ABSTRACT

This chapter presents a case study of Alex, a boy who at the time that the treatment commenced was six and a half years of age. Alex's treatment took place in the second half of the 1990s, and thus at a time when 'ADHD' was attracting greater attention in discussions. The parents were worried by the fact that their efforts to prepare him for the birth of his sister did not prevent Alex's intensive and constant jealousy of his small sister. Alex acts on impulse. His restlessness and excitement drive him to keep moving or require urethral anal rebuff. Self-doubts and feelings of personal worthlessness cause Alex to cling in desperation to his almighty pretensions. The psychoanalytical literature on hyperactivity on the one hand emphasizes the protective factor that the growing child retains from earlier days, as it were.