Since it was founded in 1920, the Tavistock Clinic has developed a wide range of psychotherapeutic approaches to community mental-health which have always been strongly influenced by psychoanalysis. In the last thirty years it has also developed systemic family therapy as a new theoretical model and clinical approach to family problems. The Clinic has become the largest training im3titUtion in Britain for work of this kind, providing post-graduate and qualifying courses in social work, psychology, psychiaay, child, adolescent and adult psychotherapy and, latterly, in nursing. It trains about 1200 student each year in over 45 courses.

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 She also drew a fundamental distinction between two autistic groups: an 'encapsulated' group, which is withdrawn and non-verbal, and an 'entangled' group, who are hyperactive and chaotic but have some language.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.

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 volume is an outcome of the European Federation for Psychoanalytic Psychotherapy conference on psychotic and autistic conditions in childhood and adolescence, encouraging the cross-fertilization of psychoanalytic practice and theory across the international boundaries in Europe.

The chapters of this book, all written by experienced psychoanalytically oriented psychotherapists, address different aspects of the psychotherapeutic treatment with psychotic children or adolescents. This volume collects the main contributions to the fourth conference of the child and adolescent section of the EFPP, held in Caen, France in September 2001, on the general topic of "Psychotic Children and Adolescents and their Families."Anne Alvarez's contribution reflects her long experience in treating autistic and psychotic children and adolescents, as well as her profound understanding of the relevance of recent developmental research to the understanding of psychopathology. Britta Blomberg draws on the treatment of two children with autism in her meticulous study of the development of the concepts of space and time and of the theory of mind. Julia Pestalozzi refers to the idea of psychotic functioning in adolescence--as proposed by Moses and Egle Laufer--that adolescents in a state of "psychotic functioning" have their body image profoundly split between the pregenital body image of childhood and the sexual body image of adolescence. In his contribution, Didier Houzel describes a very early splitting in autistic children between the male and female components of the containing object, which prevents the transformation of his/her sensory experiences into thinkable elements and, therefore, the construction of an inner world. Suzanne Maiello discusses Houzel's contribution in reference to her description of the prenatal experience of a sound object by the fetus. The volume ends with two "conversations" with senior clinicians. The work of both Genevieve Haag and Raymond Cahn is not widely translated into English. The publication of this volume is therefore a welcome opportunity to present aspects of their work to an English-speaking audience.Contributors: Anne Alvarez, Britta Blomberg, Raymond Cahn, Genevieve Haag, Didier Houzel, Suzanne Maiello, Julia Pestalozzi, and Maria Rhode"

This pioneering book is a multidisciplinary collection of papers from psychiatrists, psychologists and child psychotherapists that aims to address the issue of variation within the diagnostic category of Asperger s Syndrome. Until now, books on the subject have been written from an organicist/cognitive viewpoint with few papers from a psychoanalytically informed basis, despite an increasing number of child psychotherapists treating children and adolescents with the syndrome. Children diagnosed with Asperger s Syndrome share core anxieties but present a wide spectrum of strikingly different character traits and coping devices. There exists considerable overlap with other conditions such as Attention Deficit (Hyperactivity) Disorder, Borderline Personality, Schizoid Personality Disorder and psychopathy.The collection boasts a new translation of Asperger s original paper and a historical review of the changing psychiatric perspectives on Asperger s Syndrome, including recollections from Lionel Hersov, a personal acquaintance of Asperger. A child psychotherapist provides a commentary on Asperger s paper from the perspective of recent developments in the psychoanalytic treatment of children with autistic spectrum disorders. Cognitive approaches are reviewed and compared and contrasted to psychoanalytic theory. Two first-person accounts are included and studied as to how they link with and differ to psychoanalytic theory and the case study of a 10-year-old boy is discussed in relation to various diagnostic criteria.This groundbreaking book will be of interest to mental health professionals, teachers and all those concerned with Asperger s Syndrome.Contributors include Anne Alvarez, Lionel Hersov, Sally Hodges, Trudy Klauber, Maria Rhode, Judy Shuttleworth, David Simpson."

Short-term Psychoanalytic Psychotherapy (STPP) is a manualised, time-limited model of psychoanalytic psychotherapy comprising twenty-eight weekly sessions for the adolescent patient and seven sessions for parents or carers, designed so that it can be delivered within a public mental health system, such as Child and Adolescent Mental Health Services in the UK. It has its origins in psychoanalytic theoretical principles, clinical experience, and empirical research suggesting that psychoanalytic treatment of this duration can be effective for a range of disorders, including depression, in children and young people. The manual explicitly focuses on the treatment of moderate to severe depression, both by detailing the psychoanalytic understanding of depression in young people and through careful consideration of clinical work with this group. It is the first treatment manual to describe psychoanalytic psychotherapy for adolescents with depression. The treatment approach described in this manual has been used in a multi-site randomised controlled trial in the UK, 'Improving Mood with Psychoanalytic and Cognitive Therapies' (IMPACT) and internationally. It is presented here as a treatment to be used in routine clinical practice and will be of interest to child psychotherapists, multi-disciplinary professionals in young peopleaEURO (TM)s mental health, service providers, and researchers alike. After describing theoretical models of depression and presenting an overview of STPP as a treatment model, the manual details the specific stages of the STPP process for the therapist and adolescent patient. It then describes the nature and scope of parallel work with parents and gives a detailed account of the function of supervision.

This volume ofPsychoanalysis and Psychotherapy in China continues the tradition we began last year of featuring cultural issues that confront analysts and therapists as they apply psychoanalytic thinking to their work with Chinese patients and students. Therapy and work with institutions is embedded in the civilization in which we work, so the issues facing China and its people confront us every day that we conduct therapy,consultation, and training there.