By Frances Tustin
This is often Frances Tustin's first e-book and the unique assertion of her perspectives on autistic states of brain and the genesis of types of adolescence psychosis. In it, she tackles difficulties of analysis as those relate to healing intervention.
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Extra resources for Autism & Childhood Psychosis
Sample text
On the basis of this, John was referred to another psychiatrist for a second opinion, with early infantile autism as a possible alternative diagnosis. The second psychiatrist referred John (then aged 3: 7) to the writer for intensive psychotherapy with the following report : There has been a failure almost h m birth to take his milestonesin his stride, as if there were a reluctance and a drag back at each stage. He now shows so many of the attitudes we associatewith autism. Hischiefinterest seems to be to tap different surfaces, or to spin round objects.
Four weeks later this was developed hrther when he spoke two more words. Again it was on the last session of the week. Friday, Febrwry gth, 1952 (Session 23) Mother and John had rung several times before I could manage to get to the door to open it. As they stood on the step they looked cold and frozen. He had stopped rattling the letter-box; on previous occasions I had the impression that he felt he controlled me to come to the door by doing this. He mournfully repeated 'dirty' after his mother as she looked into his ear.
Meltzer (1963) writes that PSYCHOTIC DEPRESSION these children are usually born 'in a period of parental separation and turmoil particularly characterized by depression in the mother'. My experience confirms this. The case-history showed that John's mother had environmental difficulties which made her insecure and distressed, and which hindered the establishmentof an on-going relationship with her baby. But, in addition to these more obvious causes of insecurity, she may have had the post-partum depression of feeling that in giving birth to her infant she had lost a part of her body (Hayman 1962, pp.
