Projective identification fifty years on: A personal view

Since its introduction by Melanie Klein in 1946 the concept of projective identification has inspired, baffled, rankled, but always mesmerized its adherents and opponents alike. I offer in this paper a brief outline of the concept's development over the past fifty years by way of some thoughts on a personal journey of discovery surrounding its meaning and clinical usefulness to my work as a child therapist. I would like to suggest that definitions in current use seem to be derived more from adult work than from work with children, which has sometimes skewed the debate surrounding the concept in a particular direction. In both its conceptual guises, namely, as an unconscious 'phantasy' and as an interpersonal feature of the transference, projective identification is a logical extension of certain aspects of Klein's work with small children. In child work too the developmental status of the concept comes more into focus.     

A few thoughts about the mind,the brain,and a child with early deprivation

Infant brain research is having an increasing impact on child psychotherapy and our understanding of the neurobiological effects of trauma and neglect. This paper outlines the 'experience-dependent' nature of brain development in infancy and the concept of critical periods in such development. The effects of deprivation on child development are illustrated and case material from a child who was institutionalized during his second year is used as a basis for posing questions about the nature of the mind and the brain. In spite of his deprivation, he was able to communicate imaginatively. Schore's proposal for the use of early interventions is put forward to counter discouragement that can be engendered by work with severely deprived children.     

Children,Paternalism and the Development of Autonomy

This paper addresses the issue of paternalism in child-rearing. Since the parent–child relationship seems to be the linguistic source of the concept, one may be tempted to assume that raising a child represents a particularly appropriate sphere for paternalism. The parent–child relationship is generally understood as a relationship that is supposed to promote the development and autonomy-formation of the child, so that the apparent source of the concept is a form of autonomy-oriented paternalism. Far from taking paternalism to be overtly unproblematic in such paradigmatic, pedagogical settings, this article analyzes how an effort should be made to understand a child’s capacities and which standards parents should be held to when deciding whether interference truly serves the child’s interests.     

Parental fear of negative child evaluation in child social anxiety

Parental anxiety has been linked to child anxiety in various studies. However, specific mechanisms responsible for this relationship in the context of child social anxiety are still largely unknown. A potential mediator between parental and child social anxiety may be parental fear of negative child evaluation (FNCE). To investigate this concept, we collected self-reported data from families with 9- to 16-year old children in a non-clinical sample (458 mother-child dyads and 336 father-child dyads). While both paternal and maternal FNCE predicted child social anxiety, only maternal FNCE mediated the association between maternal and child social anxiety. Maternal report of FNCE was also found to mediate the association between maternal social anxiety and general childhood emotional problems but not externalising problems. Overall, this study is the first to identify a mediator variable that may explain the association between mother and child social anxiety in school-age children. The results shed new light on the mechanisms by which fear and anxiety may be transmitted across generations.     

Bereavement and triangular relationships in a case of a child suffering from anorexia

This paper describes the mother–child assessment of a five-year-old girl suffering from anorexia since weaning, which was carried out in an Italian NHS neuropsychiatric child and adolescent unit. The author aims to show how she was able to link the little girl’s refusal of food to a death in the maternal family, which occurred soon after her birth. As well as this post-traumatic formulation, the author links the child’s anorexia to two related aspects of the family dynamics: avoidance of the awareness of death and the inability to manage triangular relationships, due to important intrusion and exclusion anxieties. Using extracts from the sessions, the author shows how the little girl was able to begin to work through the death phantasy which was previously inaccessible to her and her family. The concept of the death phantasy is defined and explored and possible analogies between this case and what is observed in some anorexic adolescent girls and their families are described.     

Siblings of children with mental retardation: Family characteristics and adjustment

Siblings of children with mental retardation may be at greater risk for adjustment problems because of family stress related to the needs of the child with mental retardation. Family dimensions were investigated to determine their relationship to sibling adjustment. Adjustment of 12 siblings of children with mental retardation was examined in relationship to family dimensions. These relationships were compared to those for children from families without a disabled child. For both groups, self concept was positively associated with family cohesion, and social competence was positively associated with family promotion of independence. For only the siblings of the mentally retarded children, family conflict was inversely related to social competence, and family organization was positively related to sibling self concept. Our results suggest that family conflict and disorganization appear to have a more negative effect in families with a child with mental retardation.     

