Psychoanalytic Work with Autistic Features in Adults deals with the diagnostic and therapeutic difficulties of working with patients with autistic residuals, formed in early life experiences that have remained dormant in the unconscious mind. Laura Tremelloni traces the process of identifying them in adult patients, and stresses the need to develop a treatment plan suitable for this kind of pathology. This book uses clinical cases to examine the difficulties of work with hard to reach adults with 'gaps' in their sense of Self and symptoms related to primitive experiences of "non-being". Tremelloni presents new, adaptive therapeutic intervention methods for overcoming such obstacles and identifies the personification and permanence of undeveloped parts of the Self, in hard to reach adults who have otherwise developed satisfactorily and would not be diagnosed as autistic. In such cases, the author suggests the need for clinicians to adapt classic psychoanalytic approaches to the alternating levels of development of the separate parts which the Self has broken into. Psychoanalytic Work with Autistic Features in Adults will help clinicians in psychoanalysis and psychoanalytic psychotherapy to more effectively reach such patients, whilst attempting to address the problematic limitations of therapeutic techniques in very difficult clinical cases.

This book discusses psychoanalytic understanding of childhood autism and of autistic aspects of adult patients. It describes a wide range of adult patients who are highly articulate, successful people having nonetheless an encapsulated autistic area which blocks communication with others.

Children whose minds as well as bodies have been damaged by the intrusions of sexual abuse, violence or neglect, and others, quite different, who are handicapped by their own mysterious sensitivities to more minor deprivations, may experience a type of black despair and cynicism that require long-term treatment and test the stamina of the psychotherapist to the utmost. In Live Company, Anne Alvarez reflects on thirty years' experience of treating autistic, psychotic and borderline children and adolescents by the methods of psychoanalytic psychotherapy. Central to the book is the moving story on an autistic child's long struggle between sanity and madness, in which the author describes the arduous journey that she as therapist and he as patient made towards new understanding and his partial recovery. Modern developments in psychoanalytic theory and technique mean that such children can be treated with some success. In the book the author discusses these developments, and also describes some of the areas of convergence and divergence between organicist and psychodynamicist theories of autism. Particularly important is her integration of psychoanalytic theory with the new findings in infant development and infant psychiatry. This has enabled her to formulate some new and exciting ideas and speculate on the need for some additions to established theory. Anne Alvarez has produced a professionally powerful and englightening book, drawn from her extensive experience as a child psychotherapist at the Tavistock Clinic, which will be of interest to all professionals involved with children and adolescents as well as anyone interested in madness and the growth of the mind.

This book discusses psychoanalytic understanding of childhood autism and of autistic aspects of adult patients. It describes a wide range of adult patients who are highly articulate, successful people having nonetheless an encapsulated autistic area which blocks communication with others.

Autism Spectrum Disorder: Perspectives from Psychoanalysis is written by practicing child psychoanalysts with extensive experience treating children with autistic spectrum disorders (ASD) and uneven development. The authors bridge the gap between a psychodynamic approach to ASD and burgeoning data from the fields of neurobiology and neurofunction. Based on current research showing neuroplasticity of the brain, the authors posit that treating ASD through intensive engagement of caregiver and child makes possible the successful psychoanalytic treatment of a neurobiological disorder. To this end, the authors examine both the clinical dynamics of their treatments and the possible impact of the treatment on neurobiological processes. Detailed case studies of children treated by the authors comprise the heart of the book. The cases emphasize the importance of engaging these young children intensively with the social world, first of their caregivers and then their peers, while also helping child and caregiver make sense of the child’s “nonsense” behavior through insight into their inner worlds. The authors explain how and why such treatment works through examining the processes by which infant and caregiver learn to know each other and how a baby comes to know the world. This approach emphasizes the intimate connection between infant and caregiver in forming the emotional, cognitive, attentional, and interpersonal experiences that give a child the ability to make meaning and grow. In addition, this volume presents a selective summary of the neurobiological research in the area of ASD to provide the reader with the related neurobiological and psychological factors. This underscores the thesis that ASD is a potentially reversible neurodevelopmental disorder with experiential and psychological consequences, and lays groundwork for an integrated treatment approach with psychoanalysis at its core.

