ABSTRACT

This chapter presents a case study of Sarah. Sarah had been referred to therapy as a result of her aggressive behaviour towards her peers. Sarah was evidently using the glue and Sellotape to obscure the dangerous feelings that were being aroused in her. The course of the therapy can be condensed into four separate phases. For the first phase, the pattern in the room was dictated by some passive play on the part of Sarah. A session taken from the second phase of the therapy demonstrates the establishment of the more disorganized and threatening behaviour: Sarah starts the session off in a relatively good mood. Towards the end of the third phase of therapy, a particularly disruptive period developed in which Sarah literally destroyed the physical space of the room, and she also made many attacks on the therapeutic relationship. In the early stage of the final phase of therapy, Sarah was clearly very emotionally dissociated.