Ein hoffnungsloser Fall? Zum Paradox vom Überleben-Können nur im Toten.

The Negative Therapeutic Reaction rightly receives more critical scrutiny today, since in the past it has often been framed as the patient's destructive acting-out. But even if one understands malignant regressions, successes undone or engrained stagnation as phenomena of transference / countertransference dynamics, a thorough self-analysis is required for the analyst not to fall prey to seduction by an NTR conceptualization that resists empathy with prevailing processes of desobjectalization, as described in the present casuistry. The elaboration of depressive states in the countertransference is necessary in order, on one hand, to find a way out of dead ends and, on the other hand, to accept the necessity of the patient's places of retreat where these may represent a lesser evil, or to endure the oscillation between both positions. [ABSTRACT FROM AUTHOR]