ABSTRACT

This chapter provides clinical examples to convey the patients' subjective experience, and discusses the treatment of adults through psychoanalysis and psychoanalytic psychotherapy. Adults with Asperger's syndrome are seldom referred for intensive treatment. People with Asperger's may seek help when they change jobs and the people and activities holding projected aspects of them and providing a kind of exoskeleton are lost. The experience of having Asperger's syndrome makes one feel different. It requires something subtly different from the analyst too. Intensive treatment gives patient and analyst the opportunity to experience the encapsulated terror of traumatic contact and separation many times and, hopefully, to work towards understanding and containing this. Adults with Asperger's syndrome are seldom referred for intensive treatment. They may function well enough with a false self, relying on a meticulous attention to detail, a capacity for mimicking relationships, and an occupational setting that is syntonic with their particular capacities.