From the use of the body to the deployment of symbolic play in child psychoanalytic psychotherapy: A clinical illustration

Plard, Valérie

From the use of the body to the deployment of symbolic play in child psychoanalytic psychotherapy: A clinical illustration - 2020.


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In the practice of child psychoanalytic psychotherapy, it is not uncommon to find children who, limited in their capacity for symbolization, do not play during the session. The material received from play is expressed in the sensory, bodily, and emotional registers. If games contain fantasies and are a resource for the child’s ego, developing an ability to play seems at first to be the objective of certain treatments. A review of the psychoanalytic literature gives an overview of the different considerations, both theoretical and technical, regarding a child’s play during sessions, but also on the question of its absence and the presence of other possible means of expression. The early foundations of the development of symbolizations, both primary and secondary, are discussed in order to give reference points of understanding and theoretical insights for our clinical work. The question of the shift from sensory, bodily, and motor activities to the deployment of play in sessions is illustrated by a clinical account that chronologically relates the phases of a case of psychoanalytic psychotherapy. The clinical analysis focuses on expressive activities, from the sensory to symbolic play, taking into account the dynamics of transference and countertransference.

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