The Author in this preliminary work to the trauma, stresses this kind of problem. Starting from the writings of some English Psychoanalysts who seem to underline the relationship between trauma and its meaning, placing their attitude to the last one specifically referred to the affective patient experience, proposes a comparison with freudian point of view of Phillys Greenacre, who pays attention to Structural derangement. The brilliant idea of Ferenczi that follows his works about trauma, involves the formulation of the concept of “Psicosoma” as a whole integrating component of human person, that’s why the Structure lays itself on the meaning. The psychoanalyst pupil of Ferenczi Elisabeth Severn will conceive the original Ferenczi concept in a wider frame including the ‘Self’. This represent a real change in understanding the trauma phenomenon.