A Conjoint Phase of Treatment Involving a Severely Disturbed Adolescent Boy and his Father

A phase of father-son conjoint treatment during psychoanalytic psychotherapy of the son is described. The son, who met descriptive criteria for schizophrenia, felt most alive when planning revenge on his father; the father frantically dwelled on the son to the exclusion of virtually everything but work. The conjoint therapy complemented the son's individual therapy and led to a stable, hence analyzable transference. The outcome was generally positive in a case whose prognosis at the outset had appeared dismal. Questions concerning therapeutic change and clinical technique are raised. The author suggests that others in similar clinical circumstances might consider a phase of conjoint treatment.

Was it a sin to cry when I wanted to feed at the breast? I am too old now to feed on mother's milk, but if I were to cry for the kind of food suited to my age, others would rightly laugh me to scorn and remonstrate with me.

Psychoanalysis, remarkably through when studying most clinical matters, has not systematically investigated conditions under