La Presente Assenza del Trauma. Appunti da un caso di abuso multiplo intrafamiliare - The Present Absence of Trauma is a particular title brief of this article story. It’s about psychotherapy approach (managed by the authors) related to a case of intrafamiliar childlike multiple sexual abuse and in particular to the psycho-somatic and affective-cognitive traumatic sequelae that two young women today have carried out. Since the beginning of their psychotherapy, they both have shown some signs of the traumatic experience expressed with confused reminiscences, dream images, mnestic empties, unclear scenarios and strong emotional and physical perceptions. This is the way how Roberta and Elisa have told (and not) their story step by step. We know that the post-traumatic chronic injury of abuse (mostly when this abuse is consumed in children age) come up during the adult age, in different fields: affective, emotional, psychosomatic, relational and cognitive behaviour. The particularity of this case is that the same abuse created different injuries in the two sisters: in the major one (Elisa) the main post-traumatic damage has been a cognitive one (consciousness disturbs alessitimia) and sexual; in Roberta, the minor sister, main symptoms showed in a psychosomatic way (rettocolite ulcerosa) and alimentary behaviour disease. For both patients the consequences of the trauma on their personality structure were devastating.