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The graphic symbols produced by patients in analysis are essentially determined by the therapist's interpretations in the early stages of graphic communication. The patient learns the 'symbol language' of the therapist. The more intense the transference, the more evident is the adaptation of the graphic symbolism in the patient's art product to the symbol language of the therapist's analytical school. Sample cases, with predominantly Freudian or Jungian symbols in the patient's sequential graphic expressions, document that conflict resolution can be achieved equally well through different methods of graphic symbol interpretation. In any of the analytic methods, the impact of therapy can be enhanced by the use of graphic language between the analyst and patient.

An 18-year-old mongoloid girl (trisomy 21) of Asian descent presented two symptoms rarely associated with mongolism (Down's syndrome). (1) Brain stem calcification; the first case diagnosed in vivo in mongolism on computerized axial tomography. (2) Hallucinatory psychotic depression; the first case successfully treated, to full recovery from the psychosis, in a mongoloid child with known brain stem calcification. The psychotic depression was related to moderate environmental stress. While being treated in her parent's home, in their native land, for more than 1 year, the psychosis remained unresponsive to tranquilizers. Following hospital admission in the USA, rapid improvement was obtained within a few weeks through intensive milieu therapy.