Psi in the family

Summary The case of Mark, age four, is presented in which his viral infection and conversion symptom of tonic arm spasm disappear one afternoon after his father naps at his side. Later the same day, in play therapy with his grandmother, the boy verbalizes a fantasy concerning the manner in which her old dog had died some months ago. The same night, after the children are asleep, the father reports a nightmare which he had during the nap as he lay beside his son. In manifest detail and also interpretively, the nightmare corresponds closely to the boy's play therapy fantasy. At the time of his play fantasy Mark had no knowledge of the fact or content of the father's nightmare.The familial dynamics surrounding the parallel phenomena are discussed from a psychoanalytic viewpoint, with emphasis on the fusion of oral and oedipal correspondences between father and son during a period of situational stress for the family. The data are considered illustrative of the need to treat families as a unit rather than to focus on their most symptomatic members.A comparison is drawn between this type of involuntary transfer of the pain or sickness and the ritualized healing procedures among many so-called primitive ethnic groups, where such transfer as took place between father and son is ceremonially practiced between patient and shaman through various modes of physical contact.