ABSTRACT

This chapter addresses the risk of schizophrenic, perverse, and manicdepressive developments during the treatment of psychotic and autistic children. I shall begin with remarks about three cases: one psychotic, two others autistic. All of them had background anxieties of falling and liquefying, which were followed by overwhelming massive projective identification once relationships had been resumed (especially relating by means of eye contact). This produced swings between dangerous schizophrenic-type outbursts and more organised relatedness in which projective identification was confined to an attempt to induce manic mutual excitement,1 something that could clearly lead into perversion.