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Transference and countertransference in therapy with lesbian patients
Karine J Igartua1, Pascale Des Rosiers
1a Department of Psychiatry , McGill University, University Sexual Identity Centre (M.U.S.I.C.) , Montreal , Canada.
Sexual orientation significantly impacts therapy, influencing how lesbian patients perceive their therapists and how therapists experience countertransference. Understanding these dynamics is crucial for effective therapeutic relationships.
Area of Science:
- Psychology
- Psychotherapy
- Sociology
Background:
- Sexual orientation is a key factor in relationship perception and therapeutic interactions.
- Existing cross-cultural therapy literature provides a framework for analysis.
- Therapeutic relationships are complex and influenced by multiple patient and therapist factors.
Purpose of the Study:
- To explore how lesbian patients' transferences are affected by perceived therapist sexual orientation.
- To examine how therapists' countertransferences vary based on their own sexual orientation.
- To understand the role of sexual orientation in psychotherapy dynamics.
Main Methods:
- Utilized a framework from cross-cultural therapy literature.
- Conducted dialogues with heterosexual and lesbian therapists.
- Included therapists from diverse mental health and LGBTQ+-identified settings.
Main Results:
- Lesbian patients' transferences are shaped by their perceptions of therapists' sexual orientations.
- Therapists' countertransferences differ based on their own sexual orientations.
- Sexual orientation influences the therapeutic process for both patients and therapists.
Conclusions:
- Sexual orientation is a critical element in understanding transference and countertransference.
- Therapists' self-awareness regarding sexual orientation is vital for effective practice.
- Further research into sexual orientation's impact on therapy is warranted.
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