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Forging a transference relationship with a self-destructive preschooler
1Cornell University Medical Center Westchester Division, White Plains, N.Y. 10605.
American Journal of Psychotherapy
|October 1, 1988
Summary
This case study highlights how psychotherapy helped a young boy overcome school difficulties and disturbing homicidal fantasies. Therapy facilitated understanding and validation of suppressed emotions through the transference relationship.
Area of Science:
- Child Psychology
- Psychodynamic Therapy
- Mental Health Treatment
Background:
- A 3.5-year-old boy presented with significant challenges in school engagement.
- He exhibited preoccupations with fantasy, including violent ideation.
Purpose of the Study:
- To explore the therapeutic process in a child with severe behavioral and fantasy disturbances.
- To examine the role of transference in processing suppressed emotions and fantasies.
Main Methods:
- Psychodynamic psychotherapy was initiated for the child.
- The therapeutic relationship and transference dynamics were central to the intervention.
Main Results:
- The child gradually revealed self-destructive fantasies during therapy.
- Development of the transference relationship enabled elaboration and understanding of these fantasies.
- The patient gained validation for previously suppressed and isolated feelings.
Conclusions:
- Psychodynamic therapy, particularly through transference, can be effective in addressing complex childhood psychological issues.
- Therapeutic exploration facilitated the patient's integration of suppressed emotions and improved his ability to engage in school activities.