Limentani A
Int J Psychoanal. 1981;62(Pt 4):379-90.
The development of the concept of the Negative Therapeutic Reaction (N.T.R.) is followed through from the original description by Freud to that of later and contemporary psychoanalysts, revealing a considerable divergence of opinions as to the causes of the condition. It is suggested that in the more chronic forms the reaction is a special kind of acting out of the transference in the psychoanalytic situation, when it is also a particularly stubborn defence against the re-experiencing of pain and psychic suffering associated with early trauma. It is generally agreed that the N.T.R. is a challenge to the analyst's countertransference. On the other hand, it is also of positive value as an indicator of the state of the transference and the possibility that an especially painful area in the patient's psychopathology has been reached, requiring a further working through and better integration. Two clinical illustrations are presented in support of these theoretical considerations.
从弗洛伊德最初的描述到后来及当代精神分析学家的描述，我们追踪了负性治疗反应（N.T.R.）概念的发展，结果显示，对于该病症的成因，存在着相当大的意见分歧。有人认为，在较为慢性的形式中，这种反应是精神分析情境中移情的一种特殊的付诸行动，此时它也是对与早期创伤相关的痛苦和精神折磨再次体验的一种特别顽固的防御。人们普遍认为，负性治疗反应是对分析师反移情的一种挑战。另一方面，它作为移情状态的一个指标以及患者精神病理学中一个特别痛苦的领域可能已被触及的可能性，也具有积极价值，这需要进一步深入探究并更好地整合。文中给出了两个临床例证来支持这些理论思考。
