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Posted by: Charlot | 2010/08/21

Transference in psychotherapy

I makes me so mad that vulnerable people like therapy clients get ensnared this way. Two years ago I posted here about my transference agony and that is over now. I was hung up on my therapist &  managed to get out but I have read of many many clients, usually, but not always, women, who get frozen like a fly in amber for YEARS with these sick bozos who call themselves therapists.

I understood transference to be the supreme opportunity for healing if a therapist is skilled in handling it. To be honest, with my many therapy experiences, I always ended up feeling I had to protect my therapist from my transference because it felt like they couldn''t handle it. (mine were more about anger and disappointment and abandonment). Could you give us a picture of what it would be like to properly handle transference with a client?

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Our expert says:
Expert ImageCyberShrink

I think transference, or something rather like it, is a POTENTIAL factor in many therapist / patient interactions, not only those involving psychiatrists - I've seen it arise with gtnaes, oncologists, and so on.
As you imply, IF it arises that's not in itself anything to blame either party for - HOW it's handled, primarily by the therapist ( who holds most of the cards and initiative ) is important, and if it is badly handled, then that is unprofessional and blameworthy.
Speifically with reference to psychotherapy, if the doc doesn't know how to recognize and handle transference, then he should stop doing psychotherapy until he has been properly trained.
Otherwise, it's like someone practising surgery who is phobic about blood.
When transference issues ( and counter-transference isues ) arise, a properly trained professional ought to be able to recognize what's happening, and know how to deal with it properly. This would either include using it within therapy ( including disussing the issue frankly with the patient ) and working through its related issues ; or if for some reason, including counter-transference isues the therapist can't handle well, negotiating a graceful end of the therapy AND transferring the patient to a different therapist to continue and finish the original tasks of therapy.
One of the reasons I prefer, on the whole, shorter and more reality-oriented therapies like CBT is that there are less opportunities for transference problems to arise, and it is easier to transfer someone in mid-therapy should this be needed.

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Our users say:
Posted by: cybershrink | 2010/08/22

I think transference, or something rather like it, is a POTENTIAL factor in many therapist / patient interactions, not only those involving psychiatrists - I've seen it arise with gtnaes, oncologists, and so on.
As you imply, IF it arises that's not in itself anything to blame either party for - HOW it's handled, primarily by the therapist ( who holds most of the cards and initiative ) is important, and if it is badly handled, then that is unprofessional and blameworthy.
Speifically with reference to psychotherapy, if the doc doesn't know how to recognize and handle transference, then he should stop doing psychotherapy until he has been properly trained.
Otherwise, it's like someone practising surgery who is phobic about blood.
When transference issues ( and counter-transference isues ) arise, a properly trained professional ought to be able to recognize what's happening, and know how to deal with it properly. This would either include using it within therapy ( including disussing the issue frankly with the patient ) and working through its related issues ; or if for some reason, including counter-transference isues the therapist can't handle well, negotiating a graceful end of the therapy AND transferring the patient to a different therapist to continue and finish the original tasks of therapy.
One of the reasons I prefer, on the whole, shorter and more reality-oriented therapies like CBT is that there are less opportunities for transference problems to arise, and it is easier to transfer someone in mid-therapy should this be needed.

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