Facing the reality of ending therapy: the challenge for a psychotic girl and her therapist.  


This paper explores the problem of facing limitations. How much contact with reality is possible for a severely disturbed young woman who has lived in a psychotic retreat? How do we as therapists deal with our limitations and reflect on what psychoanalytic therapy can and can’t do?

Margaret Rustin

is an Honorary Consultant Child and Adolescent Psychotherapist at the Tavistock and Portman NHS Foundation Trust and a Child Analyst at the BPAS. She was Head of Child Psychotherapy at the Tavistock 1986 – 2009, Dean of Postgraduate Studies 1993-99, and subsequently Chair of the Professional Committee. She continues to teach at the Tavistock and the British Psychoanalytical Society and also in many countries across the globe.
In 2005 she was made an Honorary Affiliate Member of the British Psychoanalytic Society.
Her publications include many journal articles and books, and a volume of her collected clinical papers entitled “Finding a Way to the Child” was published in the International Library of Psychoanalysis in December 2022. 


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