Countertransference and the treatment of trauma.

Dalenberg, Constance J.

doi:10.1037/10380-000

Cited by 128 publications

(124 citation statements)

References 167 publications

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“…Although it is beyond the scope of this paper to provide in-depth discussion of transference and countertransference, the clinician must have a thorough working knowledge of them, and the particular, complex, and contradictory ways in which they manifest in traumatized patients and their clinicians. A few essential publications include Allen, 2001;Chu, 1998;Dalenberg, 2000;Davies & Frawley, 1994;Kluft, 1994b;Loewenstein, 1993;Pearlman & Saakvitne, 1995;Wilson & Lindy, 1994;Wilson & Thomas, 2004. The psychodynamic, analytic, and object relations literatures are particularly helpful in understanding complex and difficult countertransference and transference problems.…”

Section: Treatment Principles Throughout Phase-oriented Treatmentmentioning

confidence: 99%

Phase-Oriented Treatment of Structural Dissociation in Complex Traumatization: Overcoming Trauma-Related Phobias

Steele

Hart

Nijenhuis

2005

Journal of Trauma & Dissociation

126

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ABSTRACT. The theory of structural dissociation of the personality proposes that patients with complex trauma-related disorders are characterized by a division of their personality into different prototypical parts, each with its own psychobiological underpinnings. As one or more "apparently normal" parts (ANPs), patients have a propensity toward engaging in evolutionary prepared action systems for adaptation to daily living to guide their actions. Two or more "emotional" parts (EPs) are

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Section: Treatment Principles Throughout Phase-oriented Treatmentmentioning

confidence: 99%

Phase-Oriented Treatment of Structural Dissociation in Complex Traumatization: Overcoming Trauma-Related Phobias

Steele

Hart

Nijenhuis

2005

Journal of Trauma & Dissociation

126

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“…12 It is known that therapeutic impasses and failures are fairly common in treating victims of psychological trauma. 13 The therapists may be the first ones to identify, within themselves, feelings such as fear, shame and helplessness in patients, because, at first, patients may not always be able to access their affective experiences. As these feelings are often intense and even unbearable, they may terrify the therapeutic dyad, leading to impasses if not recognized and elaborated.…”

Section: Introductionmentioning

confidence: 99%

Countertransference in the initial visit of women victims of sexual violence

Eizirik

Schestatsky

Kruel

et al. 2010

Rev. Bras. Psiquiatr.

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Objective: To identify demographic and clinical correlates associated with therapists' countertransference feelings on the first visit of women victims of sexual violence. Method: Forty patients were seen by 26 therapists, during 2 consecutive years, at the Center for the Study and Treatment of Psychological Trauma, Hospital de Clínicas de Porto Alegre, Brazil. After the first visit with the patient, the therapist completed the Assessment of Countertransference Scale and the patient was evaluated with the Davidson Trauma Scale, the Standardized Assessment of Personality -Abbreviated Scale, the Beck Depression Inventory, and the Defense Style Questionnaire. Results: The therapists showed a predominance of feelings of closeness (Mean = 5.42, SD = 1.25) in relation to the feelings of indifference (Mean = 1.82, SD = 1.22) and distance (Mean = 1.57, SD = 1.08) [p < 0.001]. Multivariate analyses did not present significant associations between countertransference feelings and clinical characteristics of patients. The gender of the therapists did not influence the pattern of countertransference feelings. In the subgroup of female therapists, we detected an inverse correlation between a higher probability of patients' personality disorders and feelings of closeness in the therapists. Conclusion: We did not detect a differential pattern of countertransference feelings associated with specific clinical characteristics. Therapists of both genders presented a similar pattern of feelings of empathy towards women victims of sexual violence, although the gender of the therapist may moderate the feelings evoked by patients with increased likelihood of personality disorders. Descriptors

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“…therapeutic mutuality] is correlated inversely with resistance. By the same token, the qualities and skills of the therapist working with the traumaself are also important for a better outcome [46,47,48]. Many contemporary clinicians agree that treatment-resistance may also have its origins at the therapist's part of the process [48]; thus, Strean [5] talks about "counterresistance."…”

Section: Case Examplementioning

confidence: 99%

“…By the same token, the qualities and skills of the therapist working with the traumaself are also important for a better outcome [46,47,48]. Many contemporary clinicians agree that treatment-resistance may also have its origins at the therapist's part of the process [48]; thus, Strean [5] talks about "counterresistance." Considering resistance as a structural phenomenon inherent in the analytical process which can never be overcome totally [which can only be minimized and should, at least, not exacerbated], Lacan [49] stated even: "there is no resistance on the part of the subject" and further "there is no other resistance to analysis than of the analyst himself " [50].…”

Section: Case Examplementioning

confidence: 99%

The Trauma-Self and Its Resistances in Psychotherapy

Öztürk¹,

Şar²

2016

JPCPY

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This paper seeks to highlight phenomena related to resistance in the psychotherapy of dissociative disorders and other trauma-and stress-related psychiatric disorders. The authors consider a particular psychological construct to be at the origin of resistance: the trauma-self. The resistances of the trauma-self consist of three main groups: Depressive manifestations, traumatic obsessions, and loss of psychosocial mutuality. Detemporalization, treating oneself as an object, suicidality, obsessions of abnormality, rupturing the mutuality of the patient-therapist relationship, and dissociative somatic crises are clues of these resistances. Succesful treatment is expected to minimize the resistances of the trauma-self. This is expected to be achieved through the careful contextualization of the trauma-self while conducting psychotherapy. Approaching the patient's experiences from multiple angles not only from the angle of the therapist but also from the patient's distinct perspectives are crucial in working through the resistances of the trauma-self.

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Countertransference and the treatment of trauma.

Cited by 128 publications

References 167 publications

Phase-Oriented Treatment of Structural Dissociation in Complex Traumatization: Overcoming Trauma-Related Phobias

Phase-Oriented Treatment of Structural Dissociation in Complex Traumatization: Overcoming Trauma-Related Phobias

Countertransference in the initial visit of women victims of sexual violence

The Trauma-Self and Its Resistances in Psychotherapy

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