Customer Service | Help | FAQ | PEP-Easy | Report a Data Error | About
:
Login
Tip: To save articles in ePub format for your eBook reader…

PEP-Web Tip of the Day

To save an article in ePub format, look for the ePub reader icon above all articles for logged in users, and click it to quickly save the article, which is automatically downloaded to your computer or device. (There may be times when due to font sizes and other original formatting, the page may overflow onto a second page.).

You can also easily save to PDF format, a journal like printed format.

For the complete list of tips, see PEP-Web Tips on the PEP-Web support page.

Alonim, H.A. (2014). Further Thoughts on Miriam Voran’s Response: Containment, Origin of the Self, and Pathways to Autism. J. Infant Child Adolesc. Psychother., 13(3):270-279.

(2014). Journal of Infant, Child & Adolescent Psychotherapy, 13(3):270-279

Further Thoughts on Miriam Voran’s Response: Containment, Origin of the Self, and Pathways to Autism

Hanna A. Alonim

Miriam Voran’s original article, “Containment, Origin of the Self, and Pathways to Autism,” and her responses to the commentaries by Allen Schore and myself highlight the issue of how we align clinical evidence with psychoanalytic perceptions in very young infants at risk for autism. I consider that it is perhaps premature to pathologize defensive behaviors and use psychoanalytic theory to interpret a 6-month-old infant’s experiences of their own vitality, doubting if they are capable of distinguishing between “self” and “other,” as they do not yet possess language or “theory of mind.” However, as long as we do not have clear biomarkers to diagnose autism, we shall have to rely on our clinical observations. Similarly, psychoanalytic and psychodynamic concepts may play a valuable role in opening insights into aspects of the inadequate development of the self in infants at risk for autism, which presumably is the core of autism. Children with autism are extremely sensitive to the environment as a result of their lack of sensory regulation and are also easily fraught with anxieties. One of the major questions presented in this article is whether existential anxiety appears as part of the development of the self or does the self fail to develop, because it is inhibited by anxiety. However, I would like to suggest that this crucial phase is a significant window of opportunity for therapy.

[This is a summary excerpt from the full text of the journal article. The full text of the document is available to journal subscribers on the publisher's website here.]

Copyright © 2020, Psychoanalytic Electronic Publishing, ISSN 2472-6982 Customer Service | Help | FAQ | Download PEP Bibliography | Report a Data Error | About

WARNING! This text is printed for personal use. It is copyright to the journal in which it originally appeared. It is illegal to redistribute it in any form.