Transference And Countertransference Assignment
Transference And Countertransference Assignment
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Transference And Countertransference Assignment
Respond to the following;
At an inpatient residential treatment facility, a depressed client unrelentingly begs the attending consultant for a weekend discharge pass. While begging for the pass, the client states, “You remind me so much of my brother. He was always such an easygoing, kind person. Whatever you decide is fine. I trust my brother so much to make wise decisions. You are so much like him. So I trust you will make the right decision.” The consultant finally agrees and allows the patient to be discharged. The consultant is aware that the client has attempted suicide two times in the past. The consultant does not take the time to check with the licensed on-site clinician in charge before signing the weekend discharge slip. Answer the following questions:
What issues of transference are displayed by the client? Explain in your own words.
Did the consultant act ethically by allowing the client to be discharged? Discuss.
Is it possible that countertransference played a part in how the consultant acted? If so, how?
What are the other pitfalls facing consultants in the mental health profession?
What ethical guidelines would you follow if you were a consultant in the mental health profession?
Contents
1Early formulations
2Middle years
3Late twentieth-century paradigm
4Twenty-first-century developments
5Body-centred countertransference
6See also
7Notes
8Bibliography
9External links
Early formulations[edit]
The phenomenon of countertransference (German: Gegenübertragung)[2] was first defined publicly by Sigmund Freud in 1910 (The Future Prospects of Psycho-Analytic Therapy) as being “a result of the patient’s influence on [the physician’s] unconscious feelings”; although Freud had been aware of it privately for some time, writing to Carl Jung for example in 1909 of the need “to dominate ‘counter-transference’, which is after all a permanent problem for us”.[3] Freud stated that since an analyst is a human himself he can easily let his emotions into the client.[4][5] Because Freud saw the countertransference as a purely personal problem for the analyst, he rarely referred to it publicly, and did so almost invariably in terms of a “warning against any countertransference lying in wait” for the analyst, who “must recognize this countertransference in himself and master it”.[6] However, analysis of Freud’s letters shows that he was intrigued by countertransference and did not see it as purely a problem.[7]
The potential danger of the analyst’s countertransference – “In such cases the patient represents for the analyst an object of the past on to whom past feelings and wishes are projected”[8] – became widely accepted in psychodynamic circles, both within and without the psychoanalytic mainstream. Thus, for example, Jung warned against “cases of counter-transference when the analyst really cannot let go of the patient…both fall into the same dark hole of unconsciousness”.[9] Similarly Eric Berne stressed that “Countertransference means that not only does the analyst play a role in the patient’s script, but she plays a part in his…the result is the ‘chaotic situation’ which analysts speak of”.[10] Lacan acknowledged of the analyst’s “countertran