»You're not really dead, are you?« The move from pretending to play, to pretend play. The development of symbolic capacity in a child that suffered early deprivation and traumatisation This article deals with the consequences of early childhood traumatisation on the development of a boy, the development of his symbolic capacity in the course of child psychotherapy in the ambulant clinic »die Boje« in Vienna, and the challenges facing the therapeutic technique with this deprived and traumatised child. In the first part of the paper, I address theoretical concepts concerning the early mother-child dyad, early traumatisation, and the effects of these on the development of symbolic functioning. I then link these theories with the clinical case material. In the second part, the theoretical considerations of Anne Alvarez, who in her work with disturbed children distinguishes between three levels of psychological states which need differing technical approaches, are examined in terms of their relevance to my clinical material: the three-phase treatment of the boy. [ABSTRACT FROM AUTHOR]