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(1952). Psychoanalytic Study of the Child, 7:126-169

Emotional Implications of Tonsillectomy and Adenoidectomy on Children

Lucie Jessner, M.D. , Gaston E. Blom, M.D. and Samuel Waldfogel, Ph.D.

AIMS

The psychological significance of surgical procedures in childhood is now generally recognized (Coleman, 1950); (Deutsch, 1942); (Fries, 1946); (Jessner and Kaplan, 1949); (Levy, 1945); (Lindemann, 1941); (Menninger, 1934); (Michaels, 1943); (Miller, 1951); (Pearson, 1941); (Pillsbury, 1951). Helene Deutsch (1942) found evidence in the analysis of adult patients that "operations performed in childhood leave indelible traces on the psychic life of the individual." David Levy (1945) and Pearson (1941) found in psychotherapy with children that operations experienced earlier in childhood had a traumatic effect on some patients. In our work with children we were impressed that in some cases the onset of emotional difficulties was attributed to an earlier operation.

Our knowledge of the meaning of operations in childhood comes mainly from retrospective studies. We felt that direct observations of children undergoing surgery would contribute to the understanding of this pro

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