ABSTRACT

This chapter considers some of the consequences of the contemporary dialogue between psychoanalysis and the Neurosciences in the field of early prevention. If one takes Sigmund Freud's thesis seriously, namely, that all psychic and psychosocial experiences are retained by the body and determine future problem-solving, then emotions, fantasies, and object relations could prompt many psychoanalysts to engage in another form of "outreaching psychoanalysis" in early prevention. As a consequence, early and earliest prevention of so-called children at risk has become a paramount responsibility of society. Psychoanalysis with patients with psychosocial disintegrations are a unique clinical–empirical possibility for research in order to study the complex interplay of the genesis of different trauma factors in early development and their long-term effects. Clinical-psychoanalytic knowledge about these traumatised children would assume analogous conclusions like those from attachment research on the disorganised attached children: these children exhibit a high risk for their development and need intensive educational and/or psychotherapeutic support.