Treatment of a boy with atypical ego development

A multifaceted mode of therapeutic action is delineated as the complex neur opsychological and psychogenic factors in the development and functioning o f an unusual four year-old boy became elucidated. In addition to standard t echnique, the author developed a variety of psychoanalytically informed way s to facilitate his growth and ameliorate deviational aspects, especially h is difficulties in appreciating and responding to the social-emotional worl d and establishing stable, integrated mental representations of self and ot her. The evolving treatment process is presented as well as attempts to coo rdinate and harmonize analytic and developmental goals.