Skip to main content
Log in

After the Flood: Reflections of a Wounded Healer’s Countertransference in Adolescent Treatment

  • Original Paper
  • Published:
Clinical Social Work Journal Aims and scope Submit manuscript

What is to give light must endure burning..

Viktor Frankl.

Abstract

The aim of this paper is to analyze countertransference experienced by a therapist while treating a ‘difficult to treat’ adolescent client. In doing so, the therapist discusses how his childhood experiences and the subsequent assumption of Carl Jung’s wounded healer archetype fueled the countertransference in ways that were concurrently beneficial and detrimental to treatment. The client’s symptoms, behavior, and family system are also examined to illustrate how they uniquely contributed to the intense feelings evoked in the therapist. Topics of omnipotence, curative fantasies, biblical myth, and childhood trauma are explored throughout this paper, as they uniquely intersected to create a complex web of psychodynamics between therapist and client. This is demonstrated primarily through an interpretation of the client’s final session and the therapist’s dream following treatment. The therapist shares reflections of the treatment, implications for wounded healer self-disclosure, as well as the archetype’s importance to the social work profession.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Similar content being viewed by others

References

  • Appelbaum, J. (2012). Father and son: Freud revisits his oedipus complex in moses and monotheism. The American Journal of Psychoanalysis, 72, 166–184.

    Article  Google Scholar 

  • Beck, A. T. (1967). Depression: Clinical, experimental, and theoretical aspects. New York: Harper & Row.

    Google Scholar 

  • Bloomgarden, A., & Mennuti, R. B. (2009). Lessons learned from adolescent girls. In A. Bloomgarden & R. B. Mennuti (Eds.), Psychotherapist revealed: Therapists speak about self-disclosure in psychotherapy (pp. 101–114). New York: Routledge.

    Google Scholar 

  • Bollas, C. (1990). Regression in the countertransference. In L. B. Boyer & P. L. Giovacchini (Eds.), Master clinicians on treating the regressed patient (pp. 339–352). Northvale: Jason Aronson.

    Google Scholar 

  • Briere, J. (1992). Child abuse trauma: Theory and treatment of the lasting effects. Newbury Park: Sage.

    Google Scholar 

  • Burton, A. and associates (Ed.). (1972). Twelve therapists: How they live and actualize themselves. San Francisco: Jossey-Bass.

    Google Scholar 

  • Chaudoir, S. R., & Fisher, J. D. (2010). The disclosure processes model: Understanding disclosure decision-making and post-disclosure outcomes among people living with a concealable stigmatized identity. Psychological Bulletin, 136, 236–256.

    Article  Google Scholar 

  • Chu, J. A. (1998). Rebuilding shattered lives: The responsible treatment of complex post-traumatic and dissociative disorders. New York: Wiley.

    Google Scholar 

  • Ferenczi, S. (1923). ‘The dream of the clever [wise] baby’. In Further Contributions to Psycho-Analysis. Compiled by J. Rickman, (trans: Suttie, J. et al.). London: Hogarth Press, 1926 (2nd edn, 1950). Reprinted London: Karnac Books, 1980. pp. 349–50.

  • Ford, E. S. C. (1963). Being and becoming a psychotherapist: The search for identity. American Journal of Psychotherapy, 17, 474–482.

    Article  Google Scholar 

  • Fortune, C. (1993). ‘The case of R. N.: Sandor Ferenczi’s radical experiment in psycho-analysis’. In L. Aron & A. Harris (Eds.), The legacy of Sandor Ferenczi. Hillsdale: The Analytic Press.

  • Frankl, V. (1959). Man’s search for meaning. Boston: Beacon Press.

    Google Scholar 

  • Freud, S. (1939). Moses and monotheism. Standard Edition (Vol. 23, pp. 1–138). London: Hogarth.

    Google Scholar 

  • Gabbard, G. O. (1993). An overview of countertransference with borderline patients. Journal of Psychotherapy, Practice and Research, 2(1), 7–18.

    Google Scholar 

  • Gelso, C. J., & Hayes, J. A. (2007). Countertransference and the therapist’s inner experience: Perils and possibilities. Mahwah: Erlbaum.

    Book  Google Scholar 

  • Gilroy, P. J., Carroll, L., & Murra, J. (2001). Does depression affect clinical practice? A survey of women psychotherapists. Women and Therapy, 23, 13–30.

