Saying Goodbye A Casebook of Termination in Child and Adolescent Analysis and Therapy

Termination of psychoanalysis or psychotherapy is centrally important both to the process of treatment and to the patient's experience of treatment. It is surprising, then, that there has heretofore been no comprehensive study of the subject. This book begins to bridge the gap in this area. It is the first volume devoted entirely to issues surrounding the ending of treatment in analytic and therapeutic work with children and adolescents. Organized into separate clinical and theoretical sections, framed by a preface and sectional introductions, and covering a wide range of psychopathology, this book explores the different ways in which children and adolescents grapple with the experience of separation at the conclusion of treatment. Of special note is the contributors' recognition that the parents of children ending treatment face their own termination experience in relinquishing the support of their child's therapist. The presentations are enriched, as well, by frank discussions of countertransference as it enters into the termination phase of treatment.

I.Clinical Contributions 1. Termination of Psychoanalysis with an Early Latency Girl, Sugarman 2. The Reorganization of a Cross-Gender Symptom, Haber 3. Termination in a Midlatency Boy, Gonzalez 4. Echoes of a Family Secret, Brinich 5. Concealment in Early Adolescence,Hoffman 6. An Early Adolescent Girl Ends Her Analysis, Plaschkes 7. Developmental Issues in the Termination ofAnalysis in Adolescence, Ubbels 8. Singing Harmony: Termination in an Adolescent Analysis, Yanof 9. Ambiguity in Termination, Kay 10. Termination in theAnalysis of an Adolescent Girl, Frenkel II. Theoretical Papers 11. The Transference Neurosis in Child Analysis, Chused 12. Vicissitudesof Termination:Transferences and Countertransferences, Weiss 13. Deciding on Termination: The Relevance of Child and Adolescent Analytic Experience to Work with Adults, Novick, Novick 14. Issues of Termination in the Psychoanalysis of the Severly Disturbed Adolescent, Burgner 15. Termination in Child Psychoanalysis: Criteria from Within the Sessions, Kernberg 16. Termination in Psychotherapy with Childrenand Adolescents, Gillman

Anita G. Schmukler, D.O., is Faculty and Supervising Analyst, Child and Adolescent Analysis, Philadelphia Association for Psychoanalysis, and Clinical Assistant Professor of Psychiatry, University of Pennsylvania.