Document Detail

The addiction to negativity.
MedLine Citation:
PMID:  1763149     Owner:  NLM     Status:  MEDLINE    
In this paper, we have described a type of resistance that has attracted increasing psychoanalytic attention in recent years. Patients exposed to intense negativity during early life may develop an addiction to negative experience as adolescents and adults, and this may constitute a central organizing feature of their personality. In almost all patients, however, some moments of negativity may be observed. We have traced the developmental origins of an attachment to negativity, drawing especially on psychoanalytic investigations of preoedipal pathology. Manifestations and derivatives of early negativity include anhedonia, attachment to physical pain, fear of success, masochism, deprivation of self and others, and negative voyeurism. In discussing the dynamic functions of negativity, we place particular emphasis on two motives: the patient's desires for revenge against early objects that have been a source of deprivation and frustration; and the defensive function of negativity in helping to express as well as ward off dangerous wishes to merge with the object. Deviant forms of autoerotism are likely to be used by these patients to deal with the reactivation of early experiences of neglect and rejection. When negativity is used as a defense or method of relating to others it can lead to a severe disruption of the psychotherapeutic relationship. We have reviewed suggestions for the management of extreme negativity in treatment. Resolution of the therapist's countertransference reactions, especially induced feelings of frustration, rage, and helplessness, is crucial. Emphasis also has been placed on the patient's desires for revenge against self and object, and the manner in which these may be understood and eventually resolved. Only when patient and therapist begin to investigate the adaptive functions of extreme negativity can this pathological symptom be resolved and the patient's awareness of self and sense of autonomy be enhanced.
R C Lane; J W Hull; L M Foehrenbach
Related Documents :
6804999 - Plotting n-dimensional psychiatric data in 2 dimensions using andrews' method.
10024069 - Anxiety in patients with an automatic implantable cardioverter defibrillator: what diff...
10868469 - Long-term psychiatric patients in vocational rehabilitation programmes: a naturalistic ...
12955289 - Effects of sertraline on kinematic aspects of hand movements in patients with obsessive...
21038259 - Goal-directed imitation in patients with ideomotor apraxia.
3985229 - Psychotherapeutic treatment of chronic insomnia.
18274809 - Is a fetal origin of the posterior cerebral artery a risk factor for tia or ischemic st...
23730959 - Elevated serum ige in recurrent aphthous stomatitis and associations with disease chara...
8011499 - Serum lipid and apolipoprotein levels in patients with psoriasis.
Publication Detail:
Type:  Case Reports; Journal Article; Review    
Journal Detail:
Title:  Psychoanalytic review     Volume:  78     ISSN:  0033-2836     ISO Abbreviation:  Psychoanal Rev     Publication Date:  1991  
Date Detail:
Created Date:  1992-02-13     Completed Date:  1992-02-13     Revised Date:  2005-11-16    
Medline Journal Info:
Nlm Unique ID:  0401156     Medline TA:  Psychoanal Rev     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  391-410     Citation Subset:  IM    
Export Citation:
APA/MLA Format     Download EndNote     Download BibTex
MeSH Terms
Behavior, Addictive*
Child, Preschool
Infant, Newborn
Parent-Child Relations
Personality Disorders / psychology*,  therapy
Psychoanalytic Therapy
Self Concept

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

Previous Document:  A magnetic resonance imaging study of putamen nuclei in major depression.
Next Document:  Retrospective treatment of incest victims: suggested analytic attitudes.