Therapist patient relationship transference counter

What Do Transference and Counter Transference Mean? | Cognitive Behavioural Coaching Works

therapist patient relationship transference counter

In a therapy context, transference refers to redirection of a patient's feelings for a the transference relationship and exploring the relationship's meaning. If the client's issues have to do with interpersonal relatedness, some of those issues should hopefully leak out into the therapy relationship. In other words, your. Countertransference, which occurs when a therapist transfers emotions to threat posed by countertransference, both to the therapeutic relationship and a Therapists of Patients Sexually Exploited by a Previous Therapist.

therapist patient relationship transference counter

The bibliography lists few familiar psychoanalytic names, although there are brief references to Arlow, Eagle, Fenichel, Fromm-Reichmann, Gabbard, Klein and, of course, Freud. This is of note for those readers who wish to explore the countertransference research field in more detail, which can be informative. The authors emphasize a traditional research position, with all the advantages and disadvantages of that perspective. Much of this research is in the area of cognitive-behavioral psychology.

therapist patient relationship transference counter

Gelso and Hayes comment: Being primarily clinicians, we may not be aware of the research on countertransference, even as it may be rather conceptually limited. Yet, many comments in the book are valuable to experienced therapists and analysts, mostly as reminders. When countertransference is stimulated, therapists often fail to maintain an appropriate therapeutic distance. They either withdraw or act out in an enmeshed way.

Transference - Wikipedia

On the other hand, countertransference can, but does not necessarily interfere with therapy outcome. This includes cultural attitudes towards gender, age, ethnicity and so on. Self-disclosure is a controversial area in research. Characteristic and behaviors that facilitate countertransference management include: Some concerns arise, of course, regarding the limitations of clinical research methodology.

Drawn largely from a college counseling center population, these situations may not always resemble the sorts of patients we see in regular practice. Further, empirical research on countertransference is often conducted in lab simulations, as most research, treatment provided by beginning level graduate students, not experienced psychoanalysts.

Most clinical examples offered by the authors are short-term cases; the nuances of transference-countertransference phenomenon are rarely addressed in brief therapy. Thus, the book presents the more overt forms of countertransference, not the more subtle interactions that most psychoanalysts wish to explore.

Sexual Attraction in Therapy

Thus, the book is largely geared to students, academic researchers, and practitioners of cognitive behavioral and humanistic psychotherapy. It is important to note that most other forms of psychotherapy such as humanistic, cognitive-behavioral, solution-focused therapy, and psychoeducation are likely to be practiced by graduate students and many therapists practice directly after graduation; psychoanalytic work requires additional postgraduate courses, supervision and personal analysis.

It is believed in the instance of Ted Bundyhe repeatedly killed brunette women who reminded him of a previous girlfriend with whom he had become infatuated, but who had ended the relationship, leaving Bundy rejected and pathologically rageful Bundy, however, denied this as a motivating factor in his crimes.

In The Ego and the Id, he claimed that eroticism between males can be an outcome of a "[psychically] non-economic" hostility, which is unconsciously subverted into love and sexual attraction.

Countertransference and the Therapist's Inner Experience: Perils and Possibilities (Book Review)

Transference is often manifested as an erotic attraction towards a therapist, but can be seen in many other forms such as rage, hatred, mistrust, parentificationextreme dependence, or even placing the therapist in a god-like or guru status. When Freud initially encountered transference in his therapy with patients, he thought he was encountering patient resistance, as he recognized the phenomenon when a patient refused to participate in a session of free association.

But what he learned was that the analysis of the transference was actually the work that needed to be done: Since the transference between patient and therapist happens on an unconscious level, psychodynamic therapists who are largely concerned with a patient's unconscious material use the transference to reveal unresolved conflicts patients have with childhood figures.

Countertransference [10] is defined as redirection of a therapist's feelings toward a patient, or more generally, as a therapist's emotional entanglement with a patient.


Therefore as a coach the concepts of Transference and Counter Transference are ones that we need to keep in mind. Some examples of transference could include where your client may have had painful experiences and finds trusting people difficult and is therefore is mistrustful of you and what you can offer being challenging to work with.

therapist patient relationship transference counter

Alternatively, perhaps your client is anxious about rejection and is keen to seek your approval at all times. An example of counter transference could be where you are seeing the client who finds it hard to trust people as above. It may take a session or two but you start to see a pattern in their behaviour and realize that you find yourself feeling under pressure to placate and reassure your client over and above the way that you would normally feel or behave towards your other clients.

therapist patient relationship transference counter

Transference and counter transference is something that is best addressed in your coaching supervision. You and your coaching supervisor can explore this in relation to your work with you client and how these concepts may be acted out in your coaching.

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By doing this you can then go on to consider how such concepts are affecting your work with the client and what, if anything, you need to do to ensure a healthy and productive relationship is maintained between you and your client. For example, you might not be aware that you have allowed your boundaries to slip — say in relation to how much time you offer one client over and above that which you would normally see as being part of a coaching contract.