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S. Abrams: Several kinds of cases have been described. In one we diagnose unconscious intrapsychic conflicts present alongside an otherwise intact ego and self. The technique we choose to use in such instances is the regressive revival of past objects for the purpose of resolution. Once the technique of regressive revival is adopted we may choose to see these patients four or five times a week; in that setting the analytic interaction is characterized by the analyst as an old object; placed upon the analyst are earlier representations. This therapeutic process will terminate when several criteria, which are determined by the nature of that process, are met.
Adam and Max probably fall into a second category - that of the developmentally deviated child with whom it is necessary to promote differentiation and carve out coherent internal representations from an inchoate centre and to promote internalization, although there may also be some regressive revival. In that setting, the real relationship dominates the interaction. So the criteria for bringing therapeutic help to an end will be very different from the criteria for calling a halt with the first type of patient.
In our group in the States we have been studying a third kind of