The importance of using countertransference management in therapy

This article is the first in a series of articles on a principle I am afraid has gone missing from most psychological theories and techniques - Common Sense. It is a presentation of my own understanding of transference and countertransference gained through extensive personal and professional experience - as both client and therapist- and through the shared experiences of my clients, colleagues and friends. Let me begin with some basic definitions.

The importance of using countertransference management in therapy

Cognitive-Behavioral Therapy There are actually several kinds of Cognitive-Behavioral therapies spelled behavioural in British Englishand they all employ the same general premise: As such, these therapeutic techniques usually take much less time and are therefore less costly than psychodynamic psychotherapy.

The importance of using countertransference management in therapy

As a trade-off to the cost, though, the client usually must do considerable work, such as homework writing assignments and practice of techniques learned in the office.

Failure to complete tasks as assigned is taken as a lack of motivation and an unwillingness to change behaviors.

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The pure behavioral therapies, such as classical conditioning or operant conditioning, focus on changing behaviors. REBT used to be called Rational Emotive Therapy RET ; the name change reflects the understanding that rational beliefs, emotions, and behaviors are all interdependent and that psychotherapy should work on all these levels.

This leads to a simple moral: Which form of psychotherapy you choose depends only on personal preference, time, and money. Some therapies that work wonders with one person are a complete flop with another person. You should pay attention to this fact, especially if you are using Managed Care to provide your treatment.

What is the difference between Cognitive-Behavioral therapy and Psychodynamic psychotherapy? Still, this sort of awareness does not need to be extensive. And so you learn, when feeling upset and starting to get angryfor example, to track the emotional hurt back into similar earlier experiences and feelings, many of them previously unconscious ; thus you come to understand the components of your current feelings, and you are enabled to take actions with full awareness of the origins and consequences of your motives.

There is no magic here; simply by practice a client can learn to alter these various physiological processes. The goal usually is to change them from a state of nervous arousal to a state of deep relaxation. Biofeedback equipment is usually quite expensive, and any professional who uses it clinically must receive considerable technical training, usually from biofeedback training organizations see Additional Resourcesbelow.

Some companies, however, make simple biofeedback devices for self-treatment at home. These devices can be helpful for those persons who have difficulty with the more imaginative relaxation techniques. You just learn to recognize the feeling of tension in your body and then you learn to release the tension.

I teach three kinds of relaxation: Progressive Muscle Relaxation in which you tense and relax various muscles, progressively, throughout your bodyGuided Imagery in which you visualize relaxing images and situationsand Autogenics in which you learn to create a feeling of warmth and heaviness throughout your body.

Click on these links for short courses in self-administered progressive muscle relaxation and autogenics training. Essentially you create an anxiety hierarchy a graded list of anxiety-provoking items and then proceed to pair each item with the feeling of being deeply relaxed.

Eventually this training process allows you to remain relaxed even when thinking about the anxiety-provoking situation. Finally, you learn to confront the real situation while remaining calm and relaxed.

The importance of using countertransference management in therapy

Click on the link for a short course in self-administered systematic desensitization.For example, in Beck’s venerable Cognitive Therapy of Depression (), Chapter 3 is on the therapeutic relationship in Cognitive Therapy.

It discusses the importance of warmth, accurate empathy, genuineness, trust, rapport, the importance of a collaborative relationship, and briefly discusses transference and counter-transference.

and people, management of exposure and distance from the trauma.

"I" Statements (Worksheet) | Therapist Aid

(In group, safety is developed by the presence of leader, empathic attunement, established frame, symptom management, pacing, containment). countertransference as a natural and normal development. In their totalistic view, countertransference includes all the therapist’s.

Countertransference is the therapist's transference feelings in the therapy and/or towards the client. The feelings that come from transference and countertransference are as real as the feelings that come from the "core self" or the "real self" as we like to distinguish in body therapies.

For example, some object relationists (e.g., Kernberg, ; Winnicott, ) working with severely disturbed patients began to accept the. inevitability of their personal responses to patients and espoused using all affective.

reactions as an important source of clinical information about the .

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Self-Awareness as a Therapeutic Tool for Nurse/Client Relationship Subia Parveen Rasheed, RN, BScN Self-awareness is a process of objective examination of oneself and is one of the important (counter transference) threatens the effectiveness of nurse-client relationship” (p).

Our "I" Statements worksheet includes education and tips that will help your clients apply the technique in real-life situations, along with several practice examples.

Tip: Try using the practice examples as the basis for role-playing exercises.

Countertransference, an overview