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Countertransference difficulties in a time-limited psychotherapy.

M F Hoyt, D Farrell

    International Journal of Psychoanalytic Psychotherapy
    |January 1, 1984
    PubMed
    Summary
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    This study examines a critical patient-therapist interaction in brief psychotherapy, highlighting how therapist countertransference impacts the therapeutic process during intense emotional episodes.

    Area of Science:

    • Psychology
    • Psychotherapy Research

    Background:

    • Brief, time-limited psychotherapy presents unique challenges for managing intense patient-therapist dynamics.
    • Understanding therapist countertransference is crucial for navigating critical therapeutic junctures.

    Observation:

    • A verbatim transcript details a dramatic patient-therapist interaction near the end of a brief psychotherapy.
    • The patient's history of trauma and specific personality structure (narcissistic and borderline) were noted.

    Findings:

    • Therapist countertransference disturbances were identified as central to understanding the interaction.
    • Factors contributing to these disturbances included the patient's trauma, personality, therapist's vulnerabilities, and the time-limited nature of therapy.

    Implications:

    Related Experiment Videos

    • This case illustrates the complex interplay of patient and therapist factors in brief therapy.
    • Awareness of countertransference is vital for effective clinical practice and training in time-limited psychotherapy.