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Transference and Countertransference in Addressing Islamophobia in Clinical Practice

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Islamophobia and Psychiatry

Abstract

Ever since the terrorist attacks of September 11, 2001, and the subsequent declaration of the global War on Terror, clinicians and researchers have reported growing concerns about Islamophobia in mental health settings. This chapter begins by defining Islamophobia and presents examples of its deleterious effects on mental health. Next, the chapter discusses common types of Islamophobic transference and countertransference reactions that can be elicited whenever a patient or clinician is perceived to be Muslim. Finally, the chapter discusses practical strategies for clinicians to address such situations constructively. Without making any excuses for Islamophobia, clinicians may find that working through such impasses with patients can lower psychological defenses that advance therapeutic work.

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References

  1. Aggarwal NK. Intersubjectivity, transference, and the cultural third. Contemp Psychoanal. 2011;47:204–23.

    Article  Google Scholar 

  2. Aggarwal NK. Mental health in the war on terror: culture, science, and statecraft. New York: Columbia University Press; 2015.

    Google Scholar 

  3. Aggarwal NK. Challenges in treating undocumented immigrants. Am J Psychiatry. 2017;174:833–7.

    Article  Google Scholar 

  4. Ahluwalia MK, Pellettiere L. Sikh men post-9/11: misidentification, discrimination, and coping. Asian Am J Psychol. 2010;1:303–14.

    Article  Google Scholar 

  5. Al-Krenawi A. Mental health practice in Arab countries. Curr Opin Psychiatry. 2005;18:560–4.

    Article  Google Scholar 

  6. Al Wazni AB. Muslim women in America and hijab: a study of empowerment, feminist identity, and body image. Soc Work. 2015;60:325–33.

    Article  Google Scholar 

  7. Amer MM, Bagasra A. Psychological research with Muslim Americans in the age of Islamophobia: trends, challenges, and recommendations. Am Psychol. 2013;68:134–44.

    Article  Google Scholar 

  8. American Psychiatric Association. Patient-clinician relationship. Supplementary Modules to the Core Cultural Formulation Interview. 2017. Available at https://www.google.com/url?sa=t&rct=j&q=&esrc=s&source=web&cd=2&cad=rja&uact=8&ved=0ahUKEwjZjMqJuevWAhWLwYMKHdd2D5cQFgguMAE&url=https%3A%2F%2Fwww.psychiatry.org%2FFile%2520Library%2FPsychiatrists%2FPractice%2FDSM%2FAPA_DSM5_Cultural-Formulation-Interview-Supplementary-Modules.pdf&usg=AOvVaw1Viw3gk_WlBQVOsXRtQBfE. Accessed 12 Oct 2017.

  9. Arab American Institute. American attitudes toward Arabs and Muslims. Washington, DC: Arab American Institute; 2015.

    Google Scholar 

  10. Bleich E. What is Islamophobia and how much is there? Theorizing and measuring an emerging comparative concept. Am Behav Sci. 2011;55:1581–600.

    Article  Google Scholar 

  11. Comas-Diaz L, Jacobsen FM. Ethnocultural transference and countertransference in the therapeutic dyad. Am J Orthop. 1991;61:392–402.

    Article  CAS  Google Scholar 

  12. Evans DA. Psychotherapy and black patients: problems of training, trainees, and trainers. Psychotherapy. 1985;22:457–60.

    Article  Google Scholar 

  13. Jenks AC. From “lists of traits” to “open-mindedness”: emerging issues in cultural competence education. Cult Med Psychiatry. 2011;35:209–35.

    Article  Google Scholar 

  14. Karim S, Saeed K, Rana MH, Mubbashar MH, Jenkins R. Pakistan mental health country profile. Int Rev Psychiatry. 2004;16:83–92.

    Article  Google Scholar 

  15. Khan AM. Persection of the Ahmadiyya community in Pakistan: an analysis under international law and international relations. Harv Hum Rts J 2003. 2003;16:217–44.

    Google Scholar 

  16. Kira IA, Lewandowski L, Ashby JS, Templin T, Ramaswamy V, Mohanesh J. The traumatogenic dynamics of internalized stigma of mental illness among Arab American, Muslim, and refugee clients. J Am Psychiatr Nurses Assoc. 2014;20:250–66.

    Article  Google Scholar 

  17. Kirmayer LJ. Cultural psychiatry in historical perspective. In: Bhugra D, Bhui K, editors. Textbook of cultural psychiatry. Cambridge, UK: Cambridge University Press; 2007. p. 3–19.

    Chapter  Google Scholar 

  18. Kirmayer LJ. Empathy and alterity in cultural psychiatry. Ethos. 2008;36:457–74.

    Article  Google Scholar 

  19. Kulenović T. A veil (hijab) as a public symbol of a Muslim woman modern identity. Coll Antropol. 2006;30:713–8.

    PubMed  Google Scholar 

  20. Lopez FB. Towards a definition of Islamophobia: approximations of the early twentieth century. Ethn Racial Stud. 2011;34:556–73.

    Article  Google Scholar 

  21. Nadal KL, Griffin KE, Hamit S, Leon J, Tobio M, Rivera DP. Subtle and overt forms of Islamophobia: microaggressions toward Muslim Americans. J Muslim Ment Health. 2012;6:15–37.

    Article  Google Scholar 

  22. Ogden T. The analytic third: working with intersubjective clinical facts. Int J Psychoanal. 1994;75:3–19.

    PubMed  Google Scholar 

  23. Rippy AE, Newman E. Perceived religious discrimination and its relationship to anxiety and paranoia among Muslim Americans. J Muslim Ment Health. 2006;1:5–20.

    Article  Google Scholar 

  24. Said EW. Orientalism. New York: Vintage Books; 1978.

    Google Scholar 

  25. Shaver JH, Sibley CG, Osborne D, Bulbulia J. News exposure predicts anti-Muslim prejudice. PLoS One. 2017;12:e0174606.

    Article  Google Scholar 

  26. Sheridan LP. Islamophobia pre- and post-September 11th, 2001. J Interpers Violence. 2006;21:317–36.

    Article  Google Scholar 

  27. Sirin SR, Fine M. Hyphenated selves: Muslim American youth negotiating identities on the fault lines of global conflict. Appl Dev Sci. 2007;11:151–63.

    Article  Google Scholar 

  28. Tervalon M, Murray-García J. Cultural humility versus cultural competence: a critical distinction in defining physician training outcomes in multicultural education. J Health Care Poor Underserved. 1998;9:117–25.

    Article  CAS  Google Scholar 

  29. United States Department of Justice. Confronting discrimination in the post-9/11 era: challenges and opportunities ten years later. Washington, DC: United States Department of Justice; 2011.

    Google Scholar 

  30. Varghese FTN. The racially different psychiatrist—implications for psychotherapy. Aust N Z J Psychiatry. 1983;4:329–33.

    Article  Google Scholar 

  31. Winnicott DW. Hate in the counter-transference. Int J Psychoanal. 1949;30:69–74.

    Google Scholar 

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Correspondence to Neil Krishan Aggarwal .

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Aggarwal, N.K. (2019). Transference and Countertransference in Addressing Islamophobia in Clinical Practice. In: Moffic, H., Peteet, J., Hankir, A., Awaad, R. (eds) Islamophobia and Psychiatry. Springer, Cham. https://doi.org/10.1007/978-3-030-00512-2_12

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  • DOI: https://doi.org/10.1007/978-3-030-00512-2_12

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  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-030-00511-5

  • Online ISBN: 978-3-030-00512-2

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