In this volume, a well-known psychoanalyst, dance therapist, and educational consultant chronicles her clinical work with deeply troubled children who fall between the cracks of our diagnostic and educational systems. These children, who frequently turn out to have been sexually or punitively abused, have no real emotional home despite the fact that they live in materially comfortable circumstances. In spite of their apparent brightness and precocity, they do not thrive in the classroom, where their disruptive behavior, tendency to act out, and fragmented learning bring them to the attention of teachers, counselors, and school psychologists. Standard diagnoses do not explain their plight; such children are neither retarded nor learning disabled nor neurotic. Through poignant case studies, Siegel reviews the developmental circumstances that bring these middle-class waifs to a critical impasse with both their parents and the educational establishment. Time and again she discovers that the children's expectable developmental course has been derailed by their accommodation to parental abuse and deformed parental expectations. Psychodynamic treatment invariably uncovers the maladaptive solutions that fueled the children's behavioral and learning disturbances. This volume speaks to a broad clinical and non-clinical readership: psychoanalytic clinicians; psychologists; counselors; social workers; art, dance, and music therapists; special education teachers; child therapists; and child care workers. They will all join in admiration of Siegel's treatment approach which focuses on what is healthy in deeply traumatized children and, in so doing, helps debunk the myth of the untreatable child.

In recent years, memories and reconstructions of incestuous child abuse have become common features of psychoanalytic treatment. Among some clinicians, such abuse is suspected even when there is little evidence. How does the analyst distinguish between incest real and imagined, and how do recovered memories of incest affect the analyst? In this poignant and beautifully written study, Elaine Siegel brings new insights to bear on these timely questions. An inveterate note taker, she discloses the countertransferential ruminations and associations to the occurrence of incest at various stages during the treatment process over the course of 30 years of clinical work. The manner in which her "analytic instrument" evolved and was shaped by her analysands' stories makes for a fascinating subtext in a book that addresses itself to the differences and similarities during treatment of real and imagined incestuous abuse. Among the powrfully disturbing clinical cases at the heart of this study are two reports detailing the lengthy analyses of women who found corroboration for multigenerational incest. Siegel also presents two cases in which patients retracted their claims of incest toward the end of their treatments. Through the medium of these and other reports, Siegel explores how psychoanalysts are struggling both to understand incestuous abuse and to accomodate their treatment techniques to shifting societal perspectives.

Describing in detail her analytic treatment of eight female homosexuals with common symptoms of incomplete body image and unconscious denial of differences between the sexes, Siegel details the recurring treatment phases that typified their analyses and offers formulations based on both ego-developmental and object-relational perspectives. She candidly describes the countertransferential issues that entered into the treatment of these women and examines basic societal assumptions about sexuality that are imprinted on the analyst.

Describing in detail her analytic treatment of eight female homosexuals with common symptoms of incomplete body image and unconscious denial of differences between the sexes, Siegel details the recurring treatment phases that typified their analyses and offers formulations based on both ego-developmental and object-relational perspectives. She candidly describes the countertransferential issues that entered into the treatment of these women and examines basic societal assumptions about sexuality that are imprinted on the analyst.

In recent years, memories and reconstructions of incestuous child abuse have become common features of psychoanalytic treatment. Among some clinicians, such abuse is suspected even when there is little evidence. How does the analyst distinguish between incest real and imagined, and how do recovered memories of incest affect the analyst?

In this poignant and beautifully written study, Elaine Siegel brings new insights to bear on these timely questions. An inveterate note taker, she discloses the countertransferential ruminations and associations to the occurrence of incest at various stages during the treatment process over the course of 30 years of clinical work. The manner in which her "analytic instrument" evolved and was shaped by her analysands' stories makes for a fascinating subtext in a book that addresses itself to the differences and similarities during treatment of real and imagined incestuous abuse.

Among the powrfully disturbing clinical cases at the heart of this study are two reports detailing the lengthy analyses of women who found corroboration for multigenerational incest. Siegel also presents two cases in which patients retracted their claims of incest toward the end of their treatments. Through the medium of these and other reports, Siegel explores how psychoanalysts are struggling both to understand incestuous abuse and to accomodate their treatment techniques to shifting societal perspectives.

Reviews

"Elaine Siegel presents us with the fascinating story of her survival as a Jewish child in Nazi Berlin. Full of detail and laced with pungent observations of the adults around her, Siegel's memoir recreates the child's view of, and emotional reactions to, the Nazi coming to power with astuteness and clarity." -- Susannah Heschel, Eli Black Professor of Jewish Studies, Dartmouth College Product Description

"We spied on our families, just like the Hitler Youth had exhorted us to do, but not to catch them in the midst of illicit or illegal acts. We had a different purpose: We wanted to keep our grown-ups alive and away from the police. This was not always easy." -- Elaine V. Siegel, from "Chaos Unbound"

In 1925, Charlotte Resca, a German-Jewish girl of 18 years, was so enamored of her handsome German-Protestant fiance that she followed him to America. There they would would marry and begin a new life. The marriage failed, but not before a daughter, Elaine, was born on December 29, 1928. In the summer of 1931, Charlotte, unaware of the horror soon to unfold, left her husband and returned to Berlin with her two-and-a-half-year-old Jewish daughter. Beautiful and ambitious, she would pursue a career in banking while her child was raised by the grandparents. Young Elaine would bond with her remarkable maternal grandmother, a midwife, herbal healer, and counselor of local renown, and grow up with an odd assortment of friends, neighbors, and relations, Jewish and Gentile, wealthy and impoverished, pro- and anti-Nazi.

There is drama in this memoir of a Jewish childhood in Nazi Berlin. The tightening grip of anti-Semitism, the transformation of local ne'er-do-wells into imperious Brownshirts, the marginalization and degradation of shopkeepers and merchants who resisted Nazi blandishments, and the visceral disgust of many Germans for Hitler -- all are woven into a story whose very intimacy captures the largeness of its historical moment. It is especially the young Elaine's clarity of vision -- her keen understanding of what was happening around her and what was required to safeguard herself and "her adults" -- that pulls the reader along in this gripping account of Jewish survival in the eye of the Nazi storm. About the Author

Now in retirement in Wayland, MA after a long and distinguished career as both a psychoanalyst and registered dance therapist, Elaine V. Siegel is widely published in both German and English and has lectured extensively in the United States and Europe.

In this volume, a well-known psychoanalyst, dance therapist, and educational consultant chronicles her clinical work with deeply troubled children who fall between the cracks of our diagnostic and educational systems. These children, who frequently turn out to have been sexually or punitively abused, have no real emotional home despite the fact that they live in materially comfortable circumstances. In spite of their apparent brightness and precocity, they do not thrive in the classroom, where their disruptive behavior, tendency to act out, and fragmented learning bring them to the attention of teachers, counselors, and school psychologists. Standard diagnoses do not explain their plight; such children are neither retarded nor learning disabled nor neurotic.
Through poignant case studies, Siegel reviews the developmental circumstances that bring these middle-class waifs to a critical impasse with both their parents and the educational establishment. Time and again she discovers that the children's expectable developmental course has been derailed by their accommodation to parental abuse and deformed parental expectations. Psychodynamic treatment invariably uncovers the maladaptive solutions that fueled the children's behavioral and learning disturbances.
This volume speaks to a broad clinical and non-clinical readership: psychoanalytic clinicians; psychologists; counselors; social workers; art, dance, and music therapists; special education teachers; child therapists; and child care workers. They will all join in admiration of Siegel's treatment approach which focuses on what is healthy in deeply traumatized children and, in so doing, helps debunk the myth of the untreatablechild.