In both psychotics and children, it is contended, normal analytic contact is impossible. The transference situations must therefore be established by a modified and active technique in order to start communication. Various modifications of technique for getting into communication with psychotic patients are described, special emphasis being laid on the need to enter the patient's own level of a primitive and magic-symbolic communication.

It is maintained that owing to the child's ego being almost non-existent it is necessary to analyse a child in an environment away from its parents. This environment has to continue what the analysis can only start. For this reason, and also because the child's normal expression is activity, it is necessary for the child analyst to live in this milieu with the child, a milieu in which psycho-analytic knowledge is used to produce an ideal parental situation. Deep interpretations are then possible.