In this volume, a well-known psychoanalyst, dance therapist, and educational consultant chronicles her clinical work with deeply troubled children who fall between the cracks of our diagnostic and educational systems. These children, who frequently turn out to have been sexually or punitively abused, have no real emotional home despite the fact that they live in materially comfortable circumstances. In spite of their apparent brightness and precocity, they do not thrive in the classroom, where their disruptive behavior, tendency to act out, (...) and fragmented learning bring them to the attention of teachers, counselors, and school psychologists. Standard diagnoses do not explain their plight; such children are neither retarded nor learning disabled nor neurotic. Through poignant case studies, Siegel reviews the developmental circumstances that bring these middle-class waifs to a critical impasse with both their parents and the educational establishment. Time and again she discovers that the children's expectable developmental course has been derailed by their accommodation to parental abuse and deformed parental expectations. Psychodynamic treatment invariably uncovers the maladaptive solutions that fueled the children's behavioral and learning disturbances. This volume speaks to a broad clinical and non-clinical readership: psychoanalytic clinicians; psychologists; counselors; social workers; art, dance, and music therapists; special education teachers; child therapists; and child care workers. They will all join in admiration of Siegel's treatment approach which focuses on what is healthy in deeply traumatized children and, in so doing, helps debunk the myth of the untreatable child. (shrink)

In this volume, a well-known psychoanalyst, dance therapist, and educational consultant chronicles her clinical work with deeply troubled children who fall between the cracks of our diagnostic and educational systems. These children, who frequently turn out to have been sexually or punitively abused, have no real emotional home despite the fact that they live in materially comfortable circumstances. In spite of their apparent brightness and precocity, they do not thrive in the classroom, where their disruptive behavior, tendency to act out, (...) and fragmented learning bring them to the attention of teachers, counselors, and school psychologists. Standard diagnoses do not explain their plight; such children are neither retarded nor learning disabled nor neurotic. Through poignant case studies, Siegel reviews the developmental circumstances that bring these middle-class waifs to a critical impasse with both their parents and the educational establishment. Time and again she discovers that the children's expectable developmental course has been derailed by their accommodation to parental abuse and deformed parental expectations. Psychodynamic treatment invariably uncovers the maladaptive solutions that fueled the children's behavioral and learning disturbances. This volume speaks to a broad clinical and non-clinical readership: psychoanalytic clinicians; psychologists; counselors; social workers; art, dance, and music therapists; special education teachers; child therapists; and child care workers. They will all join in admiration of Siegel's treatment approach which focuses on what is healthy in deeply traumatized children and, in so doing, helps debunk the myth of the untreatable child. (shrink)

In recent years, memories and reconstructions of incestuous child abuse have become common features of psychoanalytic treatment. Among some clinicians, such abuse is suspected even when there is little evidence. How does the analyst distinguish between incest real and imagined, and how do recovered memories of incest affect the analyst? In this poignant and beautifully written study, Elaine Siegel brings new insights to bear on these timely questions. An inveterate note taker, she discloses the countertransferential ruminations and associations to the (...) occurrence of incest at various stages during the treatment process over the course of 30 years of clinical work. The manner in which her "analytic instrument" evolved and was shaped by her analysands' stories makes for a fascinating subtext in a book that addresses itself to the differences and similarities during treatment of real and imagined incestuous abuse. Among the powrfully disturbing clinical cases at the heart of this study are two reports detailing the lengthy analyses of women who found corroboration for multigenerational incest. Siegel also presents two cases in which patients retracted their claims of incest toward the end of their treatments. Through the medium of these and other reports, Siegel explores how psychoanalysts are struggling both to understand incestuous abuse and to accomodate their treatment techniques to shifting societal perspectives. (shrink)

In recent years, memories and reconstructions of incestuous child abuse have become common features of psychoanalytic treatment. Among some clinicians, such abuse is suspected even when there is little evidence. How does the analyst distinguish between incest real and imagined, and how do recovered memories of incest affect the analyst? In this poignant and beautifully written study, Elaine Siegel brings new insights to bear on these timely questions. An inveterate note taker, she discloses the countertransferential ruminations and associations to the (...) occurrence of incest at various stages during the treatment process over the course of 30 years of clinical work. The manner in which her "analytic instrument" evolved and was shaped by her analysands' stories makes for a fascinating subtext in a book that addresses itself to the differences and similarities during treatment of real and imagined incestuous abuse. Among the powrfully disturbing clinical cases at the heart of this study are two reports detailing the lengthy analyses of women who found corroboration for multigenerational incest. Siegel also presents two cases in which patients retracted their claims of incest toward the end of their treatments. Through the medium of these and other reports, Siegel explores how psychoanalysts are struggling both to understand incestuous abuse and to accomodate their treatment techniques to shifting societal perspectives. (shrink)