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Related Experiment Videos

Countertransference as instrument and obstacle: a comprehensive and descriptive framework

M A Bouchard, L Normandin, M H Séguin

    The Psychoanalytic Quarterly
    |October 1, 1995
    PubMed
    Summary

    This study proposes a new framework for understanding counter-transference, distinguishing between objective-rational, reactive, and reflective mental states in psychotherapy. The reflective state involves four phases: emergence, immersion, integrative elaboration, and interpretation.

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    Area of Science:

    • Psychology
    • Psychotherapy
    • Psychoanalysis

    Background:

    • Counter-transference is a critical concept in psychoanalytic therapy.
    • Existing models often focus on unconscious aspects as obstacles.
    • A more comprehensive understanding of mental activities in counter-transference is needed.

    Purpose of the Study:

    • To propose a comprehensive and descriptive approach to counter-transference phenomena.
    • To differentiate between objective-rational, reactive, and reflective mental activities.
    • To illustrate the proposed model with case examples.

    Main Methods:

    • Distinguishing three types of mental activity: objective-rational, reactive, and reflective.
    • Describing four phases of reflective activity: emergence, immersion, integrative elaboration, and interpretation.

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  • Utilizing case examples from existing literature for illustration.

    • Main Results:

    • The objective-rational attitude is an adaptive, non-defensive mode of observation.
    • The reactive mental state aligns with classical notions of unconscious counter-transference as an obstacle.
    • Reflective attitudes involve preconscious and conscious psychical activity with distinct phases.

    Conclusions:

    • The proposed model offers a nuanced understanding of counter-transference.
    • Differentiating mental states enhances therapeutic insight and management of counter-transference.
    • The reflective phases provide a structured way to process counter-transference experiences.