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Analysts who work with children and those who work with adults have the same goals in doing analysis with their patients, and they rely on many of the same general principles. For both, the analytic engagement is about establishing a relationship in which analyst and patient together make meaning of what happens between them, with a particular focus on how it is experienced in the mind of the patient. This unusual engagement involves creating conditions of both safety and freedom for the elaboration and exploration of internal thoughts and external behavior. The nature of this engagement usually has to be affective and experiential to be successful. It involves establishing a clear, bounded, but negotiable “frame” in which imagination is enhanced. The purpose of this venture, of course, is to improve the patient’s quality of life.
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