Customer Service | Help | FAQ | PEP-Easy | Report a Data Error | About
Tip: To sort articles by year…

PEP-Web Tip of the Day

After you perform a search, you can sort the articles by Year. This will rearrange the results of your search chronologically, displaying the earliest published articles first. This feature is useful to trace the development of a specific psychoanalytic concept through time.

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

Rees, S. (1998). MITRANI, THEODORE, MITRANI, JUDITH et al. (eds.). Encounters with Autistic States. New Jersey: Jason Aronson, 1997. Pp xxxi + 414. Hbk. $60.00.. J. Anal. Psychol., 43(4):614-615.

(1998). Journal of Analytical Psychology, 43(4):614-615

MITRANI, THEODORE, MITRANI, JUDITH et al. (eds.). Encounters with Autistic States. New Jersey: Jason Aronson, 1997. Pp xxxi + 414. Hbk. $60.00.

Review by:
Susan Rees

This book is a memorial tribute to Frances Tustin - one of the pioneers in the psychoanalytic understanding of the pre-thinking protomental mind and in the analytic treatment of autistic states in children and adults with whom she worked for over 40 years. Her concepts also contributed to the comprehension of the autistic pockets present in other patients with psychosomatic illness, drug addiction, anorexia, and learning difficulties, which Rosenfeld, Meltzer and others have also identified.

Tustin's first book, Autism and Childhood Psychosis, came out in 1972. In this she enlarged upon her development of ideas about the psychogenic, sensation-dominated state of autism. The difficulty at that time was that of recording her formulations within the schemata of established theoretical notions. Tustin believed the child inhabited a godless world in which the autistic shell was the last refuge. She saw autism as an arrest rather than a regression that arose from the shock of the premature awareness of bodily separateness from the mothering person, and the autistic withdrawal an ultimate defence against psychotic depression. She invoked the concept of the ‘black hole’ and associated it with Winnicott's ‘falling forever’. She came to see this state as one covering a range of illnesses which she described as primary autism, and encapsulated or regressive secondary autism. She saw the disorder as one which developed in a sensitive child predisposed to autism but whose external circumstances also contributed to the development, where the containment (Bion) is lacking or deficient, both by the nature of the maternal personality and circumstances and the child's inborn inability to tolerate the pain of the realisation of the separateness so early.

[This is a summary or excerpt from the full text of the book or article. The full text of the document is available to subscribers.]

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.