This initial dissociation of the most terrifying events they experienced with their captors prevented the four victims from facing the disintegration of their ego structures. Once freed, the most frightening and toxic actual events they experienced are assumed to be still held out of awareness, as revisiting those events are likely to bring up overwhelming emotions. Fairbairn noted that one of the primary reasons for keeping horrifying memories in the unconscious was because of the emotional disruption caused when they are re-experienced.There is little doubt in my mind, in conjunction with another factor to be mentioned later, that the deepest source of resistance is fear of the release of bad objects from the unconscious: for when such bad objects are released, "the world around the patient becomes peopled with devils which are too terrifying to face" (Fairbairn, 1952, p.69-70). This quote graphically describes the results of suddenly remembering those memories of interpersonal events between the captives and captors that were saturated with fear, dread and hopelessness. There is no reason now, given the fact that the captivity is long over, for the four victims to remember the horrifying details. Libidinal ego-exciting object side of the split
The other side of the split is abundantly obvious. All four victims refused to testify against their captors, and in fact raised money for their defense. Thus, given Fairbairns theory, they continue to see their captors through their libidinal egos as if the captors have a hidden storehouse of goodness somewhere in them.
Ehrlichiosis ewingii infection is an infectious disease caused by an intracellular bacteria, Ehrlichia ewingii. The infection is transmitted to humans by the tick, Amblyomma americanum. This tick can also transmit Ehrlichia chaffeensis, the bacteria that causes human monocytic ehrlichiosis (HME). Symptoms and signs
Patients can present with fever, headache, myalgias, and malaise. Laboratory tests may reveal thrombocytopenia, leukopenia, and evidence of liver damage. Mechanism
Humans contract the disease after a bite by an infected tick of the species Amblyomma americanum. Those with an underlying immunodeficiency (such as HIV) appear to be at greater risk of contracting the disease. Compared to HME, ewingii ehrlichiosis has a decreased incidence of complications.Like Anaplasma phagocytophilum, the causative agent of human granulocytic ehrlichiosis, Ehrlichia ewingii infects neutrophils. Infection with E. ewingii may delay neutrophil apoptosis. Diagnosis
In endemic areas, a high index of suspicion is warranted, especially with a known exposure to ticks. The diagnosis can be confirmed by using PCR. A peripheral blood smear can also be examined for intracytoplasmic inclusions called morulae. Treatment
The treatment of choice is doxycycline. See also
Human monocytic ehrlichiosis
Human granulocytic ehrlichiosis
Ehrlichiosis (canine)

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