ABSTRACT

Many of these severely disturbed children present particular problems of technique and management in the course of psychotherapy. Tom, Keith and Desmond showed aggression and cruelty which was difficult to control and to contain. All the children, at times, some in more subtle ways than others, made their therapists feel useless, helpless, rejected, abandoned, messed up or cruelly treated-precisely the experiences and feelings which the patients themselves found intolerable or hard to bear.