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Negativism and countertransference.

The purpose of this work is to explore the phenomenon of negativism and the analyst's response to it during the course of analytic work with a patient in whom negativism is a central behavioral pattern. Melville's short story, "Bartleby the Scrivener," describing in telling detail the response of a sympathetic lawyer to profound and pervasive negativism in his legal scribe, is discussed as a literary analogy to the analyst-analysand dyad. Aspects of the concept of negativism within psychoanalysis are discussed. The potential usefulness of understanding certain unexpected countertransference responses to pervasive negativism is explored, as this is a relatively neglected area of psychoanalytic technique. A case is presented describing the analysis of a patient whose character, like Bartleby's, is a mixture of profound negativism along with schizoid, obsessional, and masochistic elements.

Countertransference

Neurotic negativism and negation in the psychoanalytic situation.

Negativistic phenomena in the treatment of neurotic children and adults are examined and distinctions are made among negativism, negation, and denial. Clinical vignettes exemplifying various forms of negativism are presented and viewed as expressions of developmental, defensive, or characterological aspects of the personality. Hartmann's seminal concepts of the genetic fallacy, change of function, and secondary autonomy are employed. The addition of a developmental view provides a broader context within which to view the patient's behavior and on the basis of which to formulate interpretive interventions.

Adult

[Psychodynamic aspects of schizophrenic negativism in individual psychotherapy].

This is a report of the individual psychotherapy of a schizophrenic woman who has been cured after years of treatment. The report deals mainly with psychodynamic problems such as resistance and negativism. It shows that only a common view of such phenomena, which includes the therapist as well as the patient and establishes a symmetry of experience, can lead to those processes of identification and counter-identification which ultimatively are helpful to both the patient and his therapist.

Aggression

A lesson on negativism in the toddler. Preceded by some considerations on the teaching of general pediatrics.

This study presents observations about certain preliminary conditions necessary for the practicing physician's teaching ambulatory pediatrics. The author's practical experience is cited in the transcription of a lesson about 'negativism in the toddler', and a sensorimotor psychodynamic concept is proposed to explain the child's oppositional behavior: the unusual energy potential at this age, the immediacy of an act, an object concept different from that of the adult. The pediatrician's role as 'health counselor' is evoked in the therapeutic considerations.

Child Behavior

Compliance, 'negativism', and the effects of treatment structure in autism: a naturalistic, behavioral study.

Nineteen autistic individuals were observed in their familiar residential environment using a time-sample technique. Rates of stereotyped and self-injurious behaviors, the direction of the subject's gaze (at staff, task or elsewhere) and the number of requests made to a subject by staff were a function of treatment structure, as defined by the staff: child ratio. While patterns of compliance in response to different types of requests were observed, subjects were generally compliant. The data do not support the notion that autistic children are unusually 'negativistic'. The utility of ecologically valid observations and the need for normative data are discussed.

Adolescent

On negativism.

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Aggression

[Relative value of attenuation and negativation of systolic pulmonary venous flow in severe mitral insufficiency. Transesophageal echocardiographic study].

The aim of this study was to analyse the velocity profile of the systolic fraction of the pulmonary venous flow (PVF) in mitral regurgitation (MR). Three velocity profiles were identified in left superior pulmonary vein. Inversion of the systolic fraction of the PVF was specific for angiographic grade 4 MR (specificity 97%, sensitivity 100%). On the other hand, a decrease in this wave is much less specific for mild MR and depends on severe factors such as left atrial pressure, size and ejection fraction and the lack of atrial systole (as in atrial fibrillation or atrioventricular block). Therefore, inversion of PVF has a good positive predictive value for severe MR, but the interpretation of attenuation of this wave should take into consideration not only the MR but also left atrial pressure and compliance.

Blood Flow Velocity