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Related Experiment Videos

The interviewer's "presenting problems" in the initial interview.

R M Billow1, R Mendelsohn

  • 1Gordon F. Derner Institute of Advanced Psychological Studies, Adelphi University, Garden City, NY 11530.

Bulletin of the Menninger Clinic
|January 1, 1990
PubMed
Summary

Complex countertransference in initial patient interviews stems from clinician fantasies, patient reality, and creative patient experiences. Responding with psychological-mindedness transforms these challenges into realistic assessments and positive case outcomes.

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Area of Science:

  • Psychiatry
  • Clinical Psychology
  • Psychoanalysis

Background:

  • Countertransference is a critical factor in the therapeutic relationship.
  • Initial interviews present unique challenges due to nascent transference and countertransference dynamics.
  • Understanding these complex responses is vital for effective clinical practice.

Purpose of the Study:

  • To explore the origins of complex countertransference responses in initial patient interviews.
  • To examine how these responses relate to interviewer's and patient's experiences.
  • To investigate the potential of psychological-mindedness in managing countertransference for improved patient outcomes.

Main Methods:

  • Qualitative analysis of interviewer experiences during initial patient consultations.

Related Experiment Videos

  • Exploration of the interplay between preinterview fantasies, patient's empirical reality, and the creatively experienced patient.
  • Case study approach focusing on the interviewer's psychological-mindedness.

    • Main Results:

    • Complex countertransference is linked to the clinician's preinterview fantasies.
    • Patient's empirical reality and their creative experience significantly influence countertransference.
    • Presenting problems, when met with psychological-mindedness, can facilitate accurate assessment.

    Conclusions:

    • Countertransference responses are multifaceted, arising from internal and external factors.
    • Psychological-mindedness is a key moderator, enabling constructive use of countertransference.
    • Effective management of countertransference in initial interviews leads to better case disposition and therapeutic alliance.