‘I caught you!’ Part 1: maturing separateness within the area of mutuality

IF 0.4 Q4 PSYCHOLOGY, CLINICAL JOURNAL OF CHILD PSYCHOTHERAPY Pub Date : 2022-01-02 DOI:10.1080/0075417X.2022.2037104
S. Levi
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Abstract

ABSTRACT This paper, the first of two parts, aims to highlight the unique contribution that intensive psychoanalytic psychotherapy can make with complex cases where, in the absence of an engagement with another mind, self and ego development have been severely arrested. Intensive therapy with a boy aged four who was diagnosed with autism at the age of two is examined, to illustrate how the mind is both internally driven and relationally responsive. This work illustrates how the experience of analytic mutuality enables the development of the child's mental capacity for representation and symbolic thought, as well as relationality. Autistic encapsulation is understood as a psycho-physical protective reaction, rather than a psychodynamic defence mechanism. Clinical vignettes demonstrate how the therapist gradually emerges in the child's mind as an object to relate to and be made use of, alleviating arrested development and enabling the child to evolve from an almost mute, ‘undrawn’, confused and confusing child, into a latency boy with social, academic and behavioural skills.
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“我抓到你了!”第1部分:在互惠领域内成熟的分离性
摘要本文是两部分中的第一部分,旨在强调强化精神分析心理治疗在复杂情况下所能做出的独特贡献,在这些情况下,在没有与另一种思维接触的情况下,自我和自我发展受到严重阻碍。对一名两岁时被诊断为自闭症的四岁男孩进行强化治疗,以说明大脑是如何受到内部驱动和关系反应的。这项工作说明了分析相互性的体验如何使孩子的心理表征能力、象征思维能力以及关系性得到发展。自闭症封装被理解为一种心理-生理保护反应,而不是一种心理动力防御机制。临床小插曲展示了治疗师是如何在孩子的脑海中逐渐成为一个与之相关并被利用的对象的,缓解了发育停滞,使孩子从一个几乎沉默、“未被吸引”、困惑和困惑的孩子进化成一个具有社交、学术和行为技能的潜伏男孩。
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来源期刊
JOURNAL OF CHILD PSYCHOTHERAPY
JOURNAL OF CHILD PSYCHOTHERAPY PSYCHOLOGY, CLINICAL-
CiteScore
0.70
自引率
50.00%
发文量
46
期刊介绍: The Journal of Child Psychotherapy is the official journal of the Association of Child Psychotherapists, first published in 1963. It is an essential publication for all those with an interest in the theory and practice of psychoanalytic psychotherapy and work with infants, children, adolescents and their parents where there are emotional and psychological problems. The journal also deals with the applications of such theory and practice in other settings or fields The Journal is concerned with a wide spectrum of emotional and behavioural disorders. These range from the more severe conditions of autism, anorexia, depression and the traumas of emotional, physical and sexual abuse to problems such as bed wetting and soiling, eating difficulties and sleep disturbance.
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