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The Child Patient and the Therapeutic Process - A Psychoanalytic, Developmental, Object Relations Approach (Hardcover)
Loot Price: R3,875
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The Child Patient and the Therapeutic Process - A Psychoanalytic, Developmental, Object Relations Approach (Hardcover)
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This book examines the treatment of young children from the
perspective of the therapist's clinical decisions. How does the
therapist know what to do at any given moment in a session? What
processes of synthesis and integration allow the therapist to
choose interventions that transform the relationship between adult
and child into a treatment relationship? How does the child
therapist balance working with the child and working with the
child's parents? This book is the narrative of a case as presented
in supervision. Every week the therapist recounts her sessions with
her young patient, a girl of six named Cleo, who is suffering from
intense fear. The fear is invasive and unrelenting and the little
girl is engaged in a desperate struggle to master it, but she fails
over and over again. She cannot repress her terrifying fantasies.
As Cleo plays during her sessions, we are witness to the
derivatives of the fearsome fantasies and to her depleting and
often futile struggle to find some measure of comfort. What is the
therapist's role in this situation? How does the therapist enter
this chaotic and emotionally draining zone and begin the work of
treatment? The reader joins the supervisory sessions and follows
the unfolding story of the treatment process. Each session is
discussed in detail as therapist and supervisor work together to
make the elusive and fragmented nature of the sessions technically
usable. Much thought is given to trying to understand the possible
origin and nature of the developmental forces that caused Cleo's
emotional distress. The recurring themes of her sessions are
extracted from the often confusing material and discussed with the
goal of arriving at treatmentprinciples - principles that could
help Cleo deflect the force of her frightening fantasies. The
supervisory process guides the treatment process by providing an
affective and organizing anchoring. Everything is examined. What
toys and why? Food in sessions? Frequency of sessions? Can the
child's drawings be taken home? Presents? Confidentiality with
children? Work with parents? Vacations? All that is particular to
Cleo and all that can be generalized has the common foundation of
classical psychoanalytic theory, enriched and expanded by
developmental and object relations theory. Throughout these
chapters, the theoretical framework remains the fundamental gauge
and guide - the compass of the treatment. The therapist's growing
ability to harness the richness and organization it provides is
shared with the reader.
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