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Joseph, B. (1948). A Technical Problem in the Treatment of the Infant Patient. Int. J. Psycho-Anal., 29:58-59.

(1948). International Journal of Psycho-Analysis, 29:58-59

A Technical Problem in the Treatment of the Infant Patient

Betty Joseph

Very young children do not come to us for treatment, they are brought. More correctly, a mother and child come to a clinic because of some difficulty. The fact that neither know at all fully what is the matter will not surprise the psycho-analyst, the fact that the pædiatrician, or his co-workers, treats the matter as one of maladjustment between two people, mother and child, seldom surprises the mother; the puzzle begins when the situation is viewed theoretically. Put briefly the question is 'When does a person begin to be "self-contained"?' or viewed more administratively 'when is "the patient" attending a clinic one person and not (however small the unit) a "social aggregate"?' Such questions are raised by the following cases.

Anna at eight months could not be taken on 'buses or trams because she would start to cry and get into such a panic that her parents could not stand it. This had been going on since the age of five months. Here there was a young, gentle, happy mother with a comfortable home. For some reason I asked this mother how she travelled; she suddenly went very pink and said that she had never been able to go on 'buses up to the time when she left school, she used to feel so bad that she actually vomited. I did not attempt to analyse or try in any way to understand what lay behind the mother's problem. All we did was to discuss it openly and see how it must have happened that when Anna first started to cry on the 'bus, it seemed to have 'touched

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