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Journal of Pediatric Psychology 5(2) pp. 179-187, 1980
© 1980 Society of Pediatric Psychology

other

Failures of Individuation and Communication Disorders in Children

Amy Bookman Livingood1, and Roni Cohen-Sandler

Children's Hospital National Medical Center Washington, D.C., The American University

1All correspondence should be directed to Amy Bookman Livingood, Department of Psychiatry, Children's Hospital National Medical Center, 111 Michigan Avenue, N.W., Washington, D.C.20010.

Two case histories of children with communication disorders and symbiotic relationships with their mothers are presented to illustrate the necesssity of treating the family as part of the therapeutic process. Behavioral symptoms such as school phobias and impaired and inhibited peer relationships may sometimes reflect interactions between a constitutional language disorder and a symbiotic relationship with a parent who tacitly prohibits the child's increasing relatedness to the outside world. The case histories in this paper describe a treatment approach that combines educational and therapeutic work with the child, with parent-counseling that focuses on family issues affecting the child's individuation. Through the therapeutic alliance the parents are able to evaluate realistically how their view of the environment contributes to their child's social inhibition. In this manner the parents may be able to encourage their child's individuation and facilitate communication with others through language.


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