The thinking heart three levels of psychoanalytic therapy with disturbed children j child adolesc ment health 2013252177 8 doi 102989 172805832013802446. Request pdf on apr 9 2012 anne alvarez published the thinking heart three levels of psychoanalytic therapy with disturbed children find read and cite all the research you need on researchgate. She also addresses what happens when the therapist gets it wrong in the thinking heart alvarez identifies three different levels of analytic work and communication the explanatory level the why because the descriptive level the whatness of what the child feels. 2014 the thinking heart three levels of psychoanalytic therapy with disturbed children psychoanalytic psychotherapy vol 28 no 1 pp 79 82. In the thinking heart alvarez identifies three different levels of analytic work and communication o the descriptive level the whatness of what the child feels o the intensified vitalizing level gaining access to feeling itself for children with chronic dissociation despairing apathy or undrawn autism