ECHOES OF CHILDHOOD: The Foundational Role of Child Analysis in Adult Analytic Work
Caroline Sehon • November 18, 2025

Caroline Sehon, MD, FABP, is the editor of this forthcoming book

Echoes of Childhood reveals how the wisdom of child analysis revitalizes work with adults. It gathers an international group of distinguished psychoanalysts who demonstrate the relevance of developmental perspectives for clinical practice by illustrating the enduring influence of early life on personality, relationships, and therapeutic change.


Echoes of Childhood: The Foundational Role of Child Analysis in Adult Analytic Work   explores how techniques developed in child psychoanalysis open new depth and flexibility in the treatment of adults. Far from being a specialized niche, child analytic work reveals the earliest layers of psychic life. It offers tools that sharpen listening, expand tolerance of intense affect, and illuminate the hidden child within every patient. Editor Caroline Sehon brings together leading figures Ana Maria Barroso, Mary T. Brady, Talia Hatzor, Theodore Jacobs, Jeanne Magagna, Rex McGehee, Jack Novick, Kerry Kelly Novick, Daniel W. Prezant, Justine Kalas Reeves, Jill Savege Scharff, David E. Scharff, and Virginia Ungar to add their groundbreaking and engaging contributions on this vital component for adult analysis to her own. Drawing on richly detailed child cases, each chapter is followed by expert commentary, creating a dialogue that bridges the worlds of child and adult analysis. The reader is guided through clinical encounters that highlight how attention to play, gesture, nonverbal communication, and the management of overwhelming feelings – skills honed in child work – translate directly into more effective adult treatment.


Organized in developmental sequence, the book traces psychic life from infancy through childhood and adolescence into adulthood. Along the way, contributors show how early trauma, attachment, and the internalization of parental figures reverberate across the life span, and how psychoanalysis informed by child work can help transform these dynamics. Echoes of Childhood  demonstrates that there is one psychoanalytic process manifesting across different stages of life.


This must-read book is of particular value to graduate psychotherapists, analysts-in-training, and candidates in integrated child analytic programs, while also serving as a rich resource for practicing child and adult analysts seeking to deepen their clinical repertoire. More broadly, it will engage mental health professionals and all readers interested in how childhood experience continues to shape the adult mind.


