Sammy, a ten-year-old boy who had fulminating anxiety about his inner psychotic world, insisted that his analyst write down his fantasies and stories during his sessions. The child poured out his psychosis, and, at his request, the analyst read back her notes the next day-a process which helped to shape the material into understandable and logical form. Sammy always seemed able to take back into himself his own case material, now transformed into secondary process.

The case of Sammy was discussed in a weekly seminar at the Paris Institute of Psychoanalysis, and the analysis was a little short of one year. Later, the analyst briefly treated the mother, and material relevant to Sammy is included in the volume.

Winnicott has written an introduction, and Melanie Klein's influence is apparent throughout. We have here an unfolding of the fantasy world of a psychotic child, with special attention to his distorted