Frances Tustin Today explores some of the ways and means by which Tustin’s work has enabled psychoanalytic clinicians to enter into the elemental domain of sensation: what Bion called the ‘proto-mental’ area of the psyche-soma. Through detailed clinical contributions of several of her exponents worldwide, this book demonstrates how her ideas -- rooted in decades of work with children on the autistic spectrum -- have influenced and are being expanded, extended and applied to the treatment of ordinary patients from early childhood through adulthood. The contributors to this volume represent a selection of the contemporary thinking that organically grew out of Tustin’s discoveries, and show that Tustin's model has added new dimensions to the fields of infant observation, family therapy and neuro-psychology. Each chapter is augmented by demonstrable clinical experience. Frances Tustin Today is a valuable resource for psychoanalysts, psychotherapists, educators and parents who are interested in learning more about this uniquely independent clinical observer's findings and their impact upon the treatment of autistic states in children, adolescents and adults by contemporary workers in the field of mental health. Judith L. Mitrani, and Theodore Mitrani, are Fellows of The International Psycho-Analytical Association, Training and Supervising Psychoanalysts at The Psychoanalytic Center of California in Los Angeles. They are founding members of the Board of Trustees of The Frances Tustin Memorial Trust, and authors, editors, translators and teachers in the private practice of psychoanalysis and psychoanalytic therapy with Adults and Children in Los Angeles, California.

Psychodynamic Art Therapy Practice with People on the Autistic Spectrum offers a valuable counterbalance to the phenomenological, cognitive and behavioural theories that currently prevail in the wider field of practice and research. The result of a decade of work by a group of highly experienced art therapists, this book presents eight frank and compelling accounts of art therapy with either adults or children with autism, supported by a discussion of the relevant theory. The book begins with an overview of the theoretical context and the subsequent chapters give varied accounts of practitioners’ experiences structured in a loose developmental arc, reflecting issues that may arise in different settings and at various stages of therapy. Each is followed by an afterword which describes the author’s reflections in the light of their subsequent knowledge and experience. The conclusion brings together some of the common threads arising from their encounters and considers how these might be relevant to current and continuing art therapy practice in the field of autism. Psychodynamic Art Therapy Practice with People on the Autistic Spectrum is a thoughtful consideration of where art therapy meets autism and the particular challenges that arise in the encounter between the autistic client and the therapist. Presenting honest reflections arising from lived encounters and highlighting general principles and experiences, this book aims to orient other practitioners who work with people on the autistic spectrum, in particular art therapists and art therapy trainees.

This second edition provides a uniquely comprehensive guide to the practice and principles of child and adolescent psychotherapy around the world and has been thoroughly updated to take into account the many changes that have taken place.

Amid long-standing controversy on their causes, which most regard as neurological, and despite their increasing social impact, there has been scant progress in the therapy of the autistic spectrum disorders. Currently fashionable attempts at treatment through behavioural-cognitive focal approaches do not seek resolution, only re-education and rehabilitation. Contacting the Autistic Child explores the clinical process in the early psychoanalytic treatment of autistic children. Organised around five detailed clinical case studies, and drawing on the ideas of major clinicians in child analysis such as Tustin, Winnicott and Alvarez, this book sets out a clear programme for working with and understanding autistic children in a psychoanalytic setting, with a particular focus on issues of clinical technique but also conceptual matters. Working on the notion that autistic disorders come to be – as Winnicott and Tustin saw it – from an early rupture of the affective communication between baby and mother, this book aims at reinstating such communication in the child-analyst interaction. By way of detailed description of what goes on in the analytic link, the authors strive to make the reader share in what goes on in the clinical setting, evincing how, though at times excruciatingly hard on the therapist, resolution is attainable. Once the "primal dialogue" – to use René Spitz’s terms – is reinstated in a stable way in session, it flows by itself into the family ambience. The clinical accounts of this book make the argument that psychoanalysis, carried along Tustin’s technical lines, and subject to the proviso that treatment starts early, preferably in the first three years of life, is the treatment of choice for autistic spectrum disorders. The strong methodological narrative is important and notable in light of the doubts, criticism and uncertainty that have surrounded the psychoanalytic treatment of autism. This novel, highly detailed narrative of five successful early treatments aims to help dispel the pessimism pervading the field and help to redress the lives of many more children. Contacting the Autistic Child will appeal to psychoanalysts and psychoanalytic psychotherapists endeavouring to obtain results in a major area lacking resolutive approaches.

"Prevalence of autism spectrum disorder (ASD) is estimated at one in 54 people (Maenner et al., 2020). Of people diagnosed with ASD in childhood, 85% continue to meet diagnostic criteria as adults (Billstedt et al., 2005). As with most neurodevelopmental disorders, ASD has historically been primarily studied as a disorder of childhood. However, this tide is changing. An estimated 50,000 adolescents with ASD age into adulthood every year (Shattuck et al., 2012). At this rate, we can expect upward of a half-million more adults with ASD every decade. This reality is inconsistent with the current research focus; only 2% of all ASD-related research focuses on adult outcomes (U.S. Department of Health and Human Services, 2017)"--