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[The first interview: taking into consideration countertransference-phenomena and interpretation].

R H Adler1, J Albrecht, A Grögler

  • 1michele.rolf.adler@gmail.com

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Summary
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Physicians

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Area of Science:

  • Psychiatry
  • Psychology
  • Medical Humanities

Background:

  • Patient-physician interactions during history-taking can evoke emotional responses in physicians.
  • These physician responses may stem from the patient's unconscious conflicts, influencing their illness.

Purpose of the Study:

  • To explore the therapeutic potential of physicians verbalizing and interpreting their induced feelings and fantasies.
  • To examine how this process can foster patient insight and alleviate suffering.

Main Methods:

  • Qualitative analysis of physician-patient dynamics during clinical interviews.
  • Exploration of transference and countertransference phenomena in medical settings.

Main Results:

  • Verbalizing physician-induced feelings, linked to patient's unconscious motivations, can emotionally engage patients.
  • This engagement may enhance patient insight and reduce psychological distress.
  • However, not all patients respond positively to physician confrontation, clarification, and interpretation.

Conclusions:

  • Physician's awareness and articulation of their induced feelings can be a valuable therapeutic tool.
  • The effectiveness of this approach is patient-dependent, requiring careful clinical judgment.
  • Further research is needed to delineate specific patient characteristics that predict benefit.