Explorations in Autism is a turning-point in both the understanding of and the clinical approach to autism. The clinical material gradually unveils the geography of the internal mother (which proved crucial for the development of Meltzer's 'claustrum' theory) and allowed him to draft, for the first time in psychoanalysis, a theory of the dimensionality of mental life. At the same time this sheds a new light on the primitive developmental phases of every human mind, giving substance to fundamental concepts such as primal depression, dismantling, adhesive identity, and dimensionality as an ubiquitous parameter of mental functioning.



Donald Meltzer (1923–2004) was born in New York and studied medicine at Yale. After practising as a psychiatrist specialising in children and families, he moved to England to have analysis with Melanie Klein in the 1950s, and for some years was a training analyst with the British Society. He worked with both adults and children, and was innovative in the treatment of autistic children; in the treatment of children he worked closely with Esther Bick and Martha Harris whom he later married. He taught child psychiatry and psychoanalytic history at the Tavistock Clinic. He also took a special scholarly interest in art and aesthetics, based on a lifelong love of art. Meltzer taught widely and regularly in many countries, in Europe, Scandinavia, and North and South America, and his books have been published in many languages and continue to be increasingly influential in the teaching of psychoanalysis.



His first book, The Psychoanalytical Process, was published by Heinemann in 1967 and was received with some suspicion (like all his books) by the psychoanalytic establishment. Subsequent books were published by Clunie Press for the Roland Harris Educational Trust which he set up together with Martha Harris (now the Harris Meltzer Trust). The Process was followed by Sexual States of Mind in 1973, Explorations in Autism in 1975; The Kleinian Development in 1978 (his lectures on Freud, Klein and Bion given to students at the Tavistock); Dream Life in 1984; The Apprehension of Beauty in 1988 (with Meg Harris Williams); and The Claustrum in 1992.



Foreword



Meg Harris Williams



SECTION A: THEORY



1. Aims, scope and method of the investigation



Donald Meltzer



2. The psychology of autistic states and of post-autistic mentality



Donald Meltzer



SECTION B: CLINICAL FINDINGS



Introduction



Donald Meltzer



3. Autism proper: Timmy



John Bremner



4. Primal depression in autism: John



Isca Wittenberg



5. Disturbed geography of the life-space in autism: Barry



Doreen Weddell



6. The residual autistic condition and its effect upon learning: Piffie



Shirley Hoxter



7. Mutism in autism, schizophrenia and manic-depressive states – the correlation of clinical psychopathology and linguistics



Donald Meltzer



SECTION C: IMPLICATIONS



8. The relation of autism to obsessional states in general



Donald Meltzer



9. Dimensionality in mental functioning



Donald Meltzer



10. Conclusion



Donald Meltzer



Bibliography



Chronology of treatment processes



Author and subject index