Foreword -- Acknowledgements -- Introduction -- "Unjoined persons" : psychic isolation in adolescence and its relation to bodily symptoms -- Invisibility and insubstantiality in an anorexic adolescent : phenomenology and dynamics -- Cutting the silence : initial, impulsive self-cutting in adolescence -- Substance abuse in an adolescent boy : waking the object -- "High up on bar stools" : manic defenses and an oblivious object in a late adolescent -- Sexuality unreceived and adolescent suicide -- "Pro-ana" web sites through an adolescent development lens