Therapist patient relationship transference and counter

therapist patient relationship transference and counter

The present article centers on both transference and counter transference and the kind of expectations and client or patient should have about their therapist. 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.

At some time during a session I remembered looking at her legs and shoes just because it was kind of in my face when she crossed them and they looked elegant, our interpersonal distance is quite small.

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

I never, or maybe once looked at her breasts. I never felt aroused or anything but I am always a bit tensed. When we advanced in therapy I started to notice that she showed certain body language that could be classified as seductive or maybe as general interest.

The most shocking one for me is that I caught her several times looking at my crotch real quickly during multiple sessions. Other signs were that she crossed and uncrossed her legs really weird, slamming both feet on the floor and then crossing them again. The way she does it is really strange if you could see it. Then she showed some other general flirting signals like foot pointing towards me, twisting her foot in circles, showing her wrists etc.

  • Transference, Countertransference and Finding a Good Therapist

It seemed that she did her best to look extra good that day. We are both attractive, girls approach me a lot and I get many compliments on my looks although I have serious issues with my confidence to take advantage of itand she is also really beautiful. The situation is confusing me, is she trying the make me feel at ease, or are there just adult feelings involved. What is most likely going on here in your view? Thanks of the insight. Dombeck responds to questions about psychotherapy and mental health problems, from the perspective of his training in clinical psychology.

therapist patient relationship transference and counter

Dombeck intends his responses to provide general educational information to the readership of this website; answers should not be understood to be specific advice intended for any particular individual s. Questions submitted to this column are not guaranteed to receive responses. No correspondence takes place. No ongoing relationship of any sort including but not limited to any form of professional relationship is implied or offered by Dr.

Dombeck to people submitting questions.

therapist patient relationship transference and counter

Dombeck and Mental Help Net disclaim any and all merchantability or warranty of fitness for a particular purpose or liability in connection with the use or misuse of this service. Always consult with your psychotherapist, physician, or psychiatrist first before changing any aspect of your treatment regimen.

Counter-Transference Issues? - Psychotherapy Treatment And Psychotherapist Information

Do not stop your medication or change the dose of your medication without first consulting with your physician. Psychotherapy involves the creation of a one-sided intimate relationship. You share everything you care to, while your therapist shares relatively little. The idea is to step out of the normal social convention of reciprocity so as to keep the focus on you.

An example might be of a patient who was always criticized by disproved of by their parent with the result that they constantly expect the therapist to be critical and disapproving. Counter transference refers to the fact that the psychotherapist also has feelings in reaction to the patient. For example, if a patient has a transferential feeling of sexual attraction towards their therapist, the therapist might find himself having a counter transference sexual feeling towards the patient.

Anecdote of a counter transference reaction: Many years ago, when I was working with a young man with some Borderline Personality features to his personality, I became aware, during the session, of wanting to throw him out of therapy. I said nothing, as I listened to him, but was mystified by my strange kind of fantasy or thought. After carefully weighing my response, I stopped him and asked him if he had any thoughts or feelings about therapy on the way to the office.


It turned out that he had a bad argument with his girl friend last night, felt like an awful person for expressing so much anger at her and, on the way to see me, had the thought and feeling that I could not possibly like him and would want to get rid of him as a patient.

Without my saying anything about my fantasy, we explored what his anger meant to him and how it was used against him when he was a child. Whenever he was angry he was informed that he was not acceptable.

therapist patient relationship transference and counter

It was not that his expression of anger was not acceptable to his parents but that he was not acceptable. It is important to remember that therapists are human beings and have thoughts and feelings just the same as the rest of the human race.

However, the therapist is trained to absolutely never act upon the counter transference feelings. Under no circumstances is a therapist to act romantically or sexually towards a patient. When people come into therapy they are placing their trust with this professional mental health worker. Just the same as seeking treatment from a medical doctor or dentist, they expect to be treated with respect and dignity.

What Do Transference and Counter Transference Mean?

The expectation of being treated with respect and dignity includes the fact that the therapy office be a completely safe place where people can learn about themselves and learn healthy new behaviors in order that they can move on with their lives. Unfortunately, there are always a few mental healthy practitioners who lack scruples and honesty. These are people who take advantage of those who have placed their trust with them.

I have heard of therapist who will actually try to convince a patient that it will help them the patient to have sexual relations with the therapist. When these unethical people are discovered they are investigated, lose their licenses to practice mental health and even go to jail.

This holds true whether the mental health worker is a psychiatrist, psychologist or clinical social worker.

therapist patient relationship transference and counter

All three professions are licensed and come under specific ethical rules and regulations of their profession and of the state in which they live and practice.

Every state licensing board has a list of ethical rules and laws that are publicly available and can be found Online in your state.

This is why it is always important for people looking for psychotherapy to exercise the greatest of care in making a good choice. Here are some guidelines in selecting a therapist: A good starting place for selecting a therapist is taking a recommendation from a friend, family member, family doctor Primary care physicianand from another mental health practitioner.

When you interview a therapist you have the right to ask their professional identity psychiatrist, psychologist, clinical social worker. You also have the right to ask whether or not they are licensed. In most if not all states, practitioners are expected to have their licenses displayed. Never assume someone is licensed.

therapist patient relationship transference and counter