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Countertransference in Forensic Patients with Psychosis: Associations with Symptomatology, Inpatient Violence, and Psychopathic Personality Traits
Journal of Forensic Psychology Practice Pub Date : 2021-01-17 , DOI: 10.1080/24732850.2021.1874975
Patrizio Di Virgilio 1 , Louis De Page 1, 2 , Pierre Titeca 1
Affiliation  

ABSTRACT

Countertransference can instigate poor or even iatrogenic treatment effects. This study investigated the extent to which psychotic symptoms, inpatient violence and disruptive behavior, and psychopathic/antisocial personality traits are associated with countertransference. Eighty-nine patients with psychotic disorders in a forensic medium-secure unit were assessed twice for countertransference using the Therapist Response Questionnaire. We found that psychopathic/antisocial personality traits had a larger impact on countertransference in patients than did psychotic symptoms and inpatient violence and behavior. Although differences existed between psychologists/psychiatrists and nursing personnel, all patient-related variables were associated with increased negative countertransference and decreased positive countertransference. Differences in association magnitude and clinical implications are discussed.



中文翻译:

精神病法医患者的反移情:与症状学、住院暴力和精神病态人格特征的关联

摘要

反移情会导致不良甚至医源性治疗效果。这项研究调查了精神病症状、住院暴力和破坏性行为以及精神病/反社会人格特征与反移情的相关程度。使用治疗师反应问卷对法医中等安全单位中的 89 名精神病患者进行了两次反移情评估。我们发现,与精神病症状和住院暴力和行为相比,精神病态/反社会人格特质对患者的反移情影响更大。尽管心理学家/精神病学家和护理人员之间存在差异,但所有与患者相关的变量都与负反移情增加和正反移情减少有关。

更新日期:2021-01-17
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