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Extra info for A Question of Technique: Independent Psychoanalytic Approaches with Children and Adolescents (Independent Psychoanalytic Approaches With Children and Adolescents)
With child patients there is also much to notice both in the child patient and about what is happening within the therapist. Children who play actively give the therapist much to observe, both in the content of their play and the way they set about it. And a child patient who is unable to play also needs the therapist to be closely attentive. As well as using her counter-transference to evaluate what the patient is experiencing, the child and adolescent psychotherapist must, as far as possible, see any tiny movements, similar to the way she will have observed an infant as part of her training.
Enjoying this, she smiled at her mother and accepted the bottle. As she sucked, her right hand came up to the bottle and began to explore the feel of her mother’s fingers on it. She stroked these, rather dreamily, seemingly enjoying the touch. Her mother stroked her fingers with one of her own. Lisa stopped sucking and held her mother’s gaze. ‘She’s enjoying her feed,’ said her mother. ’—to Lisa. Lisa gurgled contentedly and resumed sucking. There was no urgency, simply seeming contentment. This feeding sequence occurred once Lisa had learned to crawl.
A question of technique 18 Anne Hayman (2001) tenaciously pursues a similar theme when she notes, for example, that Bion’s ‘eschewing memory and desire’ (Bion 1970) is predated by Freud’s ‘evenly suspended attention’, as Freud develops it in 1912, and that Annie Reich (1951) describes ‘confusing incomprehensible disconnected presentations [which] suddenly make sense and become a Gestalt [whole]’ anticipating Bion’s (1967) ‘selected fact’. Roazen raises a related point, that ‘history-writing is inherently a subversive activity: students of history necessarily undermine generally received wisdom….