    Article  Google Scholar 

  • Goldberg, A. (2012). The analysis of failure: An investigation of failed cases in psychoanalysis and psychotherapy. New York: Routledge.

    Book  Google Scholar 

  • Groesbeck, C. J. (1975). The archetypal image of the wounded healer. Journal of Analytic Psychology, 20, 122–145.

    Article  Google Scholar 

  • Havsteen-Franklin, D. (2007). Differentiating the ego-personality and internal other in art psychotherapy with patients with borderline personality disorder. Psychodynamic Practice, 13(1), 59–83.

    Article  Google Scholar 

  • Jackson, S. W. (2001). The wounded healer. Bulletin of the History of Medicine, 75, 1–36.

    Article  Google Scholar 

  • Jones, N. (2013). Externalizing injustice: Madness is never here. Retrieved from http://phenomologyofmadness.files.wordpress.com/%202013/01/fpa.docx.

  • Jung, C., & Kerenyi, C. (1951). Introduction to a science of mythology: The myth of the divine child and the mysteries of Eleusis. London: Routledge & Kegan Paul.

    Google Scholar 

  • Kerenyi, C. (1959). Asklepios: Archetypal image of the physician’s existence. Archetypal images in greek religion bollingen series (Vol. 65, No. 3). New York: Pantheon Books.

  • Kirmayer, L. (2003). Asklepian dreams: The ethos of the wounded-healer in the clinical encounter. Transcultural Psychiatry, 40, 248–277.

    Article  Google Scholar 

  • Kron, T., & Avny, N. (2003). Psychotherapists’ dreams about their patients. Journal of Analytical Psychology, 48, 317–339.

    Article  Google Scholar 

  • Maltsberger, J. T., & Buie, D. H. (1974). Countertransference hate in the treatment of suicidal patients. Archives of General Psychiatry, 30, 625–633.

    Article  Google Scholar 

  • Natterson, J. (1991). Beyond countertransference: The therapist’s subjectivity in the therapeutic process. Northvale: Jason Aronson.

    Google Scholar 

  • Norcross, J. C., & Guy, J. D. (2007). Leaving it in the office. A guide to psychotherapist self-care. New York: The Guilford Press.

    Google Scholar 

  • Ornstein, A. (1995). The fate of the curative fantasy in the psychoanalytic treatment process. Contemporary Psychoanalysis, 31, 113–123.

    Article  Google Scholar 

  • Racusin, G. R., Abramowitz, S. I., & Winter, W. D. (1981). Becoming a therapist: Family dynamics and career choice. Professional Psychology, 12, 271–279.

    Article  Google Scholar 

  • Russell, A. T., Pasnau, R. O., Zebulon, C., & Taintor, Z. C. (1975). Emotional problems of residents in psychiatry. American Psychiatry, 132, 263–267.

    Article  Google Scholar 

  • Salinger, J. D. (1951). The catcher in the rye. New York: Little Brown and Company.

    Google Scholar 

  • Schaffer, A. (2006). The analyst’s curative fantasies. Implications for supervision and self-supervision. Contemporary Psychoanalysis, 42(3), 349–366.

    Article  Google Scholar 

  • Sherman, M. D. (1996). Distress and professional impairment due to mental health problems among psychotherapists. Clinical Psychology Review, 16, 299–315.

    Article  Google Scholar 

  • Sussman, M. B. (2007). A curious calling: Unconscious motivations for practicing psychotherapy. New York: Jason Aronson.

    Google Scholar 

  • Whitman, R. M., Kramer, M., & Baldridge, B. J. (1969). Dreams about the patient. Journal of the American Psychoanalytic Association, 17(3), 702–727.

    Article  Google Scholar 

  • Winnicott, D. W. (1984 [1947]). Hate in the countertransference. In through paediatrics to psychoanalysis. London: Karnac Books.

  • Zerubavel, N., & Wright, M. O. (2012). The dilemma of the wounded healer. Psychotherapy, 49(4), 482–491.

    Article  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Ralph Cuseglio.

Additional information

Publisher's Note

Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.

Rights and permissions

Reprints and permissions

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

Cuseglio, R. After the Flood: Reflections of a Wounded Healer’s Countertransference in Adolescent Treatment. Clin Soc Work J 49, 35–44 (2021). https://doi.org/10.1007/s10615-019-00716-0

Download citation

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s10615-019-00716-0

Keywords

Navigation