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Colonna, A.B. (1994). Reality Approximated, External and Internal. Psychoanal. St. Child, 49:77-85.

(1994). Psychoanalytic Study of the Child, 49:77-85

Reality Approximated, External and Internal

Alice B. Colonna

Some of Heinz Hartmann’s theoretical formulations concerning the adaptive functions of the ego are described as they apply to the case of a patient analyzed between the ages of five and eight. This boy, vulnerable because of prematurity, was born at twenty-six weeks weighing 2.7 pounds and remained in the hospital newborn unit for sixty-six days. Difficulties and vulnerabilities resulting from this experience are discussed as they appeared in the analysis.

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