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The negative therapeutic reaction can conceal negation for somatizing adolescents. Negation, which signifies refusal for the adolescent, can also signify his/her desire for subjectivation, and therefore the life drive. The positive and negative transferences formed around negation must be dealt with carefully by the psychoanalyst, not only as a refusal to get well, but also as a movement of desire full of libido in the face of an adult.