To attempt to manage the problem in the child without managing the elements in the family, particularly the relationship between the child and its parents, is to direct the therapy at the end of a process. One must get to the sources of the child's reactions. Even if these are familial or genetic, it is imperative to work with the people who are having 24-hour/daily impact upon the child. In the absence of this therapy pours oil on troubled water, - helpful maybe but not corrective. I am not talking "FAMILY THERAPY", in its formal sense. I am referring to tackling the reality that the child, especially at that age is still in development, and that development is not simply emergent from the child but interactive. The person environment is the most influential and must be engaged if there is to be a beneficial change built into its on-going development. Targetting just the child and its symptoms is band-aiding and is depriving the child and the parents of an improved level of effectiveness in both parties which could last a life-time and be passed on to following generations when the child becomes a parent.