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Emotions and Countertransference

  • Jason D. BrownEmail author
Chapter

Abstract

Without the therapist’s openness and responsivity to a client’s emotional experience, counseling and psychotherapy are mechanistic and without compassion. Countertransference is the automatic emotional reaction of a therapist toward a client that occurs within the therapeutic encounter. Cultural background, personal experiences, and socialization contribute to countertransference responses. Values, theories, as well as biases and prejudices, all play a role in the responses and affect the therapy.

References

  1. Ackerman, S. J., Benjamin, L. S., Beutler, L. E., Gelso, C. J., Goldfried, M. R., Hill, C., … & Rainer, J. (2001). Empirically supported therapy relationships: Conclusions and recommendations of the Division 29 Task Force. Psychotherapy: Theory, Research, Practice, Training, 38(4), 495.Google Scholar
  2. Barrett, L. F., Lewis, M., & Haviland-Jones, J. M. (Eds.). (2016). Handbook of emotions. New York: Guilford.Google Scholar
  3. Brody, E. M., & Farber, B. A. (1996). The effects of therapist experience and patient diagnosis on countertransference. Psychotherapy: Theory, Research, Practice, Training, 33(3), 372.Google Scholar
  4. Bush, G., Luu, P., & Posner, M. I. (2000). Cognitive and emotional influences in anterior cingulate cortex. Trends in Cognitive Sciences, 4(6), 215–222.CrossRefPubMedPubMedCentralGoogle Scholar
  5. Cartwright, C. (2011). Transference, countertransference, and reflective practice in cognitive therapy. Clinical Psychologist, 15(3), 112–120.CrossRefGoogle Scholar
  6. Ciarrochi, J., & Scott, G. (2006). The link between emotional competence and well-being: A longitudinal study. British Journal of Guidance and Counselling, 34(2), 231–243.CrossRefGoogle Scholar
  7. Colli, A., & Ferri, M. (2015). Patient personality and therapist countertransference. Current Opinion in Psychiatry, 28(1), 46–56.CrossRefPubMedPubMedCentralGoogle Scholar
  8. Connolly, M. B., Crits-Christoph, P., Demorest, A., Azarian, K., Muenz, L., & Chittams, J. (1996). Varieties of transference patterns in psychotherapy. Journal of Consulting and Clinical Psychology, 64(6), 1213.CrossRefPubMedPubMedCentralGoogle Scholar
  9. Cowen, A. S., & Keltner, D. (2017). Self-report captures 27 distinct categories of emotion bridged by continuous gradients. Proceedings of the National Academy of Sciences, 114(38), E7900–E7909.CrossRefGoogle Scholar
  10. Dahl, H. S. J., Røssberg, J. I., Bøgwald, K. P., Gabbard, G. O., & Høglend, P. A. (2012). Countertransference feelings in one year of individual therapy: An evaluation of the factor structure in the Feeling Word Checklist-58. Psychotherapy Research, 22(1), 12–25.CrossRefPubMedPubMedCentralGoogle Scholar
  11. Damasio, A. R. (1996). The somatic marker hypothesis and the possible functions of the prefrontal cortex. Philosophical Transactions of the Royal Society of London. Series B: Biological Sciences, 351(1346), 1413–1420.Google Scholar
  12. Demoulin, S., Leyens, J. P., Paladino, M. P., Rodriguez-Torres, R., Rodriguez-Perez, A., & Dovidio, J. (2004). Dimensions of “uniquely” and “non-uniquely” human emotions. Cognition and Emotion, 18(1), 71–96.CrossRefGoogle Scholar
  13. de Vogel, V., & de Ruiter, C. (2004). Differences between clinicians and researchers in assessing risk of violence in forensic psychiatric patients. Journal of Forensic Psychiatry & Psychology, 15(1), 145–164.CrossRefGoogle Scholar
  14. Fauth, J. (2006). Toward more (and better) countertransference research. Psychotherapy: Theory, Research, Practice, Training, 43(1), 16–31.Google Scholar
