Autism & Childhood Psychosis by Frances Tustin

By Frances Tustin

This is often Frances Tustin's first booklet and the unique assertion of her perspectives on autistic states of brain and the genesis of sorts of early life psychosis. In it, she tackles difficulties of analysis as those relate to healing intervention.

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Wednesday, January ~ g t h 1954 , (Session 361) He said of the broken humming top, 'Broken top! ' Material then came about his 'stinkers' and piercing the button and making 'a black hole in my mouth'. I asked him about the black hole. ' One day the screaming fits, the cryptic phrases and some of the previous phantasies all came together into one session. Thursday, February 6th, 1954 (Session 367) He was in a screaming tantrum as I opened the front door because he had fallen and bumped his head.

Clinical material will now be presented to show his reactions to separations from the treatment situation which, as can be imagined, were always poignant. The presentation of psychotic material is full of difficulties. First, there is the perennial problem of the use of words for what were originally non-verbal experiences. Such material needs to be presented in an evocative rather than an argued fashion. Secondly, the material from psychotic patients is inevitably A school based on the philosophy and teaching of Rudolf Steiner, founder of the movement known as Anthroposophy.

The autism representsJohn's attempt to evade it. Some of the case material illustrates his attempts to deal with it by explosive projection (Sessions 23 and 367). ') demonstrate that as soon as he developed even a limited capacity to tolerate the 'black hole', he was stimulated to get in touch with his therapist as an object separate and different from himself. (See also Sessions 153 and 360. ) It is obvious that getting in touch with the 'not me' holds possibilities beyond the self, but as we have seen this is fraught with difficulties, since something that will not be moulded as part of body stuff becomes an inimical object as it becomes imbued with the terror and rage it provokes.

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