The thrall of the negative and how to analyze it.
From clinical material of patient-analyst pairs caught up in negativistic transference-countertransference enmeshment, the defensive functions of negativism are explored for both patient and analyst. Fascination with and dread of the negative intersect as patients struggle to avoid terrifying aspects of self and other. The analyst works to avoid being trapped in negativism within the dyad. Containing, metabolizing, and transforming the dyad's mutual destructiveness and mutual love enable analyst and patient to feel safer with both. How to play with the negative, to engage the patient in play at the intersection of destructive negativism and dangerous love, is described.
Coen
Stanley J
SJ
Columbia University Center for Psychoanalytic Training and Research, USA. Sjcoenmd@aol.com
D000339:Affect; D006801:Humans; D008149:Love; D008297:Male; D010554:Personality Disorders / Q000628:therapy*; D011369:Professional-Patient Relations; D011575:Psychoanalytic Therapy / Q000379:methods*; D012448:Sadism; D014167:Transference, Psychology; D014947:Wounds and Injuries / Q000523:psychology*