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"Tustin deals very sensitively and sensibly with the knotty problem of parents' contribution to autistic development, providing a balanced interactive view which does not allocate blame. Her discussion of autistic objects and autistic shapes is illuminating and has widespread clinical applicability. This book is highly recommended reading" - Mary Boston, British Journal of Medical Psychology.
This book is by a professional for other professionals, but thoughtful people who are interested in the fundamental aspects of human nature will also find much to interest them. The papers which have been published in various journals or delivered to professional audiences since the appearance of Frances Tustin's previous book Autistic Barriers in Neurotic Patients are integrated with unpublished material written especially for this book, so that they can enrich and illuminate each other. A paper from the early days of her work with autistic children is the focus of this present work, since her awareness of encapsulation as being the major protective reaction associated with the autistic states of both psychotic and neurotic patients, has stemmed from that early paper.
This text presents the work of 21 eminent psychoanalysts and child therapists from three continents - including Professors Didier Houzel of France and Renata Gaddini of Italy; Drs. David Rosenfeld of Argentina, James Grotstein, Victoria Hamilton, Judith Mitrani and Thomas Ogden of the USA; and Susanna Isaacs-Elmhirst and Isca Wittenberg of England - who explore and expand upon the work of the late Frances Tustin, which was devoted to the psychoanalytic understanding of the bewildering elemental world of the autistic child. Her realization that neurotic and borderline patients are haunted by the same primeval forces which constitute an enclave of autism has been profound, and the notion that autistic manoeuvres serve as a protective shell against the terrifying premature awareness of bodily separateness and dissolution into nothingness has had a substantial impact upon the re-thinking of many notable workers in the mental health field.
New Discoveries in Child Psychotherapy presents eleven new contributions to child psychoanalytic research, most of them based on the experience of the clinical consulting room. Each chapter is the work of an experienced child psychotherapist or child analyst, vivid in their description of the children and families they encountered. Their understanding of the "inner worlds" of patients and the clinical consulting room is clearly evidenced in their analysis of clinical presentations. The chapters are the result of the psychoanalytic clinical and observational practices of their authors, allied to their use of rigorous qualitative research methods, in particular Grounded Theory and interpretative phenomenological analysis (IPA). They describe developments of child psychoanalytic knowledge in several fields, including autism, psychotherapy with severely deprived children, and the study of early infancy. They demonstrate advances in child psychoanalytic theories and methods and the development of new forms of clinical service provision. Contested issues in psychoanalytic research are thoroughly evaluated, showing how it can be made more accountable and rigorous through the adaptation of established qualitative research methods to the study of unconscious mental phenomena. New Discoveries in Child Psychotherapy will be an essential text in the field of child psychoanalysis and will be highly useful in psychotherapy and psychoanalysis training courses and for psychoanalytic researchers, as well as for practitioners.
The number of people suffering from different eating disorders has grown dramatically within the last twenty years. These two volumes examine feeding difficulties and eating disorders in children and adolescents, from babies to 19-year-olds. The volumes consist of clinical cases that describe the process of psychoanalytic psychotherapy used to treat the patients. The contributors look at the underlying causes for the disorders, such as bulimia and anorexia, lead to a normal life with the help of psychoanalytic psychotherapy. In addition, this collection takes into account the profound effects eating disorders have, not only on the patients, but on their immediate family and friends as well. 'Many cases describe the anxieties and strategies of defence used against feelings of dependence and the risk of accepting from another. This is a core theme in both volumes and is the principle idea behind the paradoxical title, The Generosity of Acceptance.
Frances Tustin Today explores some of the ways and means by which Tustin’s work has enabled psychoanalytic clinicians to enter into the elemental domain of sensation: what Bion called the ‘proto-mental’ area of the psyche-soma. Through detailed clinical contributions of several of her exponents worldwide, this book demonstrates how her ideas -- rooted in decades of work with children on the autistic spectrum -- have influenced and are being expanded, extended and applied to the treatment of ordinary patients from early childhood through adulthood. The contributors to this volume represent a selection of the contemporary thinking that organically grew out of Tustin’s discoveries, and show that Tustin's model has added new dimensions to the fields of infant observation, family therapy and neuro-psychology. Each chapter is augmented by demonstrable clinical experience. Frances Tustin Today is a valuable resource for psychoanalysts, psychotherapists, educators and parents who are interested in learning more about this uniquely independent clinical observer's findings and their impact upon the treatment of autistic states in children, adolescents and adults by contemporary workers in the field of mental health. Judith L. Mitrani, and Theodore Mitrani, are Fellows of The International Psycho-Analytical Association, Training and Supervising Psychoanalysts at The Psychoanalytic Center of California in Los Angeles. They are founding members of the Board of Trustees of The Frances Tustin Memorial Trust, and authors, editors, translators and teachers in the private practice of psychoanalysis and psychoanalytic therapy with Adults and Children in Los Angeles, California.
In this volume internationally well known experts discuss whether psychoanalysis - with its rich mix of clinical experiences and conceptualizations of early development and symptoms - has something unique to offer through deepening the understanding of children suffering from this and similar developmental disturbances. The contributors consider therapeutic strategies as well as possibilities of early prevention. Surprisingly, psychoanalysts have only during the past few years actively engaged in the on-going and very important controversial discussions on attention deficit hyperactivity disorder (ADHD). There may be many reasons for the increasing interest in this topic over the past few years - for example the dialogue between psychoanalysis and contemporary neurobiology/brain research which opens a fascinating window on an old problem in European culture: the mind-body problem. This exchange also promises to enlarge the understanding of psychic problems probably connected with some neurobiologically-based pathologies, widely assumed to include ADHD.
This book is an attempt to examine whether patients in analysis or therapy can sometimes be said to form a kind of transference that not only operates at a prenatal level but can also lend itself to interpretation just like any other postnatal level of transference.
Amid long-standing controversy on their causes, which most regard as neurological, and despite their increasing social impact, there has been scant progress in the therapy of the autistic spectrum disorders. Currently fashionable attempts at treatment through behavioural-cognitive focal approaches do not seek resolution, only re-education and rehabilitation. Contacting the Autistic Child explores the clinical process in the early psychoanalytic treatment of autistic children. Organised around five detailed clinical case studies, and drawing on the ideas of major clinicians in child analysis such as Tustin, Winnicott and Alvarez, this book sets out a clear programme for working with and understanding autistic children in a psychoanalytic setting, with a particular focus on issues of clinical technique but also conceptual matters. Working on the notion that autistic disorders come to be – as Winnicott and Tustin saw it – from an early rupture of the affective communication between baby and mother, this book aims at reinstating such communication in the child-analyst interaction. By way of detailed description of what goes on in the analytic link, the authors strive to make the reader share in what goes on in the clinical setting, evincing how, though at times excruciatingly hard on the therapist, resolution is attainable. Once the "primal dialogue" – to use René Spitz’s terms – is reinstated in a stable way in session, it flows by itself into the family ambience. The clinical accounts of this book make the argument that psychoanalysis, carried along Tustin’s technical lines, and subject to the proviso that treatment starts early, preferably in the first three years of life, is the treatment of choice for autistic spectrum disorders. The strong methodological narrative is important and notable in light of the doubts, criticism and uncertainty that have surrounded the psychoanalytic treatment of autism. This novel, highly detailed narrative of five successful early treatments aims to help dispel the pessimism pervading the field and help to redress the lives of many more children. Contacting the Autistic Child will appeal to psychoanalysts and psychoanalytic psychotherapists endeavouring to obtain results in a major area lacking resolutive approaches.