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Countertransference types and their relation to rupture and repair in the alliance
Psychotherapy Research ( IF 4.117 ) Pub Date : 2020-12-30 , DOI: 10.1080/10503307.2020.1862934
Orya Tishby 1 , Hadas Wiseman 2
Affiliation  

Abstract

Background Ruptures in the alliance are co-constructed by clients and therapists, reflecting an interaction between their respective personality configurations [Safran, J. D., & Muran, J. C. (2000). Negotiating the therapeutic alliance: A relational treatment guide. Guilford Press]. In order to work effectively with ruptures, therapists should be aware of their own feeling states, acknowledging the subjectivity of their perceptions [Safran, J. D. (2002). Brief relational psychoanalytic treatment. Psychoanalytic Dialogues, 12(2), 171–195. https://doi.org/10.1080/10481881209348661]. Lack of such awareness may be a product of countertransference (CT), which has been shown to be inversely related to outcome. However, when effectively managed, CT contributes to positive outcome [Hayes, J. A., Gelso, C. J., Goldberg, S., & Kivlighan, D. M. (2018). Countertransference management and effective psychotherapy: Meta-analytic findings. Psychotherapy, 55(4), 496–507. https://doi.org/10.1037/pst0000189]. Objectives: The present study examined the associations between types of CT and therapists’ reports of ruptures and resolutions. Method: Data were collected from 27 therapists, who treated 67 clients in yearlong psychodynamic psychotherapy. CT patterns were assessed based on therapists’ Core Conflictual Relationship Themes with their parents, which were repeated in narratives about their clients [Tishby, O., & Wiseman, H. (2014). Types of countertransference dynamics and their impact on the client–therapist relationship. Psychotherapy Research, 24(3), 360–375. https://doi.org/10.1080/10503307.2014.893068]. Results: Negative CT patterns were associated with more ruptures and less resolution. Positive patterns predicted resolution when the therapists repeated positive patterns with parents, but predicted ruptures when they tried to “repair” negative patterns with the parents. These results point to the importance of therapists’ awareness of their CT in order to deal effectively with ruptures and facilitate resolution.



中文翻译:

反移情类型及其与联盟破裂和修复的关系

摘要

背景联盟中的破裂是由客户和治疗师共同构建的,反映了他们各自的个性配置之间的相互作用 [Safran, JD, & Muran, JC (2000)。协商治疗联盟:关系治疗指南。吉尔福德出版社]。为了有效地处理破裂,治疗师应该意识到他们自己的感觉状态,承认他们感知的主观性 [Safran, JD (2002)。简短的关系精神分析治疗。精神分析对话, 12(2), 171–195。https://doi.org/10.1080/10481881209348661]。缺乏这种意识可能是反移情(CT)的产物,它已被证明与结果成反比。然而,如果得到有效管理,CT 有助于产生积极的结果 [Hayes, JA, Gelso, CJ, Goldberg, S., & Kivlighan, DM (2018)。反移情管理和有效心理治疗:荟萃分析结果。心理治疗55 (4), 496–507。https://doi.org/10.1037/pst0000189]。目的:本研究检查了 CT 类型与治疗师报告的破裂和消退之间的关联。方法:数据来自 27 位治疗师,他们在为期一年的心理动力学心理治疗中治疗了 67 位客户。CT 模式是根据治疗师与父母的核心冲突关系主题进行评估的,这些主题在关于他们的客户的叙述中重复出现 [Tishby, O., & Wiseman, H. (2014)。反移情动力学的类型及其对来访者-治疗师关系的影响。心理治疗研究24(3),360-375。https://doi.org/10.1080/10503307.2014.893068]。结果:负 CT 模式与更多的破裂和更少的分辨率相关。当治疗师与父母重复积极模式时,积极模式预测解决,但当他们试图与父母“修复”消极模式时预测破裂。这些结果表明治疗师对其 CT 的认识对于有效处理破裂并促进解决的重要性。

更新日期:2020-12-30
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