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Live Company

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Children whose minds as well as bodies have been damaged by the intrusions of sexual abuse, violence or neglect, and others, quite different, who are handicapped by their own mysterious sensitivities to more minor deprivations, may experience a type of black despair and cynicism that require long-term treatment and test the stamina of the psychotherapist to the utmost.
In Live Company , Anne Alvarez reflects on thirty years' experience of treating autistic, psychotic and borderline children and adolescents by the methods of psychoanalytic psychotherapy. Central to the book is the moving story on an autistic child's long struggle between sanity and madness, in which the author describes the arduous journey that she as therapist and he as patient made towards new understanding and his partial recovery.
Modern developments in psychoanalytic theory and technique mean that such children can be treated with some success. In the book the author discusses these developments, and also describes some of the areas of convergence and divergence between organicist and psychodynamicist theories of autism. Particularly important is her integration of psychoanalytic theory with the new findings in infant development and infant psychiatry. This has enabled her to formulate some new and exciting ideas and speculate on the need for some additions to established theory.
Anne Alvarez has produced a professionally powerful and englightening book, drawn from her extensive experience as a child psychotherapist at the Tavistock Clinic, which will be of interest to all professionals involved with children and adolescents as well as anyone interested in madness and the growth of the mind.

264 pages, Paperback

First published August 14, 1992

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Anne Alvarez

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May 5, 2010

Psychotherapist Dr Judith Edwards has chosen to discuss Live Company by Anne Alvarez on FiveBooks as one of the top five on her subject - Child Psychotherapy, saying that:

"...Live Company remains a seminal choice both for experienced clinicians and those starting out in the practitioner field. Alvarez, whose early thinking was based on many years of working with a particular autistic patient, is characteristically honest about how we all develop through our mistakes rather than our successes. She addresses, among many other essential topics, the importance of differentiating potency from omnipotence, and idealisation as a development rather than a defence in the treatment of children whose lives may then emerge from the despair generated by early experience...."

The full interview is available here: http://fivebooks.com/interviews/judit...
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