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Related Experiment Video

Updated: May 5, 2026

Reducing State Anxiety Using Working Memory Maintenance
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Death anxiety: A hidden factor in countertransference hate.

P E Lacocque1, A J Loeb

  • 1Developmental and Psychiatric Services (Outpatient Psychiatry) in Park Ridge, Lutheran General Hospital, Suite 360, 1875 Dempster Street, 60068, Parkridge, Illinois.

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Summary

Difficult patients can trigger existential anxieties in therapists, similar to death anxiety. This study explores these countertransference reactions, suggesting professional euphemisms mask deeper, unaddressed death-related issues in therapy.

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Area of Science:

  • Psychology
  • Psychoanalysis
  • Existential Psychology

Background:

  • Therapists may experience profound anxiety when confronted by patients perceived as

Purpose of the Study:

  • To explore the concept of ontological anxiety in therapeutic countertransference.
  • To examine how terms like

Main Methods:

  • Conceptual analysis of existentialist philosophy and psychoanalytic theory.
  • Exploration of countertransference dynamics in psychotherapy.

Main Results:

  • Difficult patients can provoke existential, ontological anxieties in therapists.
  • Professional euphemisms mask therapists' deep-seated anxieties related to death.
  • A professional collusion may prevent exploration of death-related issues.

Conclusions:

  • Countertransference reactions to challenging patients are linked to existential threats.
  • Therapists' own death anxiety may be unconsciously activated.
  • Further exploration of death anxiety in psychoanalytic contexts is warranted.