Developmental Perspectives in Child Psychoanalysis and Psychotherapy Developmental Perspectives in Child Psychoanalysis and Psychotherapy incor- porates recent innovations in developmental theory and research into our understanding of the nature of change in child psychotherapy. Diverse psy- choanalytic ideas and individual styles are represented, challenging the his- torical allegiance in analytic child therapy to particular, and so often singular, schools of thought. Each of the distinguished contributors offers a concep- tually grounded and clinically rich account of child development, address- ing topics such as reflective functioning, the role of play, dreaming, trauma and neglect, the development of recognition and mutuality, autism, adoption, and non- binary conceptions of gender. Extended clinical vignettes offer the reader clear vision into the convergence of theory and practice, demonstrat- ing the potential of psychoanalytic psychotherapy to move child development forward. This book will appeal to all practicing mental health professionals. Christopher Bonovitz, Psy.D., is a Training and Supervising Analyst at the William Alanson White Institute in New York City and Adjunct Clinical Associate Professor at the New York University Postdoctoral Program in Psychoanalysis and Psychotherapy. He is on the editorial board of Psychoanalytic Dialogues and Contemporary Psychoanalysis and maintains a psychotherapy and consultation practice with children, adolescents, and adults in New York City. Andrew Harlem, Ph.D., is Professor of Clinical Psychology at the California Institute for Integral Studies in San Francisco, an instructor at the Psychoanalytic Institute of Northern California (PINC), and faculty mem- ber at the Access Institute for Psychological Services. He is on the editorial board of Psychoanalytic Dialogues and is a past president of the Northern California Society for Psychoanalytic Psychology. Dr. Harlem maintains a psychotherapy and consultation practice in San Francisco and Oakland, California. Relational Perspectives Book Series Lewis Aron & Adrienne Harris Series Co- Editors Steven Kuchuck & Eyal Rozmarin Associate Editors The Relational Perspectives Book Series publishes books that grow out of or contribute to the relational tradition in contemporary psychoanalysis. The term relational psychoanalysis was first used by Greenberg and Mitchell1 to bridge the traditions of interpersonal relations as developed within interper- sonal psychoanalysis and object relations, in turn developed within contem- porary British theory. But, under the seminal work of the late Stephen A. Mitchell, the term relational psychoanalysis grew and began to accrue to itself many other influences and developments. Various tributaries – interpersonal psychoanalysis, object relations theory, self psychology, empirical infancy research, and elements of contemporary Freudian and Kleinian thought – flow into this tradition, which understands relational configurations between self and others, both real and fantasied, as the primary subjects of psycho- analytic investigation. We refer to the relational tradition, rather than to a relational school, to highlight that we are identifying a trend, a tendency within contemporary psychoanalysis, not a more formally organized or coherent school or system of beliefs. Our use of the term relational signifies a dimension of theory and practice that has become salient across the wide spectrum of contemporary psychoanalysis. Now under the editorial supervision of Lewis Aron and Adrienne Harris, with the assistance of Associate Editors Steven Kuchuck and Eyal Rozmarin, the Relational Perspectives Book Series originated in 1990 under the editorial eye of the late Stephen A. Mitchell. Mitchell was the most prolific and influential of the originators of the relational tradition. Committed to dialogue among psychoanalysts, he abhorred the authoritari- anism that dictated adherence to a rigid set of beliefs or technical restrictions. He championed open discussion and comparative and integrative approaches and promoted new voices across the generations. Included in the Relational Perspectives Book Series are authors and works that come from within the relational tradition and extend and develop that tradition, as well as works that critique relational approaches or compare and contrast it with alternative points of view. The series includes our most distinguished senior psychoanalysts, along with younger contributors who bring fresh vision. A full list of titles in this series is available at https:// www. routledge.com/ mentalhealth/ series/ LEARPBS. Note 1 Greenberg, J. & Mitchell, S. (1983). Object relations in psychoanalytic theory. Cambridge, MA: Harvard University Press. Developmental