  15. Frijda, N. H. (1988). The laws of emotion. American Psychologist, 43(5), 349.CrossRefPubMedPubMedCentralGoogle Scholar
  16. Gabbard, G. O., & Kay, J. (2001). The fate of integrated treatment: Whatever happened to the biopsychosocial psychiatrist? American Journal of Psychiatry, 158(12), 1956–1963.CrossRefPubMedPubMedCentralGoogle Scholar
  17. Gelso, C. J., & Carter, J. A. (1994). Components of the psychotherapy relationship: Their interaction and unfolding during treatment. Journal of Counseling Psychology, 41(3), 296.CrossRefGoogle Scholar
  18. Gelso, C. J., & Hayes, J. A. (2002). The management of countertransference. In J. C. Norcross (Ed.), Psychotherapy relationships that work: Therapist contributions and responsiveness to patients (pp. 267–283). New York, NY: Oxford University Press.Google Scholar
  19. Hayes, J. A., & Gelso, C. J. (2001). Clinical implications of research on countertransference: Science informing practice. Journal of Clinical Psychology, 57(8), 1041–1051.CrossRefPubMedPubMedCentralGoogle Scholar
  20. Hill, C. E., & Knox, S. (2009). Processing the therapeutic relationship. Psychotherapy Research, 19(1), 13–29.CrossRefPubMedPubMedCentralGoogle Scholar
  21. Holmqvist, R. (2001). Patterns of consistency and deviation in therapists’ countertransference feelings. Journal of Psychotherapy Practice & Research, 10(2), 104–116.Google Scholar
  22. Holmqvist, R., & Armelius, B. Å. (1994). Emotional reactions to psychiatric patients: Analysis of a feeling checklist. Acta Psychiatrica Scandinavica, 90(3), 204–209.CrossRefPubMedPubMedCentralGoogle Scholar
  23. Horton, R. (2006). Refining theory and practice in the cultural psychology of emotion: Tibetan “anger” and the roots of the modern Tibetan commitment to nonviolence (Unpublished doctoral dissertation), University of Chicago.Google Scholar
  24. Imhof, J. E. (1991). Countertransference issues in alcoholism and drug addiction. Psychiatric Annals, 21(5), 292–306.CrossRefGoogle Scholar
  25. Joseph, C. (2001). The virtues as a cultural domain: A study of Arabic Speaking Muslims (Unpublished doctoral dissertation), University of Chicago.Google Scholar
  26. Keltner, D., & Cordaro, D. T. (2017). Understanding multimodal emotional expressions: Recent advances in basic emotion theory. In Jose-Miguel Fernandez-Dols & James Russell (Eds.), The science of facial expression (pp. 57–76). London: Oxford University Press.Google Scholar
  27. Kohler, C. G., Turner, T., Stolar, N. M., Bilker, W. B., Brensinger, C. M., Gur, R. E., et al. (2004). Differences in facial expressions of four universal emotions. Psychiatry Research, 128(3), 235–244.CrossRefPubMedPubMedCentralGoogle Scholar
  28. Kraus, M. W. (2017). Voice-only communication enhances empathic accuracy. American Psychologist, 72(7), 644.CrossRefPubMedPubMedCentralGoogle Scholar
  29. Lane, F. M. (1986). Transference and countertransference: Definitions of terms. In H. Meyers (ED.), Between analyst and patient: New dimensions in countertransference and transference (pp. 237–256). London, UK: Routledge.Google Scholar
  30. Milmoe, S., Rosenthal, R., Blane, H. T., Chafetz, M. E., & Wolf, I. (1967). The doctor’s voice: Postdictor of successful referral of alcoholic patients. Journal of Abnormal Psychology, 72(1), 78.CrossRefPubMedPubMedCentralGoogle Scholar
  31. Muran, J. C. (2002). A relational approach to understanding change: Plurality and contextualism in a psychotherapy research program. Psychotherapy Research, 12(2), 113–138.CrossRefGoogle Scholar
  32. Murphy, F. C., Nimmo-Smith, I. A. N., & Lawrence, A. D. (2003). Functional neuroanatomy of emotions: A meta-analysis. Cognitive, Affective, & Behavioral Neuroscience, 3(3), 207–233.CrossRefGoogle Scholar
