This paper deals with the effects of an oral-sadistic annihilating mot
her on her male and female offspring: The all-powerful nature of these
mothers, and the corresponding helplessness of the fathers, produce i
n their offspring a sense of identity confusion, a struggle with their
bisexuality, and a need to distance themselves from their mother. Eve
rything unwanted in the mother is externalized onto and into the child
, particularly suffering and pain, which are necessary for the mainten
ance of the (pathological) mother-child relationship. Positive movemen
t (i.e., success) on the child's part threatens the balance of this re
lationship, is perceived by the child as a hostile and destructive tri
umph over the mother, and causes the Negative Therapeutic Reaction in
therapy. The child's inherent masochism acts to preserve the early inf
antile omnipotence and bads to his/her assumption of all responsibilit
y for the mother's affective states. The child's self-destructiveness
also functions as a release for unconscious aggression toward the moth
er, due to the back of boundary differentiation between the two. (C) 1
998 Elsevier Science Ltd.