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By Frances Tustin

This can be Frances Tustin's first publication and the unique assertion of her perspectives on autistic states of brain and the genesis of sorts of formative years psychosis. In it, she tackles difficulties of analysis as those relate to healing intervention.

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In earliest infancy, the coincidence of inbuilt patterns with correspondencesin the outsideworld seemsto be the first 'holding situation' -'The mother places the actual breast just where the infant is ready to create and at the right moment' (Winnicott 1958, p. ) Mother and baby, teat and tongue, work together to produce the illusion of continuity and to confirm it. Both Winnicott (1958, p. 238) and Milner (1955, p. loo) have stressed the importance of ample opportunities for such illusion in early infancy and the dangers of a premature impingement of separateness.

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.

That is 'not me'. This is experienced as a break in bodily continuity-as bodily damage-as a hole. It brings a sense ofhelplessness-a sense of 'flop'. This gives psychotic depression its characteristic quality. Rank (1949) quotes and agrees with Mahler that 'affectmotor phenomena appear to be expressions of rage' (p. &). She also agrees with Mahler that the psychotic child's 'tantrum-like reaction to interruption seems to be one of panic rather than rage, as if the child felt threatened by annihilation' (p.

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