Analyzing Children

Psychological Structure, Trauma, Development, and Therapeutic Action

By (author) Edward I. Kohn, Christie Huddleston, Adele Kaufman

Publication date:

05 June 2019

Length of book:

220 pages

Publisher

Rowman & Littlefield Publishers

Dimensions:

231x162mm
6x9"

ISBN-13: 9781538121023

Freud described changes in the structure of the mind, including the consolidation of the superego with resolution of the oedipal complex. Important psychoanalytic thinkers since Freud have studied and emphasized the role of pre-oedipal development in the creation of psychological structure. While each of these authors developed his or her own language and concepts, they all described a fundamental transition in the structure and working of the mind that has profound importance for the psychological functioning of the child and the adult she later becomes.

This book closely examines the analyses of two little girls. One began analysis having already achieved the transition to a more enduring and reliable psychic structure, a cohesive self. Because she had several experiences that overwhelmed her emotional capacities prior to entering the oedipal phase of development, her oedipal experience was filled with anxiety and overstimulation. At the start of her analysis , the second child contended with anxiety about loss of the object and abandonment, and she struggled with the process of separation/individuation. Her psychic structure, her self, was not cohesive, and she was vulnerable to fragmentation. During her analysis, her stymied development was freed up, and the authors trace the changes within her as psychic structure consolidated and oedipal material took center stage.

Comparison of these two young girls and their analyses enables the authors to illustrate and describe important mental phenomena and psychoanalytic concepts. These include psychic structure, the self, the similarities and differences between a mind that is vulnerable to fragmentation and one that is not, and the internal states associated with fragmentation and trauma. By looking into the differences (and similarities) in the ways each girl responded to interventions by her analyst, the authors explore psychoanalytic technique and therapeutic action, including the many manifestations of interpretation and insight, the role of the analyst as a developmental object, and the development of psychic structure. The authors show how similar manifest behavior and content have different latent meanings and sources for each child, and they further illustrate the transformations of fantasies, anxieties, preoccupations, and ego structures over the course of their analyses.

In four collaborative chapters, Kohn (Cincinnati Psychoanalytic Institute) explores in detail the case histories of two juvenile subjects to demonstrate the psychoanalytic process of enabling young children to assemble the elements of a traumatized or fragmented psychic structure into a cohesive self. Isabel, through the reported interaction with her therapist (coauthor Huddleston), eventually becomes able to fully express herself without fear of repercussions. Ella at first lacks the ability to verbalize distress stemming from specific family events that were beyond her immediate understanding but gradually learns to express her basic feelings through role-playing with her analyst (coauthor Kaufman), during which she learns to create meaningful maps or drawings representing the related feelings rather than act out aggressive impulses. In the subsequent nine chapters of the book, Kohn provides nuanced explanations of Freudian and post-Freudian concepts and therapeutic processes as illustrated by the two analyses, creating a useful reference for child psychotherapists, students of developmental psychology, and academic researchers.



Summing Up: Highly recommended. Upper-division undergraduates through faculty and practitioners.