chapter  15
13 Pages

Mirrors of Rage: The Devaluing Narcissistic Patient

In his 1937 paper "Analysis, Terminable and Interminable," Freud's lexicon of therapeutic resistances expanded to include the "negative therapeutic reaction"-a term used to delineate the destructive treatment implications of a patient's intractable attachment to his or her neurotic symptoms. Freud theorized that this psychoanalytic phenomenon was a result of two factors: moral masochism, defined as the patient's unconscious sense of guilt and concomitant need for punishment; and the primacy of the death instinct as exhibited in the repetition compulsion.