ABSTRACT

This paper, the first of two parts, aims to highlight the unique contribution that intensive psychoanalytic psychotherapy can make with complex cases where, in the absence of an engagement with another mind, self and ego development have been severely arrested. Intensive therapy with a boy aged four who was diagnosed with autism at the age of two is examined, to illustrate how the mind is both internally driven and relationally responsive. This work illustrates how the experience of analytic mutuality enables the development of the child's mental capacity for representation and symbolic thought, as well as relationality. Autistic encapsulation is understood as a psycho-physical protective reaction, rather than a psychodynamic defence mechanism. Clinical vignettes demonstrate how the therapist gradually emerges in the child's mind as an object to relate to and be made use of, alleviating arrested development and enabling the child to evolve from an almost mute, ‘undrawn’, confused and confusing child, into a latency boy with social, academic and behavioural skills.

摘要

本文是两部分中的第一部分，旨在强调强化精神分析心理治疗对复杂案例的独特贡献，在这些案例中，在没有与另一个思想接触的情况下，自我和自我的发展受到了严重阻碍。对一个在两岁时被诊断出患有自闭症的四岁男孩进行的强化治疗进行了检查，以说明大脑是如何同时受到内部驱动和相关反应的。这项工作说明了分析交互性的经验如何促进儿童的表征和象征性思维以及关系性的心理能力的发展。自闭症封装被理解为一种心理-身体保护反应，而不是一种心理动力学防御机制。临床小插曲展示了治疗师是如何逐渐出现在孩子身上的