‘Paralysed associations’: countertransference difficulties in recognising meaning in the treatment of children on the autistic spectrum

Children with autism can have a paralysing effect on the clinician’s capacity to associate freely: connections that seem obvious on reflection may be impossible to notice in the child’s presence. The author argues that this situation can be reached by more than one pathway, and that the degree of the child’s bodily and emotional cohesion is an important factor. Children may seek to immobilise the therapist’s thought processes through projective identification, whether to communicate their own experience of paralysis or because these thought processes are equated with a parental intercourse that produces a ‘baby’ (as described by Bion and Britton). Vignettes are offered to illustrate how the therapist may be nudged into overlooking this baby as well as a potentially growing part of the child that is identified with it, with important consequences for development. A second possible pathway appears to involve the much more primitive mechanism of adhesive identification, in which the child’s sense of continuing existence depends on sticking to the therapist’s surface and any movement can lead to a sense of bodily disintegration. In the clinical illustration, the therapist felt physically constrained and unable to recognise links in the material: it is suggested that this was in resonance with the child’s fear that movement, whether physical or mental, meant losing parts of his body and must be avoided at all costs. These levels can mask each other, and it seems essential to attend to both in order to avoid impasse or the overlooking of essential aspects of the child’s experience.     

Teacher–child interactions: relations with children's self‐concept in second grade

This study examined whether teacher–child interactions characterized by teacher involvement, structure, and autonomy support at the beginning of second grade predicted children's global, academic, social, and behavioural self‐concept at the end of second grade. The study was conducted in 30 second grade classrooms with 570 children and their teachers. Data included teacher reports of teacher–child interactions and child reports of self‐concept. Results showed that, when controlling for the initial level of self‐concept, children's social self‐concept was predicted by teacher involvement, structure, and autonomy support. In addition, teacher autonomy support predicted high academic self‐concept. Finally, these teacher–child interaction characteristics did not contribute to the behavioural and global self‐concept. The results were similar for boys and girls. Copyright © 2010 John Wiley & Sons, Ltd.     

Deafness and mother–child interaction: Scaffolded instruction and the learning of problem-solving skills

This study examines the effects of maternal teaching style on the developing problem-solving abilities of deaf and hearing pre-school children. Mothers and children from three matched groups, hearing mother-deaf child, hearing mother-hearing child, and deaf mother-deaf child, were videotaped while the mother instructed the child on a block construction task and again when the child attempted the task independently. Dependent measures were maternal instructional style and child performance. The mothers in the deaf mother-deaf child and hearing mother-hearing child dyads used appropriate scaffolding behaviour and their children were more likely to exhibit adept and independent problem-solving abilities than the deaf children of hearing mothers. The findings of this study support Vygotsky's notion of the ‘zone of proximal development’ and the concept of adult scaffolding of children's learning.     

父母意识的影响因素分析

本研究运用父母意识调查表分析探讨父母意识可能的影响因素,主要得出如下结论:①父母的年龄对母性意识和父性意识有明显的影响,而父亲的文化水平、职业对其父性意识没有显著影响;②母亲的文化水平、职业对其母性意识有明显的影响,而父亲的文化水平、职业对其父性意识没有显著影响;③家庭中由不同的人来承担抚养孩子的职责,对父性意识和母性意识均有较大的影响,并且这种影响对父母有明显的不同;④孩子的年龄和性别对总体的母性意识没有显著影响,但影响母性意识的某些构成因子;孩子的年龄对总体的父性意识没有显著影响,但影响父性意识的某些构成因子;孩子的性别明显影响其父亲的父性意识;⑤居住地不同对父母意识没有明显影响。     

Pastoral power in nurturing the spiritual life of the child

In this article, I will investigate the link between – what the French philosopher Michel Foucault calls – ‘pastoral power’ and the concept of ‘nurturing children’s spirituality.’ In the first step, I will explain the concept of pastoral power. In a second step, I will look to some literature about nurturing the spirituality of the child and the tips and tricks they give to nurturing the spirituality of the child. I will develop how power is present and how it can be abused easily. By nurturing the spirituality of their child, parents can control the life of the child. I will argue that it is important that everyone who works with children is aware of the hidden forms of power in nurturing the spirituality of the child in order to not misuse their power.     

Language disorders as a window on universal grammar: an abstract theory of agreement for IP, DP, and V-PP

A new concept of Agreement (AGR) has been represented as a Formal Feature that can appear in a wide range of different configurations (Chomsky, 1998). A case study from language disorders supports and extends this abstract concept. The child shows no agreement in Inflectional Phrase me can and Determiner Phrase them eyes. We then extend the notion of AGR to include verb-Prepositional Phrase relations, where the child also systematically avoids certain prepositions (go beach). The analysis is supported by intuitional data from compounds (sweep with broom --> broom-swept). We also define a systematic notion of Possible deficit as a premature fixation of functional items which normally require additional Phi-features. The notion of Maximization of Formal Features then emerges as a significant feature of learnability from both a normal and disordered perspective.     