Perspectives in Child Psychoanalysis and Psychotherapy Edited by Christopher Bonovitz and Andrew Harlem First published 2018 by Routledge 2 Park Square, Milton Park, Abingdon, Oxon OX14 4RN and by Routledge 711 Third Avenue, New York, NY 10017 Routledge is an imprint of the Taylor & Francis Group, an informa business © 2018 selection and editorial matter, Christopher Bonovitz and Andrew Harlem; individual chapters, the contributors The right of the editor to be identified as the author of the editorial material, and of the authors for their individual chapters, has been asserted in accordance with sections 77 and 78 of the Copyright, Designs and Patents Act 1988. All rights reserved. No part of this book may be reprinted or reproduced or utilised in any form or by any electronic, mechanical, or other means, now known or hereafter invented, including photocopying and recording, or in any information storage or retrieval system, without permission in writing from the publishers. Trademark notice: Product or corporate names may be trademarks or registered trademarks, and are used only for identification and explanation without intent to infringe. British Library Cataloguing in Publication Data A catalogue record for this book is available from the British Library Library of Congress Cataloging in Publication Data Names: Bonovitz, Christopher, editor. Title: Developmental perspectives in child psychoanalysis and psychotherapy / edited by Christopher Bonovitz and Andrew Harlem. Description: Milton Park, Abingdon ; New York, NY : Routledge, 2018. | Series: Relational perspectives book series ; 100 | Includes bibliographical references and index. Identifiers: LCCN 2017042155 (print) | LCCN 2017043203 (ebook) | ISBN 9781351235488 (e-Book) | ISBN 9781351235471 (Mobipocket/Kindle) | ISBN 9781351235495 (Web PDF) | ISBN 9781351235501 (Master) | ISBN 9780415742184 (hbk : alk. paper) | ISBN 9780415742191 (pbk : alk. paper) | ISBN 9781351235501 (ebk) Subjects: LCSH: Child analysis. | Child psychotherapy. Classification: LCC RJ504.2 (ebook) | LCC RJ504.2 .D475 2018 (print) | DDC 618.92/8914–dc23 LC record available at https://lccn.loc.gov/2017042155 ISBN: 978- 0- 415- 74218- 4 (hbk) ISBN: 978- 0- 415- 74219- 1 (pbk) ISBN: 978- 1- 351- 23550- 1 (ebk) Typeset in Times New Roman by Out of House Publishing Contents List of contributors x Introduction: Toward synthesis 1 ANDREW HARLEM, PH.D. SECTION I Infant research, reflective functioning, and mutual regulation 11 1 Being- with: From infancy through philosophy to psychoanalysis 13 BRUCE REIS, PH.D. 2 How we know how to be with others: Infant– parent psychotherapy for early indicators of autism spectrum disorders 27 BARBARA KALMANSON, PH.D. 3 Trauma and attachment: Clinical techniques to enhance reflective functioning 51 MIRIAM STEELE, PH.D. 4 Neglect and its neglect: Developmental science, psychoanalytic thinking, and countertransference vitality 73 GRAHAM MUSIC, PH.D. viii Contents SECTION II Play, dreaming, and the growth of mind 97 5 The universe of play: Technique in contemporary child therapy 99 PETER CARNOCHAN, PH.D. 6 The analyst as dreaming filmmaker 119 ANTONIO FERRO, M.D. AND ELENA MOLINARI, M.D. 7 The emergence of the analyst’s childhood: Embodied history and its influence on the dyadic system 141 CHRISTOPHER BONOVITZ, PSY.D. 8 Theory of mind and therapeutic action: A contemporary Freudian integration 158 NEAL VORUS, PH.D. SECTION III Mutuality and the self in relation 181 9 A child therapist at work: Playing, talking, and the therapist’s inner dialogue 183 CHRISTOPHER BONOVITZ, PSY.D. 10 The origins of relationality: The role of pre- and perinatal experience in the structure, psychopathology, and treatment of the relational self 199 BRENT WILLOCK, PH.D. 11 “Is this chair alive?”: Interpersonal relating and the beginnings of the self 223 SETH ARONSON, PSY.D. Contents ix SECTION IV Reimagining gender 239 12 What’s your gender? 241 DIANE EHRENSAFT, PH.D. 13 Holding futurity in mind: Therapeutic action in the relational treatment of a transgender girl 263 AVGI SAKETOPOULOU, PSY.D. Index 285 Contributors Seth Aronson, Psy.D. is Fellow, Training, and Supervising Analyst, Director of Training, and Faculty and Supervisor in the Child and Adolescent Psychotherapy Training Program, William Alanson White Institute. At Long Island University’s doctoral program in clin- ical psychology, he teaches child and adolescent psychopathology and psychotherapy. For close to 15 years, he has taught at the Institute for Psychoanalytic and Systems Psychotherapy and the International Christian University in Tokyo, Japan. At Yeshivat Chovevei Torah, he facilitates process groups for rabbinical students. His publications cover topics such as mourning in the analyst, working as an Orthodox Jew and a