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[Not Available].

H Faller1

  • 1Institut für Psychotherapie und Medizinische Psychologie, Universität Würzburg, Klinikstr. 3, 97070.

Zeitschrift Fur Psychosomatische Medizin Und Psychotherapie
|January 17, 2002
PubMed
Summary
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Therapists' emotional reactions, or countertransference, influence patient diagnosis and treatment selection in psychotherapy. Positive countertransference correlated with higher rates of depression diagnoses and cognitive-behavioral therapy indications.

Area of Science:

  • Psychology
  • Psychotherapy Research
  • Clinical Psychology

Context:

  • Limited empirical research exists on therapists' emotional reactions influencing treatment selection.
  • This study examines countertransference in a naturalistic psychotherapy setting.
  • Therapists' feelings towards patients were assessed post-intake.

Purpose:

  • To investigate the relationship between therapists' countertransference and patient diagnostic categories and treatment choices.
  • To identify dimensions of countertransference and patient clusters based on these feelings.
  • To explore how therapist orientation influences treatment indication.

Summary:

  • Therapists (n=13) rated countertransference feelings for 237 patients using a 17-item checklist.
Keywords:
CountertransferenceIndicationTherapist variableTreatment selectionWorking alliance

Related Experiment Videos

  • Factor analysis revealed three dimensions: sympathy, helpfulness, and anger.
  • Cluster analysis identified four patient groups based on countertransference patterns (positive, weak, ambivalent, negative).
  • Significant differences in diagnoses (depression, somatoform disorders) and treatments (cognitive-behavioral therapy) were observed across clusters.
  • Positive countertransference was linked to higher depression diagnoses and cognitive-behavioral therapy selection, replicating previous findings.

    • Impact:

    • Findings highlight the significant role of therapists' emotional responses in clinical decision-making.
    • Results suggest that countertransference patterns can predict diagnostic and treatment indications.
    • The study underscores the interplay between therapist orientation, countertransference, and treatment selection.