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EACH OF THE FOREGOING CASE PRESENTATIONS AND THE TREATMENTS they describe was prepared, presented, and written up for consideration and discussion by the Study Group described in the Introduction. These clinical presentations uniquely put forth how each of the child analysts involved treated his or her analysand and how each responded to the theoretical and clinical questions raised by the Study Group.
Theoretical and clinical questions were referred to in an earlier contribution (Abrams and Solnit, 1998) and briefly reviewed in the Introduction to these case histories (Abrams, Neubauer, and Solnit, 1999). Here we (S. Abrams, P. B. Neubauer, and A. J. Solnit) briefly summarize and clarify many of these questions and issues, as a way of pointing to future discussions and study.
Development spans an anticipated sequence of hierarchically ordered phase organizations, periods when certain dilemmas are confronted in the course of human growth. Intrapsychic issues of all kinds erupt early, and psychoanalysts are especially attentive to the nuclear infantile intrapsychic conflicts that leave their residue in unrecognized structures and unconscious fantasies. In latency, a different dilemma is confronted. Development pulls the growing child toward ego growth and extrafamilial contacts. The shift toward these facets can sometimes be so intense that it pulls the child away from the intrafamilial, with its