When a therapist’s needs come into play

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What Is Countertransference?

Inpsychoanalytic theory, countertransference happens when the therapist projects their own unresolved conflicts onto the client.

This could be in response to something the client has unearthed.

Person in counseling session sits on couch in therapist office.

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Although many now believe it to be inevitable, countertransference can be damaging if not appropriately managed.

Transference is a normal part of psychodynamictherapy.

However, it’s the therapists job to recognize countertransference and do what’s necessary to remain neutral.

Four Types of Countertransference

There are four manifestations of countertransference.

Three of these can potentially harm the therapeutic relationship.

Countertransference is especially common in novicetherapists, so supervisors pay close attention and help them become more self-aware.

The mental health community supports seasoned clinicians by urging them to seek peer review and supervisory guidance as needed.

Rather than eliminate countertransference altogether, the goal is touse those feelings productively.

Warning Signs of Countertransference

How does a therapist know they are experiencing countertransference?

Your therapist should be receptive to your concern.

Therapists can also take steps to manage countertransference.

They may also consider clinical supervision.

History of Countertransference

Sigmund Freudfirst described countertransference in 1910.

Attitudes of the concept have changed over time.

The definition of countertransference was also broadened to include any reaction a therapist had to a client.

Takeaway

Countertransference is common, and it’s not always a bad thing.

If having that conversation makes you feel uneasy, that’s understandable.

APA Dictionary of Psychology.Countertransference.

2018;55(4):496-507. doi:10.1037/pst0000189