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Negative therapeutic reaction : ウィキペディア英語版 | Negative therapeutic reaction The Negative therapeutic reaction in psychoanalysis is the paradoxical phenomenon whereby a plausible interpretation produces, rather than improvement, a worsening of the analysand's condition. ==Freud's formulations== Freud first named the negative therapeutic reaction in ''The Ego and the Id'' of 1923, seeing its cause, not merely in the analysand's desire to be superior to their analyst, but (more deeply) in an underlying sense of guilt: "the obstacle of an unconscious sense of guilt....they get worse during the treatment instead of getting better".〔S. Freud, ''On Metapsychology'' (PFL 11) p. 390-1〕 The following year he offered the alternative formulation of a need for punishment instead;〔S. Freud, ''On Metapsychology'' (PFL 11) p. 421〕 but in his thirties summation it was again unconscious guilt to which he attributed "the negative therapeutic reaction which is so disagreeable from the prognostic point of view".〔S. Freud, ''New Introductory Lectures on Psychoanalysis'' (PFL 2) p. 143〕 Precursors to the idea can be found in his own article Criminals from a sense of guilt, as well as in Karl Abraham's 1919 article on envy and narcissism as enemies of the analytic work.〔H. Etchigoyen, ''The Fundamentals of Psychoanalytic Technique'' (2005) p. 739〕
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