[Modern aspects in management of psychotic children (author's transl)].

The idea of hope is paramount in the management of psychotic children. The different alternatives were developed with reference to the modern conceptions of the psychoanalytical theory. Day hospitals, each of which admits children from a given district, seem to allow optimal active therapy. Management includes: individual psychoanalysis for the child; life groups to which the child belongs during the day; a consistent institutional policy based on psychoanalytical theories; leaving the child with it's own or an auxiliary family and supporting this family; minimal chemotherapy. The authors report major improvement or recovery in one-third to one-half of the children.