The place of ego building work in psychotherapy with children

Ego building is essentially a name given to a variety of interventions used to support an ego hampered by regression or deviation. The term has its roots in the concept of ego support but evolved specifically as a technical term in contemporary ego psychology closely connected with the developmental theory of separation individuation. Using four vignettes of psychotherapy work with children all of whom suffered from unresolved conflicts and developmental interferences from the separation-individuation process, an attempt is made to illustrate the technical place of ego building in psychotherapy with children. It is suggested that the use of ego building, particularly verbalizing adaptive aims facilitates an alliance, supports a safety feeling and positive self-esteem. This contributes to providing a treatment experience that reduces over-stimulation and anxiety and frees the expression and understanding of aggression which ultimately promotes separation-individuation.in private practice.This paper was presented at the Conference on the Continuing Evolution of Psychoanalytic Thought: Infancy to Adulthood, N.Y.C., Nov. 1990., sponsored by the Committee on Psychoanalysis of the National Federation of Societies for Clinical Social Work.