Effect of diagnosis on countertransferential responses to child psychotherapy patients

Journal of Clinical Child Psychology
S E Shachner, B A Farber

Abstract

Examined the impact of patient diagnosis on countertransferential responses to hypothetical latency-aged child psychotherapy patients meeting criteria for Dysthymia, Conduct, and Borderline Disorders. Three subtypes of countertransference (CT) were measured: positive (e.g., nurturant feelings), negative (e.g., boredom), and CT-related activity (e.g., tendency to refer patient to another therapist). All three subtypes were found to vary significantly as a function of diagnosis. Of the three diagnostic groups, Dysthymic patients elicited the highest degree of positive CT; Conduct Disorder patients, the highest degree of negative CT; and Borderline patients, the highest degree of CT-related activity. Neither patient and therapist gender nor therapist experience was significantly related to any of the CT scores; however, therapist psychological distress was found to be significantly associated with negative CT and CT-related activity for all three diagnoses.

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Citations

Apr 19, 2005·Mental Health Services Research·Marc S KarverLen Bickman
Sep 9, 2010·Psychotherapy Research : Journal of the Society for Psychotherapy Research·Marianne E Bourke, Brin F S Grenyer
Apr 11, 2002·Journal for Healthcare Quality : Official Publication of the National Association for Healthcare Quality·Mark S Silver, Orah R Burack
Mar 4, 2005·Journal of Child and Adolescent Psychiatric Nursing : Official Publication of the Association of Child and Adolescent Psychiatric Nurses, Inc·Eileen Woolley, Tessa Muncey
Feb 9, 2006·Journal of Child Health Care : for Professionals Working with Children in the Hospital and Community·Andrew J BarberElaine Healy

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