The contribution of Meltzer's concept of 'geographical confusion' to understanding development and the analytic process.

The concept of geographical confusion is very useful in understanding the child and the adolescent. In addition, the clinical examples presented, taken from two different developmental phases in a life of a child patient, show the relation between unconscious phantasy, which produces geographical confusion, and the structure of personality. Furthermore, it is possible to see how analytical work that touches on phantasy through its embodiment in dreams and transference allows for profound changes in personality, also resulting in a decrease in symptomatology. [ABSTRACT FROM AUTHOR]