This study aims to discuss the most recent data about child psychotherapy dropout, especially child psychoanalytical psychotherapy. The authors also try to offer some possible alternatives to prevent such a phenomenon. The definition of "child psychotherapy dropout" is extensively discussed. The goal has been to attempt to create a standardised…

This paper describes the setting up and the first year of running of an innovative outreach service for adolescents on the edge of care that aimed at redressing family breakdown and preventing placements in the care system. It was a collaborative endeavour between social services and a child and adolescent mental health provision to facilitate the…

The psychoanalytically informed work of a team of workers at a drop-in centre for families in a poor district of Lima is described. Interventions involve: accepting, connecting, playing and empowering. Clinical vignettes are used to illustrate the ways in which these interventions aim to help families. The acceptance of difficult feelings provides…

The question of normal sexuality begins to arise in the treatment of severely sexually abused or sexually offending patients. The author suggests that it is an interesting and delicate moment during the process of recovery when less perverse, more normal sexuality appears mixed with, or even disguised by, the more habitual perverse fantasies.…

This article discusses the impact of the damaged object on the development and functioning of psychic life with particular reference to the sense of reality. The damaged object is of pivotal significance in Klein's and Winnicott's models of psychic development and experience in early infancy. A key dimension of the development and functioning of…

This paper offers an integrative approach to the increasingly complex puzzle of autistic spectrum disorders. The author demonstrates how the work of one group of neuroscientists in Parma, on a special class of brain cells called "mirror neurons", and the work of researchers at the University of California in San Diego, applying these…

An innovative methodology is presented for describing the therapeutic processes involved in five types of adolescent treatments: psychoanalysis, psychodynamic psychotherapy, cognitive-behavioural therapy, mentalisation-based treatment and interpersonal psychotherapy. Using the "Adolescent Psychotherapy Q-Set" (APQ), 18 experienced clinicians…

The paper describes the psychoanalytic psychotherapy of a patient who had originally been referred at the age of 15 because of his social isolation. In fact, he suffered from high-functioning Asperger's syndrome and lived in an almost delusional world populated by a number of imaginary companions, which he used to counteract a deep void and sense…

This article aims to reflect on the lessons learnt from using a psychodynamic approach to offering onsite therapeutic child and adolescent mental health services (CAMHS) in four pupil referral units (henceforth referred to as PRUs). The PRUs cater for six- to 16-year-old children and adolescents permanently excluded from mainstream schools. The…

Of all the applications of psychoanalysis to various fields, perhaps none has been as important--or as fraught--as the application of psychoanalytic insights to education. This paper re-constructs some of the early debates around psychoanalysis and pedagogy that Anna Freud engaged with during the 1920s in Vienna, when the whole question of what…

In this paper the author argues that sibling relationships are a missing piece of the eating disorder puzzle. She notes that disturbing relationships with siblings have been present all along in the literature, but have not been included as a separate area of study. They have thus been hiding in plain sight, present but not accounted for in our…

Psychoanalysis and child psychotherapy have traditionally sought to describe their relationship to science in a variety of ways. As a consequence, different strands of the research programme are underpinned by divergent methodological and epistemic assumptions. The perceived incommensurability of these positions sometimes hinders the development…

This paper discusses how the internal worlds of adolescents who are looked after in residential care homes impact upon workers and generate complex dynamics within teams. This is especially so regarding internal parental objects and couplings, which inevitably include those of abandoning, abusive and ambivalent parental figures. Versions of these…

It is well known that psychoanalysis has over the years had a significant impact on the education of children with mental health problems. Its contribution to the theory and practice of mainstream education is less well documented. This paper gives an account of the five-year (1924-1929) history of the Malting House School in Cambridge. The school…

The author reviews Freud's (1914) seminal paper "On narcissism: an introduction". Freud's paper is briefly set in the historical context of the evolution of psychoanalysis and psychoanalytic theories, and Freud's metapsychology up to the publication of his Narcissism paper is outlined. A detailed and comprehensive description of the content of the…