When countertransference reactions go unexamined due to predetermined clinical tasks: How fear of love can keep us from listening

Shweta Sharma, James Chris Fowler

Research output: Contribution to journalArticle

6 Scopus citations

Abstract

The psychotherapeutic work is characterized by processes that are involved in the development of the alliance, as well as processes that lead to the ruptures in the alliance (error) and its repair. The purpose of this article is to highlight the clinical error that occurs when a clinician fails to adequately respond to a patient's emotional signals due to countertransference reactions that results in an overemphasis on predetermined tasks the clinician "naturally" deems as necessary. A clinical vignette is presented to illustrate the error and 3 alternative approaches to the error are discussed. These include-(a) shared decision-making, (b) addressing and repairing alliance rupture, and (c) management of countertransference. Brief theoretical and clinical context for each alternative approach is provided.

Original languageEnglish (US)
Pages (from-to)302-307
Number of pages6
JournalPsychotherapy
Volume53
Issue number3
DOIs
StatePublished - Sep 1 2016

Keywords

  • Alliance rupture
  • Countertransference
  • Decision-making
  • Psychotherapist errors
  • Psychotherapy relationship

ASJC Scopus subject areas

  • Clinical Psychology
  • Psychiatry and Mental health

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