Disadvantaged Adolescents Separating from Home and Hospital: Spanning the Antipodes through Paradox. Debra Schnall and Joseph Youngerman. Pp. 435-448.

Although this chapter does not deal with psychoanalytic issues, it is nonetheless of great interest to anyone working psychotherapeutically with socially and economically disadvantaged adolescents and their families. The authors describe the challenging and stormy treatment of three siblings and their family, involving long hospitalization of two siblings, much staff involvement, and the use of paradoxical intervention. They point out the danger of splitting (good hospital-bad family) inherent in the hospitalization of disadvantaged youngsters in a comfortable hospital