The "squiggle game" is, above all, a method for relating and encouraging mutual exchange between the analyst and the patient (no matter if child, adolescent, or adult), enabling him to experience holding and freely explore different communication possibilities. After having explored the "technique" as it has been developed by Winnicott, this study also exposes some theoretical considerations, and some variations in the basic technique, brought together by the crucial role played by reciprocity: "Me a little and you a little." The paper is a clinical case with a Chinese adolescent.

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Clinical material from the treatment of a highly destructive schizophrenic patient is used to demonstrate the role and function of therapeutic mediations in promoting transformation and symbolization. Use of the Squiggle Game as a therapeutic mediation is shown to sustain the therapeutic process and to facilitate working through of the obscure and complex dynamics commonly seen in the treatment of psychotic patients. The Squiggle Game presents a first transitional space entailing both the concreteness of psychosis and the potential for symbolization provided by psychoanalysis.

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The "squiggle game" is, above all, a method for relating and encouraging mutual exchange between the analyst and the patient (no matter if child, adolescent, or adult), enabling him to experience holding and freely explore different communication possibilities. After having explored the "technique" as it has been developed by Winnicott, this study also exposes some theoretical considerations, and some variations in the basic technique, brought together by the crucial role played by reciprocity: "Me a little and you a little." The paper is a clinical case with a Chinese adolescent.

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Commentary on 'The arms of the chimeras' by Béatrice Ithier.

Int J Psychoanal

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Training and Supervising Analyst, British Psychoanalytical Society (incorporating the Institute of Psychoanalysis), 112a Shirland Road, London W9 2BT, UK; Division of Psychology and Language Sciences, Psychoanalysis Unit, Research Department of Clinical, Education and Health Psychology, University College London, Gower Street, London WC1E 6BT, UK .

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[Winnicott's arabesques. The wit of a psychotherapeutic technique].

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