Therapeutic interventions with families with psychotic young children

Abstract

Mahler's theory of infantile psychosis focuses on the distortion or omission of the symbiotic relationship between mother and child. The child's defective utilization of the mother, often a result of constitutional vulnerability, prevents internalization of the mother's functions, ego development, and differentiation of self. The child's deficiency may also exacerbate the mother's vulnerabilities, causing her to respond in ways which further inhibit the child's development. This article presents the treatment of two families, each with a child suffering from infantile psychosis.