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Additional info for Encounters with Melanie Klein: Selected Papers of Elizabeth Spillius (New Library of Psychoanalysis)

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Work with such patients has continued, though fewer papers have been written about psychotic patients since the 1950s, and the number of papers involving borderline and narcissistic patients has increased. Many developments have occurred through continued work with these and other types of patient: refinements in the concept of projective identification; development of new theories of symbolism and thinking; new ideas about the paranoid-schizoid and depressive positions; and developments in technique.

She was not the first analyst to treat children, having been preceded by Freud and the father of Little Hans and by Hug-Hellmuth; Anna Freud had started analytic work with older children at about the same time as Klein, though along rather different lines. But Klein invented an analytic way of using the technique 25 From anthropology to psychoanalysis of play, which gave even very young children under 3 years of age a suitable medium for expressing their thoughts and feelings, a medium which could easily be combined with their developing capacity to express themselves in words.

Interest shifted first from work with children to work with psychotic patients, especially evident in the papers of Bion, Rosenfeld, Segal and Sohn, particularly in the 1950s. Work with such patients has continued, though fewer papers have been written about psychotic patients since the 1950s, and the number of papers involving borderline and narcissistic patients has increased. Many developments have occurred through continued work with these and other types of patient: refinements in the concept of projective identification; development of new theories of symbolism and thinking; new ideas about the paranoid-schizoid and depressive positions; and developments in technique.

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