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Expanding the frame: psychoanalysis after September 11.

The psychological impact that has emerged following the terrorist attacks on September 11, 2001, raises unique and challenging treatment considerations for the psychoanalyst. The shared trauma of these horrifying events affected many individuals on many levels. This essay considers how analysts will need to demonstrate greater mastery regarding psychological and physiological acute trauma states, further insight into the object-related dynamics of good and evil, and what the analytic frame needs to incorporate to positively influence treatment outcomes.