This is Frances Tustin's first book and the original statement of her views on autistic states of mind and the genesis of varieties of childhood psychosis. In it, she tackles problems of diagnosis as these relate to therapeutic intervention. Autism and Childhood Psychosis was first published in 1972 by Hogarth, London, and a year later by Jason Aronson, New York. Subsequently, it was translated and published in France, Italy, Brazil and Argentina, where it is now in its third edition. In France, it is a livre de poche. Twenty years ago, the book was greeted by a group of Italian therapists working at a unit for psychotic children at the Institute of Childhood Neuropsychiatry, Rome University, as "a ship coming into harbor bearing precious cargo". Here was a theoretical model that provided an anchor for therapists bewildered by the array of bizarre behaviors that seemed to defy scientific explanation and human intervention.

Frances Tustin (1913-1994) was one of the first professionally trained child psychotherapists in Britain. Although internationally recognised for her pioneering therapeutic work with autistic children, her approach is considered by some to be controversial, as her psychogenic view of childhood autism challenged the belief that it is biological and genetic. Autistic States in Children is widely regarded as a vitally important work for understanding the causes of autism in young children. Vividly describing her clinical encounters with autistic children, Tustin argued that autistic states were above all self-protective ones. In her observational studies, she noted how autistic children's interaction with physical objects, such as keys, toy cars, or other play items, had a rigid and ritualistic quality, far removed from the typical kind of fantasy play seen in other children. Such objects are not used by autistic children for their intended purpose, Tustin argued, but rather in sensation-dominated ways that interfere with mental development. She also drew a fundamental distinction between two autistic groups: an 'encapsulated' group, which is withdrawn and non-verbal, and an 'entangled' group, who are hyperactive and chaotic but have some language. Autistic States in Children influenced not only those in psychotherapy and psychoanalysis but countless others who have contact with autistic children, especially families, and remains essential reading for anyone seeking a creative and compelling understanding of autism. This Routledge Classics edition includes a new Foreword by Maria Rhode.

This book suggests that psychotherapeutic treatment which is based on a deep understanding of the function of autism can modify and heal the overwhelming need for this powerful inbuilt survival reaction, so that it is used appropriately in a less overall and crippling way.The author's theme in this book concerns the protective and preservative

"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 is Frances Tustin's first book and the original statement of her views on autistic states of mind and the genesis of varieties of childhood psychosis. In it, she tackles problems of diagnosis as these relate to therapeutic intervention. Autism and Childhood Psychosis was first published in 1972 by Hogarth, London, and a year later by Jason Aronson, New York. Subsequently, it was translated and published in France, Italy, Brazil and Argentina, where it is now in its third edition. In France, it is a livre de poche. Twenty years ago, the book was greeted by a group of Italian therapists working at a unit for psychotic children at the Institute of Childhood Neuropsychiatry, Rome University, as "a ship coming into harbor bearing precious cargo". Here was a theoretical model that provided an anchor for therapists bewildered by the array of bizarre behaviors that seemed to defy scientific explanation and human intervention.

Frances Tustin (1913-1994) was one of the first professionally trained child psychotherapists in Britain. Although internationally recognised for her pioneering therapeutic work with autistic children, her approach is considered by some to be controversial, as her psychogenic view of childhood autism challenged the belief that it is biological and genetic. Autistic States in Children is widely regarded as a vitally important work for understanding the causes of autism in young children. Vividly describing her clinical encounters with autistic children, Tustin argued that autistic states were above all self-protective ones. In her observational studies, she noted how autistic children's interaction with physical objects, such as keys, toy cars, or other play items, had a rigid and ritualistic quality, far removed from the typical kind of fantasy play seen in other children. Such objects are not used by autistic children for their intended purpose, Tustin argued, but rather in sensation-dominated ways that interfere with mental development. She also drew a fundamental distinction between two autistic groups: an 'encapsulated' group, which is withdrawn and non-verbal, and an 'entangled' group, who are hyperactive and chaotic but have some language. Autistic States in Children influenced not only those in psychotherapy and psychoanalysis but countless others who have contact with autistic children, especially families, and remains essential reading for anyone seeking a creative and compelling understanding of autism. This Routledge Classics edition includes a new Foreword by Maria Rhode.

"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.