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Children of Time and Space, of Action and Impulse.

Paul Fine, MD
Arch Gen Psychiatry. 1967;16(2):250-251. doi:10.1001/archpsyc.1967.01730200118018.
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Rudolph Ekstein, an experienced senior psychologist, has worked intensively with severely disturbed children in a variety of clinical settings. The fact that he and several of his colleagues have written a book about these children therefore merits careful attention. Children of Time and Space, of Action and Impulse is an intimate and detailed description of psychotherapeutic philosophy, theory, and practice.

A theme that runs through the book is that the affects, thinking, and communications of severely disturbed children differ from those of other children, just as children differ from adults. Effective diagnosis and therapy depend on a flexible abjustment to these differences. In this way one can establish a relationship that is within the child's capacity for understanding. As the title suggests, action and primaryprocess thinking account for most of the differences. Pure impulse-ridden action is, with ego growth of the children, supplanted by


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