  33. Najavits, L. M. (2000). Researching therapist emotions and countertransference. Cognitive and Behavioral Practice, 7(3), 322–328.CrossRefGoogle Scholar
  34. Plutchik, R. (1997). The circumplex as a general model of the structure of emotions and personality. In R. Plutchik & H. R. Conte (Eds.), Circumplex models of personality and emotions (pp. 17–45). Washington, DC: American Psychological Association.CrossRefGoogle Scholar
  35. Pope, K. S., & Tabachnick, B. G. (1993). Therapists’ anger, hate, fear, and sexual feelings: National survey of therapist responses, client characteristics, critical events, formal complaints, and training. Professional Psychology: Research and Practice, 24(2), 142.CrossRefGoogle Scholar
  36. Prasko, J., & Vyskocilova, J. (2010). Countertransference during supervision in cognitive behavioral therapy. Activitas Nervosa Superior Rediviva, 52(4), 253–262.Google Scholar
  37. Prasko, J., Diveky, T., Grambal, A., Kamaradova, D., Mozny, P., Sigmundova, Z., … & Vyskocilova, J. (2010). Transference and countertransference in cognitive behavioral therapy. Biomedical Papers, 154(3), 189–198.Google Scholar
  38. Rosenberger, E. W., & Hayes, J. A. (2002). Origins, consequences, and management of countertransference: A case study. Journal of Counseling Psychology, 49(2), 221.CrossRefGoogle Scholar
  39. Rossberg, J. I., Karterud, S., Pedersen, G., & Friis, S. (2008). Specific personality traits evoke different countertransference reactions: An empirical study. The Journal of Nervous and Mental Disease, 196(9), 702–708.CrossRefPubMedPubMedCentralGoogle Scholar
  40. Rossberg, J. I., Karterud, S., Pedersen, G., & Friis, S. (2010). Psychiatric symptoms and countertransference feelings: An empirical investigation. Psychiatry Research, 178(1), 191–195.CrossRefPubMedPubMedCentralGoogle Scholar
  41. Russell, M., & Brickell, M. (2015). The “double-edge sword” of human empathy: A unifying neurobehavioral theory of compassion stress injury. Social Sciences, 4(4), 1087–1117.CrossRefGoogle Scholar
  42. Sherif, M. A. (1975). Ghazali’s theory of virtue. Albany, NY: SUNY Press.Google Scholar
  43. Shweder, R. A., Haidt, J., Horton, R., & Joseph, C. (2008). The cultural psychology of the emotions: Ancient and renewed. In M. Lewis, J. M. Haviland-Jones, & L. F. Barrett (Eds.), Handbook of emotions (pp. 409–427). New York, NY: The Guilford Press.Google Scholar
  44. Stampley, C., & Slaght, E. (2004). Cultural countertransference as a clinical obstacle. Smith College Studies in Social Work, 74(2), 333–347.CrossRefGoogle Scholar
  45. Strupp, H. H. (1980). Success and failure in time-limited psychotherapy: A systematic comparison of two cases: Comparison 1. Archives of General Psychiatry, 37(5), 595–603.CrossRefPubMedPubMedCentralGoogle Scholar
  46. Thoits, P. A. (1989). The sociology of emotions. Annual Review of Sociology, 15(1), 317–342.CrossRefGoogle Scholar
  47. Ulberg, R., Falkenberg, A. A., Nerdal, T. B., Johannessen, H., Olsen, J. E., Eide, T. K., et al. (2013). Countertransference feelings when treating teenagers: A psychometric evaluation of the Feeling Word Checklist–24. American Journal of Psychotherapy, 67(4), 347–358.CrossRefGoogle Scholar
  48. Whyte, C. R., Constantopoulos, C., & Bevans, H. G. (1982). Types of countertransference identified by Q- analysis. British Journal of Medical Psychology, 55(2), 187–201.CrossRefPubMedPubMedCentralGoogle Scholar
  49. Winnicott, D. W. (1949). Hate in the counter-transference. International Journal of Psycho-Analysis, 30, 69–74.Google Scholar

Copyright information

© The Author(s) 2019

Authors and Affiliations

  1. 1.Faculty of EducationWestern UniversityLondonCanada

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