Hostname: page-component-8448b6f56d-sxzjt Total loading time: 0 Render date: 2024-04-24T08:05:17.713Z Has data issue: false hasContentIssue false

Object relations theory applied to early emotional deprivation, resulting in autistic spectrum disorder

Published online by Cambridge University Press:  13 June 2014

Siobhan Rooney
Affiliation:
National Drug Treatment Centre, Pearse St, Dublin 2, Ireland
Gerard Byrne
Affiliation:
St John of God, Child and Family Centre, Tallaght Dublin 24, Ireland

Abstract

Objective: The following case report describes a child with autistic symptoms who experienced early emotional deprivation and institutionalisation. The paper discusses her symptoms in relation to Melanie Klein's theories on object relationships.

Method: LM was a four year old Rumanian adoptee, when she was first assessed by a child service in Dublin. On presentation, she exhibited a spectrum of autistic symptoms including an impairment in social interaction, absence of separation anxiety, poor attachment formation with others and restricted, repetitive, stereotyped patterns of behaviour. While attending the pre-school, she was involved in an individualised programme which focused on her specific needs.

Result: After attending the pre-school programme, L exhibited a greater ability to express various emotions and her social interaction with others had improved, but she continued to have marked deficits in her personality. This child's symptoms are discussed with reference to the paranoid schizoid and depressive positions associated with ego development.

Conclusion: By applying Melanie Klein's theories on object relations, one can gain a further understanding of a child's pathological symptoms, ego development and the necessary treatments required to improve these symptoms.

Type
Brief Reports
Copyright
Copyright © Cambridge University Press 1997

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

1.American Psychiatric Association. Diagnostic and statistical manual of mental disorders. 4th ed. Washington DC: American Psychiatric Association, 1994.Google Scholar
2.Wolff, S, Barlow, A. Schizoid personality in childhood: a comparative study of schizoid, autistic and normal children. J Autism Dev Disord 1979; 9: 1129.Google Scholar
3.Wing, L. The continuum of autistic characteristics. Diagnosis and assessment in autism. New York: Plenum Press, 1988: 91110.CrossRefGoogle Scholar
4.Bowlby, J. Attachment. The Oxford Companion to the Mind. Oxford: Oxford University Press, 1987.Google Scholar
5.Holmes, J. Attachment theory: a biological basis for psychotherapy? Br J Psychiatry 1993; 163: 430–8.CrossRefGoogle ScholarPubMed
6.Mitchell, J. The Selected Melanie Klein. London: The Hogarth Press, 1986.Google Scholar
7.Segal, H. Introduction to the work of Melanie Klein. London: The Hogarth Press, 1982.Google Scholar
8.Klein, M, Heimann, P eds. Developments in Psychoanalysis. The Institute of Psychoanalysis. London: Karnac, 1989.Google Scholar
9.Hinshelwood, RD. A Dictionary of Kleinian thought. London: Free Association Books, 1991.Google Scholar
10.Laplanche, J, Pontalis, JB. The Language of Psychoanalysis. London: Karnac, 1988.Google Scholar
11.Freud, S. Three Essays on the Theory of Sexuality. The Standard Edition of the complete Psychological Works of Sigmund Freud 1905; 7: 181.Google Scholar
12.Tustin, F. Autistic Barriers in Neurotic Patients. London: Karnac, 1986.Google Scholar
13.Taitz, LS, King, JM. A profile of abuse. Arch Dis Child 1988; 63: 1026–31.CrossRefGoogle ScholarPubMed
14.Verhulst, FC, Versius-Den Beiman, H, Van der Ende, J, Berden, GFMGSanders-Woudstra, JAR. a) Problem behaviour in international adoptees; I. An epidemiological study. J Am Acad Child Adolesc. Psychiatry 1990; 29: 94103. b) Problem behaviour in international adoptees; II. Age of placement. J Am Acad Child Adolesc Psychiatry 1990; 29: 104-10. c) Problem behaviour in international adoptees; III. Diagnosis of child psychiatric disorders. J Am Acad Child Adolesc Psychiatry 1990; 29: 420-8. d) Damaging backgrounds: later adjustment of international adoptees. J Am Acad Child Adolesc Psychiatry 1992; 31: 518-24.CrossRefGoogle ScholarPubMed
15.Quinton, D, Rutter, M. a) Parents with children in care – I. Current circumstances and parenting. J Child Psychol Psychiat 1984; 25, 2: 211229. b) Parents with children in care – II. Intergenerational continuities. J Child Psychol Psychiat 1984; 25(2): 231-50.CrossRefGoogle Scholar
16.Quinton, D, Rutter, M, Liddle, C. Institutional rearing, parenting difficulties and marital support. Psychol Medicine 1984; 14: 107–24.CrossRefGoogle ScholarPubMed