Extending horizons: psychoanalytic psychotherapy with children, adolescents and families

497 Pages·1991·16.7 MB·English

by  Rolene Szur

EXTENDING HORIZONS
Psychoanalytic Psychotherapy
with Children, Adolescents,
and Families

EXTENDING HORIZONS
Psychoanalytic Psychotherapy
with Children, Adolescents,
and Families
edited by
Rolene Szur
and
Sheila Miller
with a preface by
Rolene Szur

Karnac Books
1991
London New York
To the memory of
Jess Guthrie
Martha Harris
Sara Rosenfeld
First published in 1991 by
H. Karnac (Books) Ltd.
58 Gloucester Road
London SW7 4QY
Distributed in the United States of America by
BrunnerIMazel, Inc.
19 Union Square West
New York, NY 10003
Copyright @ J 1991
by Rolene Szur
All rights reserved. No part of this book may be reproduced,
in any form, by any proce ss or technique,
without the prior written permission of the publisher.
Britieh Library Cataloguing in Publication Data
Extending horizons: psychoanalytic psychotherapy with
children, adolescents, and families.
1. Psychotherapy
I. Szur, Rolene
616.8915
ISBN 0-94643948-5
Prlnted In Great Brltaln by BPCC Wheatons Ltd. Exeter
CONTENTS
ACKNOWLEDGEMENTS
CONTRIBUTORS
Introduction Rolene Szur xvii

PART ONE
Patients, families, and treatment approaches
1. Intensive child psychotherapy:
working with Matthew towards understanding
Alan Shuttleworth 3
2. Treatment-via-the-parent:
a case of bereavement Erna Furman 29
v
vi CONTENTS
3. Exploration and therapy in family work
Beta Copley 47
4. Integrating individual
and family therapy Elizabeth Muir 65
PART TWO
The psychotherapy of infancy
5. Brief therapeutic work with parents of infants
Zsca Salzberger Wittenberg 83
6. Infants' sleep problems Dilys Daws 107
7. Joint psychotherapy with mother and child
Helene Dubinsky 121
8. Some reflections on body ego development
through psychotherapeutic work with an infant
Genevieve Haag 135

PART THREE
Patients treated in adolescence
9. Thinking about adolescence Rolene Szur 151
10. Work with suicidal adolescents
at a walk-in centre in Brent Rosalie Joffe 165
11. Work with ethnic minorities Gianna Willicrms 183
PART FOUR
Special areas of work
Physical and mental
disability and disorder
12. The triple burden Francis Dale 209
13. Psychoanalytical psychotherapy
with the severely, profoundly, and multiply handicapped
Valerie Sinason 225
14. What autism is
and what autism is not Frances Tustin 243
Deprivation and damage
15. An account of the psychotherapy
of a sexually abused boy Jonathan Bradley 271
16. Psychotherapy with two children in local authority care:
Julia, a neglected child, and
a 4-year-old's view of sexual abuse
Margaret Hunter 291
PART FIVE
Theory and research
17. The splitting image:
a research perspective Mary Boston 319
18. The role of psychotherapy
in the care of diabetes in childhood
George Moran and Peter Fonagy 339
viii CONTENTS
19. Telling the child about adoption
Jill Hodges and Maria Berger
20. The strengths of a practitioner's workshop
as a new model in clinical research
Margaret Rustin
21. Beyond the unpleasure principle Anne Alvarez
22. The emergence of Michael Fordham's model
of development: a new integration in
analytical psychology James Astor
23. The institution as therapist:
hazards and hopes Zsobel Menzies Lyth
24. Some notes on the contribution
of Margaret Lowenfeld to child psychotherapy
Margarita Wood
REFERENCES
INDEX
ACKNOWLEDGEMENTS
he editors wish to thank Lisa Miller for her early interest
and support, Mary Boston for reading and offering her
helpful comments on a number of chapters, and Jill
Hodges for some interesting discussions when the book was first
planned. We are grateful to all the authors who have so gener-
ously contributed their work, and also to the many, necessarily
anonymous, patients with whom the therapeutic endeavour was

shared.
We take this opportunity of thanking the Child Psycho-
therapy Trust for their generous help in financing the technical
aspects involved in the preparation of the manuscript. We wish
also to express our sincere appreciation to Cesare Sacerdoti of
Karnac Books and to Klara King for many thoughtful and help-
ful suggestions.
Muriel Maseyk, who was responsible for typing and re-typing
many drafts of many manuscripts with both patience and inter-
est, deserves all our thanks.
The royalties from this book will go to the Child Psycho-
therapy Trust, 27 Ulysses Road, London NW6 1ED. This is dedi-