Psychodynamic - Transferance VS Counter Transferance
3 important questions on Psychodynamic - Transferance VS Counter Transferance
Factors contributing Counter Transference
Primitive Defenses (Projective Identification):
BPD patients frequently use splitting and projective identification (push their unwanted feelings onto others). This can make the therapeutic relationship unstable and lead to intense emotional outbursts.
• Attachment Dynamics:
Patients with BPD often have disorganized attachment patterns and a profound fear of abandonment.
• Therapist’s Experience Level:
Experienced therapists tend to experience fewer negative reactions because they have developed greater emotional competence to separate their own feelings from those induced by the client.
• Therapist's Personal Vulnerabilities:
Therapists bring their own internal object relationships and unresolved attachment issues into the session
BPD patients frequently use splitting and projective identification (push their unwanted feelings onto others). This can make the therapeutic relationship unstable and lead to intense emotional outbursts.
• Attachment Dynamics:
Patients with BPD often have disorganized attachment patterns and a profound fear of abandonment.
• Therapist’s Experience Level:
Experienced therapists tend to experience fewer negative reactions because they have developed greater emotional competence to separate their own feelings from those induced by the client.
• Therapist's Personal Vulnerabilities:
Therapists bring their own internal object relationships and unresolved attachment issues into the session
Specific Counter transference found in BPD
Guilt Feelings:
• Rescue Fantasies:
• Boundary Transgressions:
• Rage and Hatred:
• Helplessness and Worthlessness:
• Rescue Fantasies:
• Boundary Transgressions:
• Rage and Hatred:
• Helplessness and Worthlessness:
APA Guideline to manage counter transference
Recognize → Reflect → Regulate → Seek Supervision → Maintain Boundaries → Respond Thoughtfully
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