Transference and countertransference in the analysis of a child with autistic nuclei. 1996

N J Franch

The author stresses the importance of using the countertransference when working with autistic and borderline children, in whom severe disorders of cognitive and emotional development have not permitted the establishment of an internal three-dimensional space whereby emotions can be contained, meaning can be assigned to those emotions and symbols can be formed. She argues that the transference will arise gradually in response to the analyst's countertransference. Great importance is attached to the setting in both its material and psychic aspects, the stability of the former being essential because of the patient's two-dimensional mode of functioning, in which he lacks any representation of space and time. After a review of the theoretical background to the treatment of autistic children with particular reference to the work of Houzel and Tustin and a brief discussion of general aspects of the transference in the light of the views of Freud, Klein and Bion, the author turns to the clinical material proper, presenting vignettes from a number of sessions in the analysis of an autistic boy. These show how she utilises her own emotions, sensations and associations to gain information about the patient's state and, by assigning meaning to these manifestations and communicating it to him, to impart motion to his frozen internal world. The author reports that, after several years of analysis, the patient has introjected a stable object that will lead to healthier development and a sense of security.

UI MeSH Term Description Entries
D008297 Male Males
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)
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
D002675 Child, Preschool A child between the ages of 2 and 5. Children, Preschool,Preschool Child,Preschool Children
D003379 Countertransference Conscious or unconscious emotional reaction of the therapist to the patient which may interfere with treatment. (APA, Thesaurus of Psychological Index Terms, 8th ed.) Countertransference, Psychology
D006801 Humans Members of the species Homo sapiens. Homo sapiens,Man (Taxonomy),Human,Man, Modern,Modern Man
D001321 Autistic Disorder A disorder beginning in childhood. It is marked by the presence of markedly abnormal or impaired development in social interaction and communication and a markedly restricted repertoire of activity and interest. Manifestations of the disorder vary greatly depending on the developmental level and chronological age of the individual. (DSM-V) Autism, Infantile,Kanner's Syndrome,Autism,Autism, Early Infantile,Disorder, Autistic,Disorders, Autistic,Early Infantile Autism,Infantile Autism,Infantile Autism, Early,Kanner Syndrome,Kanners Syndrome
D014167 Transference, Psychology The unconscious transfer to others (including psychotherapists) of feelings and attitudes which were originally associated with important figures (parents, siblings, etc.) in one's early life. Psychological Transference,Transference (Psychology),Psychological Transferences,Psychology Transference,Psychology Transferences,Transference, Psychological,Transferences (Psychology),Transferences, Psychological,Transferences, Psychology

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