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Related Experiment Video

Updated: May 21, 2026

The Adventures of Fundi Intervention Based on the Cognitive and Emotional Processing in Attention Deficit Hyperactive Disorder Patients
05:48

The Adventures of Fundi Intervention Based on the Cognitive and Emotional Processing in Attention Deficit Hyperactive Disorder Patients

Published on: June 12, 2020

A "countertransference cure" evoked by enactment.

M Viederman1

  • 1Cornell University Medical College and the Columbia Psychoanalytic Center for Training and Research, New York.

The Journal of Psychotherapy Practice and Research
|June 16, 2012
PubMed
Summary

A psychotherapeutic impasse resolved through countertransference enactment, leading to lasting patient benefit. This personality change was confirmed over a 20-year follow-up period.

Area of Science:

  • Psychology
  • Psychotherapy
  • Psychoanalysis

Background:

  • Psychotherapeutic impasses can arise from complex interpersonal dynamics.
  • Projective identification is a key defense mechanism influencing therapeutic relationships.
  • Countertransference enactments, though challenging, can offer therapeutic opportunities.

Purpose of the Study:

  • To explore the impact of a countertransference enactment on a psychotherapeutic impasse.
  • To examine the immediate and long-term effects of the enactment on patient change.
  • To discuss the theoretical underpinnings of personality change through therapeutic experience.

Main Methods:

  • Case study analysis of a psychotherapeutic process.
  • Observation of a countertransference enactment.

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  • Longitudinal follow-up assessment over 20 years.
  • Theoretical discussion integrating psychoanalytic concepts.
  • Main Results:

    • A psychotherapeutic impasse was successfully navigated through a countertransference enactment.
    • The enactment resulted in immediate, profound, and sustained positive patient change.
    • The patient's personality evolution was confirmed during a 20-year follow-up.
    • The study provides a model for personality change via life experience.

    Conclusions:

    • Countertransference enactments can be pivotal moments for therapeutic progress.
    • Personality change is possible through deeply explored therapeutic experiences.
    • This case illustrates the potential for beneficial outcomes from challenging transference-countertransference dynamics.