impediments to progress created hy the unconscious countertransference of her care providers are also examined.engjournal article