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Countering countertransference, II: beyond evaluation to cross-examination
S Pirzada Sattar1, Debra A Pinals, Thomas G Gutheil
1Omaha Veterans Administration Medical Center, 4101 Woolworth Ave, Room 116A, Omaha, NE 68105, USA. syed.sattar@med.va.gov
Summary
Forensic psychiatrists often use countertransference, a concept from psychoanalysis, which can be problematic. This study explores its complexities and suggests alternative terms for better clarity in forensic evaluations and testimony.
Area of Science:
- Forensic Psychiatry
- Psychology
- Psychoanalysis
Background:
- Countertransference, a psychoanalytic concept from 1909, has been adopted by forensic psychiatrists.
- Its application in forensic contexts has faced criticism.
- Forensic psychiatrists use it to describe emotional responses to examinees.
Purpose of the Study:
- To analyze the problematic nature of using 'countertransference' in forensic psychiatry.
- To explore factors influencing forensic psychiatrists' emotional responses.
- To propose alternative terminology for forensic contexts.
Main Methods:
- Literature review of psychoanalytic and forensic psychiatric literature.
- Analysis of clinical case examples (implied).
- Conceptual analysis of the term 'countertransference'.
Main Results:
- The term 'countertransference' is complex and potentially problematic in forensic psychiatry.
- Both examinee and non-examinee factors influence forensic psychiatrists' emotional experiences.
- Existing terminology may not adequately capture these dynamics.
Conclusions:
- The use of 'countertransference' in forensic psychiatry requires careful consideration.
- Modified terms may offer more precise explanations for emotional responses in forensic evaluations.
- Further research into appropriate terminology is warranted.