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Countertransference: the emerging common ground

G O Gabbard1

  • 1Menninger Clinic, Topeka, KS 66601-0829, USA.

The International Journal of Psycho-Analysis
|June 1, 1995
PubMed
Summary

Psychoanalysts increasingly agree on countertransference, viewing it as a joint creation between patient and analyst. Key concepts like projective identification and enactment shape this evolving understanding.

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Area of Science:

  • Psychology
  • Psychoanalysis
  • Psychotherapy

Background:

  • Countertransference understanding has converged among diverse psychoanalytic perspectives.
  • This convergence is driven by evolving concepts of projective identification and countertransference enactment.
  • Social constructivist, relational theories, and role-responsiveness further inform this view.

Purpose of the Study:

  • To explore the evolving understanding of countertransference in psychoanalysis.
  • To highlight the convergence of theoretical perspectives on countertransference.
  • To examine the concepts of projective identification and enactment in shaping this understanding.

Main Methods:

  • Conceptual analysis of psychoanalytic literature.
  • Review of theoretical developments in projective identification and countertransference enactment.
  • Integration of social constructivist and relational theories.

Main Results:

  • Countertransference is increasingly understood as a 'joint creation' between analyst and patient.
  • Projective identification evolved from intrapsychic fantasy to an interpersonal interaction.
  • Countertransference enactment captures situations where analyst's reaction mirrors patient's transference fantasy.
  • A continuum exists, with varying emphasis on analyst vs. patient contribution.

Conclusions:

  • A common ground has emerged in understanding countertransference as a collaborative process.
  • The relative contributions of analyst and patient to countertransference vary by theoretical orientation.
  • While enactments are seen as inevitable, their role in facilitating intrapsychic change remains debated.

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