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Related Experiment Videos

Countertransference revisited.

Jon Mills1

  • 1Section of Psychoanalysis, Canadian Psychological Association.

Psychoanalytic Review
|October 20, 2004
PubMed
Summary
This summary is machine-generated.

This study explores the therapeutic alliance in psychotherapy. A therapist

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Area of Science:

  • Psychology
  • Psychotherapy Research

Background:

  • The therapeutic alliance is crucial for successful psychotherapy outcomes.
  • Therapist's internal experiences, such as disinterest or frustration, can impact the alliance.
  • Patient's avoidance and digressions can challenge the therapeutic process.

Purpose of the Study:

  • To examine the therapist's subjective experience during a psychotherapy session.
  • To investigate the impact of therapist's internal reactions on the therapeutic relationship.
  • To explore how addressing ruptures in the alliance can restore connection and engagement.

Main Methods:

  • Qualitative analysis of a single psychotherapy session from the therapist's perspective.
  • Introspective reflection on the therapist's emotional and cognitive responses.

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  • Dialogue focused on mutual feelings and the rupture in the therapeutic connection.

    • Main Results:

    • The therapist initially experienced detachment, boredom, and aversion.
    • A turning point occurred when the therapist self-reflected and addressed the disconnect with the patient.
    • Open communication about feelings and the alliance rupture led to renewed empathy, involvement, and closeness.

    Conclusions:

    • Acknowledging and addressing ruptures in the therapeutic alliance is vital for repairing the relationship.
    • Therapist's self-awareness and willingness to discuss subjective experiences can transform the therapeutic encounter.
    • A revitalized alliance enhances patient engagement and therapeutic effectiveness, leading to a more meaningful session.