SYCHOANALYTIC PSYCHOTHERAPY of children evolved out of the combination of psychoanalytic psychology, the direct observation of young children, and the study of the child’s immediate and larger social environment, primarily the family and the school. The child guidance movement, a uniquely American approach to the treatment of emotional problems of children, remained carefully balanced between an emphasis on the child’s inner life, on the one hand, and on the importance of the environment in the treatment of the child, on the other. The relatively heavy emphasis which most training centers placed on the individual treatment of children was primarily related to the influence of psychoanalytic theory on the practice of psychotherapy in this country. Anna Freud,’ with her pioneering work in child psychoanalysis, was the singularly most influential person in the development of psychoanalytic psychotherapy with children. This meant not only the application of psychoanalytic theory to the understanding of the child’s psychopathology, but that the principles which guided the individual treatment of the child were also derived from psychoanalytic treatment principles. These principles, in turn, were to a greater or lesser degree similar to the ones employed in the analysis of adults. Though there are considerable variations regarding the rigidity with which the principles of analytic abstinence are being observed in child analysis, many child analysts maintain that children, no different from adults, can be treated by a focus upon their transferences, and that the only way to promote the analytic process with them is through the exclusive use of interpretations.2 Weiss takes issue with the practice of consulting with the parents on the same grounds as he does with giving the child candy or birthday gifts; namely that they all interfere with transference developments and detract the child from the work of the analysis. “If the child’s pathology is in the past, if it is structuralized, then it can be analyzed within the transference. If the pathology is of the present and is a continuation of the past, that aspect which is current and not a transference onto the parents cannot be analyzed at that time. That which is transference, whether to analyst or to From the Deparrmenr of PsychiarrF (.4dult Divisions. L’nrversif~~ o/’ Cincinnari. (‘ollypc, III Medicine. Cincinnati, Ohio and the Cincinnati P.~ychoanaiyric In~fitute. Cincinnati, Ohrr)
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