[Aspects of pediatric psychotherapy with children and adolescents with uncontrolled aggressive behavior].

Starting from theoretical psychodynamic preliminary thoughts concerning the symptomatics of aggressive-uncontrolled behavior of children and adolescents, aspects of practical childpsychotherapeutic treatment processes are described. The latter is described as being dependent from the individual level of development of each child. Since it is usually the case that children and adolescent with these symptoms are psycho-socially immature based on ego-structural deficits at the beginning of treatment, the therapist primarily has the function of a transition object in accordance with Winnicott in the therapeutic beginning phase. Since the communication possibilities of these children are situated mostly on a deep nonverbal level of affectively loaded patterns of interaction in the beginning, the affective 'answer' of the therapist is of primary importance at this stage. In later stages of increased ego maturity symbolic communication possibilities increasingly open, whereby the child's conflicts can be worked through, shifted to play and shaping objects.