Use of insight in child analysis

The role of insight in working with a preadolescent girl, who was engaged i n a seven-year analysis, is examined from the perspective of therapeutic ac tion. The patient's use of insight, within the context of a transference ne urosis, contributed substantively to changes in the depth of object relatio ns, modulation of affect, return of development to its anticipated pathways , marked reduction of obsessive-compulsive symptomatology, and profound flo wering of intellectual development.