The author describes her understanding of the etiology of autism, her technique in treatment, and her classification of all childhood psychotic manifestations as types of autistic behavior. From the detailed accounts of two cases presented verbatim from notes of selected sessions with the children, one gains the impression of a gifted therapist able to intuitively 'flow along' and feel comfortable with the primary process expressions of her patients. Tustin calls this 'empathic identification' which, she says, puts her 'in touch with wordless elemental dramas arising from sensations in [the child's] own body …' (pp. 27-28).