ABSTRACT

This chapter is concerned with certain important aspects of psychoanalytic therapy with children and presents material from the intensive treatment of two very different cases. One of these concerns a childhood neurosis; the other a disorder of much greater complexity. In some children the resulting restrictions are so crippling that developmental arrests supervene which are not only refractory to external influence but step outside the boundaries of childhood neuroses. There are many children who are unwilling to participate in treatment or who will need an extended period of preparatory work before analysis proper can be undertaken. There are others whose ego-immaturity or impaired capacity for relationships precludes interpretative work of this kind: such as children with developmental defects or deviations may need a modification of technique. Applied psychoanalysis extends therapeutic work to a wider field. Harvey would talk as he worked, weaving imaginative stories about his productions, and soon giving important indications of the kind of preoccupations underlying them.