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Transference Assessment in Psychotherapy: A Systematic Review.

Francesca Marazzi¹, Alberto Stefana¹, Arianna Vecchio²

¹Department of Brain and Behavioural Sciences, University of Pavia, Pavia, Italy.

Clinical Psychology & Psychotherapy

|July 10, 2025

Summary

This summary is machine-generated.

This review analyzes 15 tools for measuring transference, a key psychoanalytic concept where past relationship feelings are displaced onto a therapist. Understanding transference aids therapeutic progress and patient awareness.

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Area of Science:

Psychology
Psychotherapy
Psychoanalysis

Background:

Transference, a core psychoanalytic concept introduced by Sigmund Freud, involves displacing feelings from past relationships onto a therapist.
While central to psychoanalysis, transference is recognized across various psychotherapeutic modalities with differing clinical relevance.
Empirical evidence indicates transference occurs in all close relationships, including therapy, and is influenced by attachment styles.

Purpose of the Study:

To systematically review the development and validation of 15 distinct assessment tools for measuring transference.
To provide a comprehensive overview of instruments utilized across diverse psychotherapeutic approaches for assessing transference.

Main Methods:

Systematic review of 15 transference assessment tools.
Analysis of instruments based on data collection methods: observational ratings, clinician reports, and patient self-reports.

Main Results:

A variety of tools exist for measuring transference, employing different data collection methodologies.
The reviewed instruments are used across various psychotherapies, indicating broad applicability of transference assessment.

Conclusions:

Transference interpretation can enhance patient awareness and improve therapeutic outcomes, though its direct link to therapy success requires further investigation.
Further research is needed to compare the effectiveness of different transference assessment tools across patient populations and to clarify the relationship between transference and the therapeutic alliance.