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[Transference and countertransference problems in patients treated with bone marrow transplantation]
1Klinika za psiholossku medicinu, Medicinski fakultet Sveucilisa u Zagrebu, Klinicki bolnicki centar.
Lijecnicki Vjesnik
|January 1, 1995
Summary
Bone marrow transplantation (BMT) involves complex psychological challenges for patients and care teams. Understanding transference and counter-transference dynamics is crucial for managing patient anxiety and team empathy during BMT.
Area of Science:
- Psychology
- Oncology
- Hematology
Background:
- Bone marrow transplantation (BMT) presents significant psychological distress for patients.
- Patient expectations and dependence on the BMT team can trigger complex emotional responses.
Purpose of the Study:
- To analyze transference and counter-transference dynamics between patients and healthcare teams during BMT.
- To understand the psychological impact of BMT on patients and the BMT team's reactions.
Main Methods:
- Psychodynamic clinical observation and analysis of transference and counter-transference.
- Observation of 35 patients undergoing allogeneic BMT for acute leukemia over a 5-year period.
Main Results:
- Patient psychological experiences during BMT can be divided into five distinct phases.
- Healthcare team members exhibit counter-transference, particularly during moments of helplessness, often employing "selective avoidance of psychological" as a defense mechanism.
Conclusions:
- Transference and counter-transference are significant factors in the BMT process.
- Addressing these psychological dynamics is essential for optimizing patient care and team well-being during BMT.