The Identification And Interpretation Of Transference

This article is about Dialectical Behavior Therapy (DBT) and its evidence based treatment for Borderline Personality Disorder (Chapman, PhD & Fraser, 2006). The article also discusses how DBT can be used to help parasuicidal women with borderline personality disorder (BPD) as well as those with Substance Use Disorders (SUDs), binge-eating disorders and depression in older folks (Chapman, PhD & Fraser, 2006). DBT includes aspects of cognitive-behavioral therapy, and cognitive restructuring. The five functions of treatment with DBT are also discussed; enhancing capabilities, generalizing capabilities, improving motivation and reducing dysfunctional behaviors, enhancing and maintaining therapist capabilities and motivation and structuring the environment.

Transference is often manifested as an erotic attraction towards a therapist, but can be seen in many other forms such as rage, hatred, mistrust, prettification, extreme dependence, or even placing the therapist in a god-like or guru status. When Freud initially encountered transference in his therapy with clients, he felt it was an obstacle to treatment success. But what he learned was that the analysis of the transference was actually the work that needed to be done. The focus in psychodynamic psychotherapy is, in large part, the therapist and client recognizing the transference relationship and exploring what the meaning of the relationship is. Because the transference between patient and therapist happens on an unconscious level, psychodynamic therapists who are largely concerned with a patient's unconscious material use the transference to reveal unresolved conflicts patients have with figures from their childhoods. Countertransference is defined as redirection of a therapist's feelings toward a client, or more generally as a therapist's emotional entanglement with a client. A therapist's atonement to his own countertransference is nearly as critical as his understanding of the transference. Not only does this help the therapist regulate his or her own emotions in the therapeutic relationship, but it also gives the therapist valuable insight into

The aspect of BPD that drew me towards it was the notion that it is a more widespread mental illness than people think, often tied down to difficulties in diagnosing it due to crossovers with other illnesses such as depression which uses similar diagnosis criterion from the DSM V. In fact BPD affects 50% more people than Alzheimer’s disease and nearly as many as schizophrenia and bipolar combined (2.25%). There are a number of treatments available including new advances in epigenetics meaning a potential for more effective medication, as well as ' talking therapy ' treatments such as schema based therapy, metallization therapy and dialectal behaviour therapy which I am going to evaluate in order to decide according to scientific evidence and application what the most effective treatment for BPD is at present. The most effective treatment will be decided upon a

The foundation of therapy starts by building rapport with the client and applying strategies when necessary to overcome a variety of barriers. It is imperative to have rapport with a client and to be aware of barriers to facilitate a good treatment outcome. This will take practice and the use of methods and strategies ready to be implemented when needed. There are many components to building a good client rapport such as: intimacy, vulnerability, exploration of inner challenges, self-awareness, staying present; inner resiliency, empathy, anxiety management, and self-integration, and relationship acceptance. The two types of barriers are internal and external and this is for both the client and the therapist. The common barriers to rapport are countertransference and transference. Strategies for overcoming barriers are: Pause Moment and self-awareness. It also requires skills such as being genuine, sensitive, open, and

The flowing case study of a female, Mallory, suffering from transference, reactive attachment disorder, and depressive disorder due to reactive attachment disorder believed to be caused by incidents that occurred between her and an important individual in her life. Mallory initially comes to see Dr. Santos for what she descried as mild depressive symptoms.

Transference is part of the way we relate to each other inside and outside psychotherapy, psychiatry and we have to manage it as best we can. Much of the time, it is simply a part of the complexity of any relationship, and is not a problem for either party. For example, a member of the group is fluctuated by the therapist, and unconsciously take on the characteristic behavior only to imitate them. This could be good for short term, but eventually they need to find their own way. When the group finalizes the member is still in need of the therapist, the dependence becomes an issue, the

However, counter-transference is caused by the counsellors own limitations which might include the counsellor unresolved emotional issues, but a counsellor can use this to their advantage and draw out information that is important to the clients therapeutic process.

Introduction: This article discusses the significance of psychotherapy options in treating borderline personality disorder (BPD). Borderline personality is a disorder with a variety of symptoms that can be briefly summarized as instability in mood, thinking, behavior, personal relations, and self-image. Psychotherapy options include cognitive

Changes in attachment organization and reflective function (RF) were assessed as putative mechanisms of change in 1 of 3 year-long psychotherapy treatments for patients with borderline personality disorder (BPD). Ninety patients reliably diagnosed with BPD were randomized to transference-focused psycho- therapy (TFP), dialectical behavior therapy, or a modified psychodynamic supportive psychotherapy. Attachment organization was assessed with the Adult Attachment Interview and the RF coding

Transference belongs to the client, it is the projection of both positive and negative feelings and emotions directed at the therapist but are toward someone else. One example of transference in the therapeutic environment would be if I were a counselor and I asked my client Sally, a 13- year-old female, how her day was going and her response was vague with no enthusiasm assisted by her rolling her eyes. Sally’s response might not be intentionally directed at me personally, rather the question that I asked. Transference is displayed in this example by the way Sally responds.

3. Clarkin, J. F., Yeomans, F., & Kernberg, O. F. (1999). Psychotherapy of borderline personality. New York : Wiley.

The rational for the chosen psychological therapy for K was of the way that, the author read about Mentalization-Based Therapy as a psychotherapeutic intervention which particularly concentrates on enhancing the ability to mentalize and has been appeared to be viable for enhancing clinically huge and self-reported results for patients with BPD, including lessening recurrence of suicide, serious self-hurt, hospital admission and also enhancing general symptomatology, social and interpersonal working. (Bateman, 2009).

Transference and counter transference is one of most important aspects of treatment between patient and practitioner. In a clinical setting we do not always have the opportunity to have consecutive treatments with the same patient and as a result may not be able to acknowledge or notice these occurrences. It is not often that I have the opportunity to see a patient on a regular basis or even twice for that matter. As a result, it is not possible for me to notice or recognize any transference that the patient my have towards me. At times however, I clearly know the impose counter-transference & boundaries issues which patient and I experience.

If the client feels “safe” in the session, this can be very powerful for them. As sessions occur, the client will feel more comfortable in trusting the clinician with their feelings, attitudes and emotions. The client is able to present their needs and problems in ways that only they can express. Another factor that may resonate in the sessions may include transference and counter-transference. Transference is when the client’s attitudes, feelings and emotional conflicts from past events begin to be directed to the therapist, while Countertransference is exactly the opposite, when the therapist’s attitudes, feelings, and emotional conflicts from the past are directed towards the client (Transference and Countertransference, 2011). There are not too many positive factors with Countertransference, except being able to recognize it, when it exists, and be able to work out any conflict. A client’s experiences can affect their feelings, emotions, and behaviors towards their therapist. If the therapist remains their professionalism, and sets the proper limits and boundaries, a client can work through past experiences that are affecting their functioning. In a lecture, it is the role of the counselor to recognize the client’s experience; reflect and process the client’s emotional state, as well as process their own emotional reactions to clients and their issues. When clients can work through their problems from past

The history of BPD can be traced back to 1938 when Adolph Stern first described the symptoms of the disorder as neither being psychotic nor psychoneurotic; hence, the term ‘borderline’ was introduced (National Collaborating Centre for Mental Health, 2009, p. 15). Then in 1960, Otto Kernberg coined the term ‘borderline personality organization’ to describe persistent patterns of behavior and functioning consisting of instability, and distressed psychological self-organization (National Collaborating Centre for Mental Health, 2009, p. 15).