Three ways of understanding Ida

This paper aims to compare the psychoanalytic understanding of three analysts, sharing a similar theoretical background, with regard to the clinical material of an autistic girl with probable organic impairment. The conclusion is that, although the three analysts' ideas about the pathogenesis of the girl's developmental disorder are somewhat divergent, a tendency towards convergence can be noted as the therapy goes on. The paper concludes that there is some common ground of understanding about autistic phenomena among psychoanalysts sharing the same affiliation, that combining the individual views of different analysts may enlarge the understanding of the case as a whole and that the technique Tustin used to treat psychogenic autistic children can also be used to treat brain-damaged autistic children.     

Psychoanalytic Psychotherapy with People in Abusive Relationships

Summary

Psychoanalytic perspectives on violence between partners is describedand forms a foundation for an approach to group and individual psychotherapy of men and women in relationships in which there is physical violence between partners. The empirical results of a study of the outcome of psychoanalytically oriented psychotherapy are described. Nineteen men and 16 women completed research measures before beginning psychotherapy and after completing 16 sessions of group psychotherapy. Twelve people who completed group psychotherapy continued in individual psychotherapy and completed measures again after 16 sessions of individual psychotherapy, and nine people completed measures again after the 16 sessions of group and 32 sessions of individual psychotherapy. Statistical analyses addressed outcomes in terms of verbal and physical aggression and dysphoric affects and anger. Both research and clinical outcomes are discussed.     

Psychoanalysis and psychoanalysts in France between 1939 and 1945

France was affected by a deep psychoanalytic silence, both in theoretical and clinical fields, throughout the four years of German occupation. The psychoanalytic Institute closed its doors and the Revue française de Psychanalyse interrupted its publication as soon as the armistice was declared in 1940. Some people, e.g. Rudolf Loewenstein or Princess Marie Bonaparte emigrated, others fought, for instance, Sacha Nacht or Paul Schiff. Daniel Lagache went on with his researches under the auspices of the University of Strasbourg which had sought shelter in Clermont-Ferrand. René Laforgue cooperated with the German occupier; after the Liberation of France in 1944 he was discarded from a group in which, a few years before, he may have entertained the hope of playing an outstanding role. Quite a few of those he analysed remained faithful to him - which was to have an important bearing on the evolution of the psychoanalytic movement in France after 1945. In 1945, indeed, the new generation emerging from the last convulsions of the war, were to gather around the most influential potential leaders: Sacha Nacht and Jacques Lacan. Only after the latency of those silent years, only after those years of violent struggles and cowardice, would the psychoanalytic elaboration appear, along with the institutional feuds to which they gave rise - in a conflictual climate amounting to the scission of 1953.     

Sailing between Scylla and Charybdis1: Incorporating qualitative approaches into child psychotherapy research

Starting from the acknowledged gap between research and practice in child psychotherapy, this paper offers an historical perspective on the relation between these two activities, and suggests that qualitative approaches to research may offer new ways of bringing them together. After introducing the fundamental concepts of qualitative analysis, three areas where qualitative forms of research may be useful to child psychotherapists are explored: relevant but non-psychotherapy research; accounts of therapy research; and therapy process research. Examples of all of these types of research are presented, and some of the challenges to incorporating qualitative approaches into child psychotherapy research are discussed.     

‘Tied together feelings’ Group psychotherapy with latency children: the process of forming a cohesive group

In this paper we describe our experience of running a psychoanalytic psychotherapy group for six children, ranging in age from 4-8 years old. The group ran for a year, with sessions held weekly for an hour. The rationale for group work, selection criteria and the treatment setting are discussed. The paper charts the evolution within the children of the concept of an internal 'work group' (Bion, 1961), as opposed to a 'gang', as their self-awareness and capacity to relate to each other improved. This reflected a corresponding shift in their relationship to the two group leaders, moving from their initial perception of us as neglectful and in conflict with each other, towards recognizing us as a therapist couple who could work together thoughtfully for their benefit. The children's relationship to the group leaders, representing a 'parental couple' in the transference, was the focus of much of the work group. The positive outcomes for most of the children, resulting from this treatment, are reported.     

Family tree matters

The present paper investigates the form and structure of the psychoanalytic 'family tree', concentrating on the analysands of Sándor Ferenczi and Otto Rank, and their impact on contemporary psychoanalysis.     

‘Un-certainty’: working therapeutically with a transgender young person and learning to bear the unknown

Abstract

The rate of referrals to mental health services for children and young people for whom gender dysphoria is the identified clinical issue has increased significantly over the last ten years. Debates around the classifications of gender identity disorder, gender dysphoria or gender incongruence, as well as the involvement of child and adolescent mental health services with this group of children and young people seem to be re-enacting the societal gender binary world view where we see acceptance versus rejection, open-mindedness versus conservative, trans-phobic thinking. In this paper the author will attempt to shed some light on the work with these young people in a clinical setting by reflecting on a year of therapeutic work with a female to male young person. Through the therapist’s reflections upon these binary preconceptions, along with the use of developmental and object relations theory, an in-depth account of the work is given. It is suggested that in some cases the therapist’s capacity to bear the unknown, while gradually observing and mirroring the un-integrated inner self of the patient, can gradually bring the fragments together, even if not in a perfect fit, and that this in turn provides a sense of relief.