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Related Experiment Videos

Transference, countertransference, and abuse in psychotherapy

G Adler1

  • 1Boston Psychoanalytic Society and Institute, Boston, Mass., USA.

Harvard Review of Psychiatry
|September 1, 1994
PubMed
Summary

This study explores how safe therapeutic spaces are created or destroyed in psychotherapy, especially for abuse survivors. It highlights transitional objects, phenomena, and projective identification in managing countertransference and fostering creative therapeutic experiences.

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Area of Science:

  • Psychotherapy
  • Clinical Psychology
  • Psychoanalysis

Background:

  • Psychotherapy can yield creative or destructive experiences for patients and therapists.
  • Patients with a history of abuse present unique therapeutic challenges.
  • Understanding the dynamics of the therapeutic space is crucial for effective treatment.

Purpose of the Study:

  • To explore factors influencing creative versus destructive therapeutic experiences.
  • To examine the role of the intermediate therapeutic space in psychotherapy.
  • To define and apply concepts like transitional objects, transitional phenomena, and projective identification.

Main Methods:

  • Conceptual analysis of psychotherapeutic processes.
  • Application of psychoanalytic theories to clinical practice.

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  • Exploration of therapist's capacity for ambiguity tolerance and countertransference management.

    • Main Results:

    • The formation of an intermediate, safe therapeutic space is vital for creative interplay.
    • Transitional objects, phenomena, and projective identification determine the safety of the therapeutic space.
    • Therapist's tolerance for ambiguity and effective countertransference management are key.

    Conclusions:

    • Safe therapeutic environments can be established through careful management of transference and countertransference.
    • Supervision is essential for therapists to process shame-arousing experiences.
    • Understanding these dynamics helps prevent the re-creation of abusive experiences in therapy.