Biomedical subjects
Publications and source records attributed to I Sherick.
The analysis of a latency-age boy, adopted at birth, is presented. Clinical material, particularly having to do with family romance fantasies created by the patient to account for why the biological parents "got rid of" him, are focused upon. The relation between being adopted and disturbed narcissism is considered.
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The authors discuss the role of infant observation in the training of child psychiatrists, emphasizing the overriding importance of the subtle but crucial interactions in the mother-infant relationship. Infant observation is valuable in preparing the student as an observer of behavior, and developmental concepts are taught and learned more easily in programs that provide opportunities for observing normal infants. The infant study program in the Department of Psychiatry of the University of Michigan Medical Center is presented as a model.
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With the waning of the tonic neck reflex beginning with the 8th to 12th week, and disappearing, in most instances, by the 16th week, the infant begins to become bilateral and makes symmetrical movements and engages his hands in the midline usually over the chest while in a supine position. The developmental significance of such behavior is considered--for example, its participation in the emerging sense of self and its role in the consolidation of emerging ego skills. Consideration is given to the possible implications of faulty midline behavior for development, and to whether failure to engage in an optimal amount of midline behavior, in interaction with other factors, can be used to alert observers to possible future developmental disturbances.
Some of the clinical and theoretical issues thought to be involved in the psychology of "replacement children" are discussed. A developmental framework is proposed within which to view such children. The replacement child is becoming an identifiable clinical syndrome, and a developmental framework is sorely needed to encourage more systematic research. A replacement child perceives his status differently on both a cognitive and emotional level within the context of each developmental phase, and the affective and associative links need to be reworked each time. We view the status of being a replacement child as a developmental interference insofar as demands are placed on the child's immature ego which he might not yet be equipped to cope with.
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