The resident's countertransference to his/her patient may offer essential information about certain denied processes within that patient. It may also signal the existence of countertherapeutic scotomas within the resident. This paper offers a clinically based approach for directly identifying, exploring, and utilizing the information emerging from the resident's countertransference. This approach focuses on the "only or never" phenomenon, the parallel process, and introspective curiosity as modes of identifying the existence of countertransference responses. It highlights the importance of confrontation and clarification to explore the meaning of these responses in the context of that particular resident with his/her particular patient.
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http://dx.doi.org/10.1176/appi.psychotherapy.1987.41.4.555 | DOI Listing |
Child Adolesc Psychiatr Clin N Am
January 2025
Department of Psychiatry, Child Study Center, Yale School of Medicine, 230 South Frontage Road, New Haven, CT 06520, USA; Department of Psychiatry, Yale School of Medicine, 184 Liberty Street, New Haven, CT 06519, USA.
Child and adolescent psychiatry (CAP) inpatient units are a common site in academic settings for trainee education. The authors review the foundational aspects of education that should be covered during these rotations. Trainees should begin with a solid foundation of child and adolescent development and learn how this impacts risk assessment, formulation, and treatment planning.
View Article and Find Full Text PDFJ Am Acad Psychiatry Law
December 2024
Dr. Franks is an adult psychiatrist in private practice, Boulder, CO. Dr. Ali is a fellow in child and adolescent psychiatry, Boston Children's Hospital, Boston, MA. Dr. Adi is Assistant Professor of Psychiatry, Department of Psychiatry, University of Colorado School of Medicine, Aurora, CO. At the time of writing, Dr. Franks and Dr. Ali were psychiatry residents, Department of Psychiatry, University of Colorado School of Medicine, Aurora, CO.
Am J Psychother
December 2024
Psychiatry Residency, Medical College of Wisconsin-Central Wisconsin, and North Central Health Care, Wausau, Wisconsin.
Countertransference is a basic tenet of psychodynamic theory. Although it was initially considered an unwelcome phenomenon in psychiatry, attitudes have shifted, and many mental health professionals now consider it to be a useful therapeutic tool. In this article, the author discusses countertransference as defined by the International Psychoanalytical Association's Inter-Regional Encyclopedic Dictionary of Psychoanalysis (IRED) and examines its clinical impact by using constructed vignettes of psychodynamic psychotherapies to illustrate theoretical points.
View Article and Find Full Text PDFPsychodyn Psychiatry
September 2023
Associate Program Director and Assistant Professor, Medical University of South Carolina.
Over the years, the psychiatric inpatient treatment paradigm has shifted to more brief stays focused on acute stabilization and psychopharmacologic-focused interventions, rather than individual psychotherapeutic engagement. Unfortunately, this has allowed patients with complex interpersonal dynamics, particularly borderline personality disorder, to slip through the cracks of effective treatment. This can contribute to repeated inpatient admissions, where both patients and clinicians feel trapped in a maladaptive, unhelpful cycle.
View Article and Find Full Text PDFPsychother Res
March 2024
Department of Psychology, Pontifica Universidad Católica del Perú, Lima, Perú.
Objective: Measurement of countertransference (CT) has proven challenging throughout the history of studying this construct. We sought to determine the potential value of using a common measure of transference, the Core Conflictual Relationship Theme (CCRT) method, as a means of studying CT.
Method: The Relationship Anecdote Paradigm and the CCRT method were used to examine CT in two studies.
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