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Abstract:
Few experiences in the life of the mental health professional are more unpleasant than being intensely hated by a patient he is trying to help. In most cases the hatred is mitigated by periods where the patient sees the treater as more helpful and less malevolent, a shift that makes the treatment process more tolerable. However, there are patients who hate relentlessly, presenting a challenge that taxes the therapist's emotional and intellectual resources to an extraordinary degree.