The DSM-5 (2013) classifies all autism-related disorders, including Aspergerís, under the heading ďautism spectrum disorder.Ē This book argues that this lumping together is unhelpful for clinicians. Instead, finer diagnostic distinctions are helpful to clinicians who treat children with Aspergerís.
This book spells out in detail the psychodynamics the author has repeatedly uncovered in Aspergerís children, adolescents, and adults, and explores the central factors in the aetiology of Aspergerís Disorder. There is a section suggesting how Aspergerís can be adequately diagnosed from ďthe outsideĒ (using external descriptive features) and more importantly from ďthe insideĒ (based on internal psychodynamic processes). Finally, there is a section outlining psychodynamic treatment approaches to Aspergerís children, based on their psychodynamics and on which type of Aspergerís is present.
The book includes numerous case illustrations to help the reader appreciate the central psychodynamics that are regularly observed in Aspergerís children, namely splitting of the self into victim and bully aspects, and projective identification into remote objects. On the basis of their psychodynamics, and especially which aspect of their split self is predominant, three different types of Aspergerís are outlined which require different treatment approaches.
Table of Contents:
About the Author
Part I: The Psychodynamics of Aspergerís Children
2) Some clinical dialogues with Aspergerís patientsóPeter and Joe, age nine
3) Some clinical dialogues with Aspergerís patientsóMatt, age twelve
4) Some clinical dialogues with Aspergerís patientsóThomas, age twelve
5) Some clinical dialogues with Aspergerís patientsóThanos, age fourteen
6) Some clinical dialogues with Aspergerís patientsóDan, age seventeen
7) Some clinical dialogues with Aspergerís patientsóAlan, age nineteen
8) Some clinical dialogues with Aspergerís patientsóAnthony, age thirty-one
9) The psychodynamics of Aspergerís children
10) The anxieties and defences of Aspergerís children
11) Defences in Aspergerís children continuedóshould we call it splitting or dissociation?
Part II: Theorising About the Aetiology of Aspergerís
12) Towards an understanding of the aetiology of Aspergerís disorder
13) The sensory vulnerability of Aspergerís children
Part III: The Diagnosis of Aspergerís Children
14) The differential diagnosis of Aspergerís children
Part IV: Treatment Approaches to Aspergerís Children
15) Thoughts about the treatment of Aspergerís children
16) Treatment of Aspergerís childrenóthe Toronto experiment
17) Packing up, moving out, and bidding farewell
ĎThis enlightening book offers the reader valuable understanding of children, adolescents, and young adults who suffer from Aspergerís Disorder. Robin Holloway demonstrates his psychoanalytic psychotherapy skills through extensive clinical material showing how all of his child and adolescent patients share a deep need for insightful and sensitive help. He makes a convincing argument that Aspergerís Disorder should remain a valid diagnosis and provides data to demonstrate its usefulness. Every clinician who works with children, adolescents, and adults who suffer from Aspergerís Disorder should read this comprehensive volume that begins with the history of Aspergerís and ends with help in treating those with Aspergerís. This remarkable book is a much needed and welcome addition to the literature.í
- Ann G. Smolen, PhD, author of Mothering Without a Home: Attachment Representations and Behaviors of Homeless Mothers and Children, and Six Children: The Spectrum of Child Psychopathology and its Treatment
ĎDr Holloway has written an extremely well researched and informative book on Aspergerís children. It is very clearly written and full of wonderful clinical illustrations of the authorís sensitive and creative work with these young people. He thoroughly covers a wide range of topics including diagnosis, psychodynamics and the difficulties the psychotherapist encounters with these patients. His discussion about the relative factors of neurological, traumatic and object relational features of Aspergerís syndrome should be extremely helpful to the practicing clinician, whether one is new or experienced in therapeutic work with these individuals.í
- Lawrence J. Brown, PhD, Supervising Child Analyst, Boston Psychoanalytic Institute; author of Intersubjective Processes and the Unconscious: Freudian, Kleinian and Bionian Perspectives
ĎThis is a very important book. It addresses all of the big issues concerning the treatment, diagnosis and aetiology of these childrenís condition, and it does so with great and encyclopaedic scholarship, profundity, and clinical wisdom. It is brilliant, but it is also a fascinating read.í
- Anne Alvarez, PhD, MACP, Consultant Child and Adolescent Psychotherapist; retired co-chair, Autism Service, Tavistock Clinic, London
ĎThe author presents, in a vivid way, his practice with Aspergerís children, adolescents and adults. He raises original hypotheses that greatly contribute to broadening and deepening our observations and reflections on children with this condition.í
- Nilde Franch, training and supervising analyst of the Brazilian Psychoanalytical
Society of Sao Paulo, and member of the IPA Committee on Child and Adolescent Psychoanalysis
About the Author:
Robin Holloway provides psychoanalytic psychotherapy to children and adolescents. He is a graduate of CICAPP (the Canadian Institute for Child and Adolescent Psychoanalytic Psychotherapy) where he is a supervisor and a teacher. He worked in a public hospital and participated in weekly diagnostic intake meetings for children with autism spectrum disorders. He is now in private practice at the Willow Centre in Toronto, where, he has continued to treat high-functioning autistic children and those with Aspergerís Disorder. Previous publications include an article dealing with high-functioning autism.