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In this discussion of the previous paper, Bergman and Chernack deal with the process of separation and individuation in the four-year-old psychotic child by correlating it with his development and use of speech in the course of treatment. They categorize vocalization that is not dependent upon another as "command" type of speech and vocalization that requires the presence of another as "request" speech. Further, they show how the young patient moved from one to the other as he progressed from self-object relatedness to self- and object relatedness. They demonstrate how he developed a transitional world before he was able to develop communicative language. They also show how his transitional objects differed from those of the normal child, primarily in that he could not utilize the symbolism inherent in transitional objects to help him overcome the sense of loss.