The use of fantasy play in the treatment of a six-year-old adopted girl. 2009

Katharine Gould
Faculty, Child and Adolescent Psychoanalytic Psychotherapy Program, Chicago Institute for Psychoanalysis, USA.

The traditional psychoanalytic practice with children focuses on the observation and the interpretation of the child's play. In contrast, in my treatment of Sara, my focus was on playing with the child. Since initially she was unable to play, Ifirst taught her how to act out fantasies in play until, gradually, she became an active participant and, finally, the creator of her own stories. This method was effective because it reproduced the "to and fro" or "optimal responsiveness" between the mother and infant in the first three years of life when the infant/child experience is of being found by the mother. Like the infant/child, my patient's response to our playing was to recognize that her actions evoked meaning for her therapist. Empowered by this selfawareness, she began to participate in the dialogue of fantasy play and, as our stories expanded, she experienced the affirmation and fulfillment of a reciprocal relationship. While lost in play, she experienced being found. Her story demonstrates, poignantly, how a child comes to choose aggression and cruelty as a source of power. For Sara, nurturing and goodness engendered feelings of weakness and helplessness because they stirred up her envy of and intense longing for the good enough mothering that she had never known.

UI MeSH Term Description Entries
D007578 Jealousy An irrational reaction compounded of grief, loss of self-esteem, enmity against the rival and and self-criticism. Envy
D009034 Mother-Child Relations Interaction between a mother and child. Mother-Child Interaction,Mother-Child Relationship,Mother-Infant Interaction,Mother-Infant Relations,Interaction, Mother-Child,Interaction, Mother-Infant,Interactions, Mother-Child,Interactions, Mother-Infant,Mother Child Interaction,Mother Child Relations,Mother Child Relationship,Mother Infant Interaction,Mother Infant Relations,Mother-Child Interactions,Mother-Child Relation,Mother-Child Relationships,Mother-Infant Interactions,Mother-Infant Relation,Relation, Mother-Child,Relation, Mother-Infant,Relations, Mother-Child,Relations, Mother-Infant,Relationship, Mother-Child,Relationships, Mother-Child
D009769 Object Attachment Emotional attachment to someone or something in the environment. Bonding (Psychology),Bonds, Emotional,Emotional Bonds,Object Relations,Symbiotic Relations (Psychology),Bonding, Psychological,Object Relationship,Psychological Bonding,Attachment, Object,Attachments, Object,Bond, Emotional,Bondings (Psychology),Emotional Bond,Object Attachments,Object Relation,Object Relationships,Relation, Object,Relation, Symbiotic (Psychology),Relations, Object,Relations, Symbiotic (Psychology),Relationship, Object,Relationships, Object,Symbiotic Relation (Psychology)
D010989 Play Therapy A treatment technique utilizing play as a medium for expression and communication between patient and therapist. Play-based Mental Health Intervention,Sandplay,Sandplay Therapy,Therapy, Play,Play Therapies,Play based Mental Health Intervention,Sandplay Therapies,Therapies, Play,Therapies, Sandplay,Therapy, Sandplay
D011209 Power, Psychological The exertion of a strong influence or control over others in a variety of settings--administrative, social, academic, etc. Power (Psychology),Power, Personal,Power, Professional,Power, Social,Power,Personal Power,Powers, Psychological,Professional Power,Psychological Power,Psychological Powers,Social Power
D011573 Psychoanalytic Interpretation Utilization of Freudian theories to explain various psychologic aspects of art, literature, biographical material, etc. Interpretation, Psychoanalytic,Psychoanalytical Interpretation,Interpretation, Psychoanalytical,Interpretations, Psychoanalytic,Interpretations, Psychoanalytical,Psychoanalytic Interpretations,Psychoanalytical Interpretations
D011575 Psychoanalytic Therapy A form of psychiatric treatment, based on Freudian principles, which seeks to eliminate or diminish the undesirable effects of unconscious conflicts by making the patient aware of their existence, origin, and inappropriate expression in current emotions and behavior. Balint Psychoanalytic Therapy,Psychoanalytic Therapy, Balint,Psychoanalytical Therapy,Therapy, Balint Psychoanalytic,Therapy, Psychoanalytic,Psychoanalytic Therapies,Psychoanalytical Therapies,Therapies, Psychoanalytic,Therapies, Psychoanalytical,Therapy, Psychoanalytical
D002648 Child A person 6 to 12 years of age. An individual 2 to 5 years old is CHILD, PRESCHOOL. Children
D003674 Defense Mechanisms Unconscious process used by an individual or a group of individuals in order to cope with impulses, feelings or ideas which are not acceptable at their conscious level; various types include reaction formation, projection and self reversal. Mechanisms, Defense
D005201 Fantasy An imagined sequence of events or mental images, e.g., daydreams. Day Dreams,Daydreams,Day Dream,Daydream,Dream, Day,Dreams, Day,Fantasies

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