By Caroline Sehon November 25, 2025
Dear Friends and Colleagues, I thank the Board and Nominating Committee for recommending me for your consideration as APsA's President-Elect. I aim to lead with humility, curiosity, and openness, committed to fostering an APsA united by rigorous analytic thinking and respectful dialogue. I enter this election with a listening stance-eager to hear your priorities, concerns, and hopes for our collective future. My commitment is to foster a more integrated APsA-one that deepens analytic dialogue and builds a durable foundation for generations to come. We stand at a pivotal moment. We grow stronger and transcend division when we engage around differences with generosity, openness, and a commitment to listening. I look forward to engaging with Past President and President-Elect nominee Bill Glover, PhD, as we each bring forward our experiences, priorities, and visions for APsA's future. ANALYTIC WORK AND EXECUTIVE LEADERSHIP EXPERIENCE My conviction that psychoanalytic work is developmental and culturally situated guided my formation as a child and adult analyst and community medicine specialist. My background in community medicine helped connect my analytic work to community engagement and to the broader social determinants of health. This foundational training informs all my work-my analytic practice, the leadership of an international institute, humanitarian initiatives during wartime, and my responsibilities as APsA Secretary and Chair of APsA's Psychoanalysis in the Community Committee. During my six years as Executive Director of the International Psychotherapy Institute (IPI), we strengthened the Institute as a leader in high-quality, distance-mediated psychoanalytic education and training. Over this time: Annual revenues grew by over 200%. We built a reserve equal to one year of operating expenses. Our faculty community expanded by more than 40%, including significant growth across full Faculty and Adjunct Faculty. To secure our future through mentorship and recruitment, I developed a new Associate Faculty category-an initiative grounded in scaffolding and intergenerational renewal. Today, this group represents approximately one-quarter of our full faculty community and strengthens a robust pathway for emerging leaders. Some not-for-profit organizations make the mistake of focusing solely on mission and neglecting the "business" element. I believe the two must work together to secure long-term institutional strength and impact. At IPI, I guided program leadership, faculty development, accreditation, administrative systems, institutional culture, and admission as an APsA Approved Training Center. Before becoming Executive Director, I chaired IPI's psychoanalytic training program. Leading the integration of analysts and psychoanalytic psychotherapists at IPI taught me that institutions grow best when roles are respected, differences are acknowledged, and cohesion is strengthened while preserving the distinct contributions each role brings. Our world is moving quickly. Organizations like ours must be nimble and be able to pivot rapidly when needed. In the early months of Covid, I developed emergency courses and presented widely on teleanalysis, teletherapy, and the effective delivery of psychoanalytic training online. IPI faculty supported many APsA members and institutes-illustrating how psychoanalytic organizations thrive when we share knowledge generously and collaborate during moments of crisis. PRESSING CHALLENGES APsA MUST MEET An Integrated Vision: Strengthening the cross-fertilizing relationship between child and adult analytic work. Succession and Governance: Cultivating new leadership and addressing the polarization and attrition of recent years. Technology and Values: Integrating emerging technologies and digital innovation while preserving our core psychoanalytic values. A Culture of Respect: Welcoming all analytic minds-therapists and analysts alike-across differences of language, culture, race, gender, and identity. PILLARS OF ACTION FOR APsA Drive Innovation & Intergenerational Renewal APsA's future depends on bridging the wisdom of senior colleagues with the vision and energy of early-career analysts, therapists, and trainees. Innovation thrives when we create structures that support generational reciprocity, enabling new ideas to take root while honoring long standing expertise. We must expand opportunities for mentorship and leadership to foster renewal across the Association. Preserve & Grow Membership As Chair of APsA's Psychoanalysis in the Community Committee, I support projects applying analytic principles to societal challenges. I co-lead a community-based pilot project supporting frontline responders in Ukraine, and I lead a weekly International Town Hall Project at IPI that brings colleagues together to reflect on war, polarization, and global crisis through a psychoanalytic lens. These initiatives strengthen APsA's connection to broader communities, deepen engagement, and help sustain a vibrant and growing membership. Foster Constructive Dialogue APsA must move beyond polarization. Having led more than 180 international town halls-on Covid, racial injustice, war, and political upheaval-I bring the group expertise needed to help us hold conflict and deepen dialogue. Integrate Technology with Core Psychoanalytic Values My experience with teletherapy, teleanalysis, hybrid training, and online teaching and supervision, positions me to support APsA's ongoing dialogue with the IPA about the place for online training. Bridge Psychoanalysis and Social Context Psychoanalysis must remain engaged with the world around us. My work as a child analyst, my edited book Echoes of Childhood, and my humanitarian projects reflect a developmental and socially attuned vision. ACTIONABLE APsA INITIATIVES Below are two recent examples that demonstrate my commitment to practical, collaborative, and forward-moving initiatives: Expanding Membership I spearheaded an IPI–APsA Open House celebrating APsA's 2023 bylaw change welcoming psychotherapists as equal voting members. This initiative was developed in collaboration with Cynthia Lucas, LCSW; Kathryn Fleming-Ives, MD; and Deana Schuplin, LMHC, FABP. The event drew 240 registrants and 74 participants. We will be recording the presentation so that it can be repurposed and offered periodically to reach and engage psychotherapists nationwide. Enhancing Access I recommended to PEP's leadership the development of curated thematic collections (e.g., diversity, child analysis) to make specialized readings more easily accessible to APsA members and institutes. This initiative was developed in partnership with Jeff Tuttle, MD, and members of APsA's Executive Committee. OPPORTUNITIES FOR DIALOGUE AND ENGAGEMENT Virtual Campaign Forums Wednesdays (8:00 p.m. EST) & Saturdays (12:00 p.m. EST) (Nov. 19, 2025 – Jan. 24, 2026) Direct Communication The APsA Elections Discussion List is the best venue for general questions about my views. For all requests for one-on-one discussions, please contact me directly at Candidate@VoteSehon.org . I am glad to find a time to meet with you. Presidential Town Hall Sunday, Dec. 14 (4–5 p.m. EST) Additional information about my analytic practice can be found at www.CarolineSehonMD.org , and additional details about my candidacy are available at www.VoteSehon.org . Your voices-your hopes, concerns, and visions-are essential to the future we build together. Thank you for your time and consideration. Warm regards, Caroline M. Sehon, MD, FABP APsA Candidate for President-Elect New Leadership - Your Voice - Our Future
By Caroline Sehon November 18, 2025
IPI 9 Session Book Lecture Series We are delighted to invite you to an nine-session virtual series drawn from the forthcoming volume Echoes of Childhood: The Foundational Role of Child Analysis in Adult Analytic Work (Karnac, Dec 2025, ed. Caroline Sehon). The series opens Friday, October 24, 4:45–6:00 pm (ET) with a presentation by Caroline Sehon, MD, FABP , What Child Patients Teach Us About Analytic Technique.  The program is open to psychoanalysts, psychoanalytic psychotherapists, and clinicians-in-training.
A stack of blue and white books on a white background.
May 15, 2025
Caroline Sehon, MD, FABP Reviews or Editorials in Refereed Journals
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February 1, 2025
Caroline Sehon, MD, FABP, is a contributing writer and commentator for numerous books and publications
Making sense of the senseless photo
December 31, 2024
Caroline Sehon, MD, FABP, As Published in the American Psychoanalytic Association (APsA)
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August 29, 2022
Caroline M. Sehon , MD, FABP , Chiung-Hsuan Huang , LMSW & Xiaoyi Zhou , M.Phil, As published in The Psychoanalytic Study of the Child Volume 76, 2023 - Issue 1
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March 13, 2020
Jill Scharff, M.D., F.A.B.P. & Caroline Sehon, M.D., FABP , As Published in International Forum of Psychoanalysis Volume 29, 2020 - Issue 4: Voices of psychoanalytic education
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March 19, 2019
Hanni Mann-Shalvi, PhD, Caroline Sehon MD, FABP, Timothy Keogh PhD As published in Couple and Family Psychoanalysis, 2019. 9 (1) 24-35
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December 31, 2017
Caroline Sehon, MD, FABP IPA Prague Congress Panel Report. The Analyst’s Pain as published in the International Journal of Psychoanalysis ; 94(6):1177-1180. doi.org/10.1111/1745 8315.12153
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July 1, 2017
Caroline Sehon, Jill Savege Scharff,Psychoanalysis Online 3 , Edition 1st Edition, First Published 2017
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