The Well- and Unwell-Being of a Child

The concept of the ‘well-being of the child’ (like the ‘child’s welfare’ and ‘best interests of the child’) has remained underdetermined in legal and ethical texts on the needs and rights of children. As a hypothetical construct that draws attention to the child’s long-term welfare, the well-being of the child is a broader concept than autonomy and happiness. This paper clarifies some conceptual issues of the well-being of the child from a philosophical point of view. The main question is how well-being could in practice acquire a concrete meaning and content for a particular issue or situation. A phenomenological-hermeneutic research perspective will be outlined that allows the child’s well-being to be elucidated and specified as an anthropological and ethical idea. It is based on a contextual understanding of generative relationships, a combination of the theory and practice of making sense, here described as ‘generative insight’, which could provide ethical guidance for decision making in families, legal practice, medicine or biomedical research.     

New frontiers in psychoanalysis – in our international community

The paper discusses what the author calls “The seduction by the father”. It would occur when, in the Oedipus complex, the father reverses his role: instead of being the one who castrates, he seduces. Seduction here is understood in the sense that he does not act as the one who imposes limits to the child. Consequently the child can not project his hostile impulses onto the father.

Based on clinical data, the Author says that, in the male child, the seduction by the father hampers the transformation of the two Oedipal attitudes towards the father into identifications. The consequences of this fact upon the construction of the “nostalgia of the father's protection” are discussed, so as the transformation of this father into the symbolic father.     

Suicidal Ideation,Depressive Symptomatology,and Self‐Concept: A Comparison Between Mexican Institutionalized and Noninstitutionalized Children

Previous research reports a significant prevalence of child depression worldwide and self‐concept as a predictor of depression and suicide behavior. Although suicide in children is an increasing problem in Mexico, there are scarce studies reporting risk factors and none of children in foster care institutions. This was a comparative, ex post facto study whose aim was to analyze associations between suicidal ideation, depression, and self‐concept in two paired samples of Mexican children (83 institutionalized and 83 noninstitutionalized). Results show 16% of the children reported suicidal ideation and statistically significant differences among variables in both samples. Suggestions are made to address this problem from early ages.     

Communication and Understanding in Parent–Adolescent Relationships

This research examined communication and parent–adolescent understanding, including understanding about family conflicts, adolescent self‐concepts, and immediate thoughts (or “empathic accuracy”). Fifty parent–adolescent triads completed questionnaires, held a discussion, and reported on immediate thoughts during the discussion using video‐assisted recall methods. Alternative measures of understanding produced distinct results. Parental understanding of the child's self‐concept was associated with frequent and open communication, high parent–child relationship satisfaction, and a strong child self‐concept. Parental understanding of conflict perceptions was associated with high conformity and low relationship satisfaction. Parental understanding of the immediate thoughts of children was quite low overall and was not consistently related to communication, relationship satisfaction, or child self‐concept. The results suggest that alternative measures of understanding reflect different family processes.     

The Little Prince – an introduction to spirituality: a moving experience in religious education for primary school children in a secularised world

In our research the right of the child for spiritual development is central. Grimmitt’s distinction in ‘teaching in’, ‘about’ and ‘from religion’ is extended with the concept of ‘teaching for’ – a concept that connects religion with children’s attitude of wondering as an ‘ontological calling’ in their life. The question whether a non-religious story can function as a rich learning environment for ‘teaching for’, is explored in a ‘picture voice’-research design. In a small pilot study with four children in primary school age an episode of the story of The Little Prince was presented as a ‘rich learning environment’. We conclude from this pilot that the narration of a non-religious story, together with the child’s drawing of the story’s ‘critical incident’ and a subsequent conversation (‘picture voice’) functions as a stepping stone for the development of spirituality.     

Transgenerational processes and the trauma of sexual abuse

The process of the unconscious transmission of trauma between generations has been written about within the psychoanalytic field since Freud. the concept was further developed by psychoanalysts in their work with second generation survivors of the Holocaust. the particular characteristic is that it is a transmission that takes place silently and in secret, but actively. It is especially found in families where there is an inhibition against thinking. It is suggested in this paper that the concept could be usefully considered in families where a parent is a survivor of child sexual abuse but has kept the trauma a secret. Clinical examples illustrate how children in such families may carry the unconscious dynamics which can emerge into consciousness through symptomatology in the child.     

Brain function disorders in 8-year-old children--from a field and consultation population

The concept of "cerebral dysfunction" was investigated in a several years' epidemiological study involving eight-year-olds in a general population and those seen in a child guidance clinic. Some of the findings differed markedly from what is commonly asserted. The yielded results indicate that brain dysfunctions do not form a single uniform syndrome, that the afflicted children do not show a specific psychopathology and that the disorders can not be traced back to a uniform etiology. The relevance of brain dysfunctions for the child psychiatric morbidity could be proved.