The Importance Of Countertransference

1. Research the concept of transference and countertransference and describe how they apply to the addiction counseling field. Transference and countertransference is emotions experienced by counselors and their clients. In a counseling sessions clients may fear, anger, happiness, and confident and etc.

Person-centred therapy came about through Roger’s theory on human personality. He argued that human experiences were valuable whether they were positive or negative so long as they maintained their self actualising tendency. Through one’s experiences and interactions with others Roger believed that a self-concept/regard was developed. Carl Rogers believed that a truly therapeutic relationship between client and counsellor depends on the existence, of three core conditions. The core conditions are important because they represent the key concepts and principles of person-centred therapy. These core conditions are referred to as congruence, unconditional positive regard and empathy. Congruence is when the therapist has the ability to be real and honest with the client. This also means that the therapist has to be aware of their own feelings by owning up to them and not hiding behind a professional role. For example, a therapist may say ‘I understand where you are coming from’’ to the client. However the therapist has expressed a confused facial expression while saying this. The clients can be become aware of this and may feel uncomfortable in expressing their feelings, which might impact their trust and openness towards the therapist. Therefore the major role of the therapist is to acknowledge their body language and what they say and if confusion happens the therapist needs to be able to

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

Kelley (1996) reported that after the therapist has a full understanding of the problem the deconstruction phase moves on to its second stage. The therapist and the client begin working together to break down the prevailing story in order to map the influence the problem is having on the client's life (Kelley, 1996). Mapping the effect of the problem is particularly important because it lays the foundation of the new story line (Monk, Winslade, Crocket & Epston, 1997). According to Monk, Winslade, Crocket & Epston (1997) typically when the effect of the problem is discussed with the client they begin to feel as if their story has been heard. They

I have recently undertaken client work as part of the academic requirement of this course and have experienced first-hand the important role which self-reflection plays when a client’s description of their problems, struck a similar chord within my own life. The identification of this set of maladaptive behaviours and rules of thought have only been identified and addressed due to participation of this Cognitive Behaviour Therapy Postgraduate Diploma and my initial work as a Trainee Therapist.

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

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.

Rogers himself was aware of the criticism expressed about his theories by people who prefer other therapeutic approaches. He describes in Chapter 5 in his book ‘Client-Centred Therapy, three questions raised by other viewpoints’. One of the questions from therapists with a psycho-analytical orientation is how a Person-Centred therapist deals with “transference”, which is “the repetition by the client

Over identify, desire to protect, rescue fantasies, competiveness with parents, and befriending are just a few of the counter-transference response and behaviors therapists have reported experiencing when counseling children and adolescents. Therapists who also work with abused women have also reported instances of counter-transference responses such as reluctance to explore abuse- related issues, identification with the victim or the abuser, vicarious

‘Clients often are able to provide a theory or an idea of cause, blaming past experiences for behaviors of which they are ashamed. The therapist listens to their explanations however are concerned more with their willingness to accept responsibility for their future behavior and the achievement for their attainable goals’ (Milner & O Byrne, P162). Furthermore, by ‘Acknowledging the clients paradoxical strategies have the effect of empowering clients of their perfectly valid cautious, more fearful concerns about change and leaving them to operate out of their arguments as to why change should be attempted’ (Cade, B. p156).

There are many values this writer wishes to incorporate into a counseling relationship. The fundamental values this writer wishes to incorporate are: flexibility, self-awareness, self-regulation, and empathy. The ability to be flexible and alter what one does in order to fit the client’s needs is crucial to establishing and maintaining a therapeutic relationship. Flexibility can be demonstrated in many different ways, such as the way the therapist interacts with the client, the tone of voice that is utilized, down to the way the therapist provides material to the client. In being flexible, treatment is able to remain focused on the client and his or her needs (Egan, 2014).

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

There are many variables that influence the success of therapy for the client, none more so than the therapeutic relationship. The therapeutic relationship is defined as the strength and collaborative relationship between the client and therapist that emphasises mutually agreed goals and tasks within the context of a strong affective bond (Horvath, 1994.) In the therapeutic relationship, the clinician offers care, touch, compassion, presence, and any other act or attitude that would foster healing, and expects nothing in return (Trout, 2013.) Some clinicians believe that the “therapeutic relationship is a precondition of change, others as the fertile soil that permits change, while others see it as the central mechanism of change itself” (Norcross, 2010.) This is not to devalue other variables that impact the success of the therapy such as client involvement and the treatment method.

In the therapy interaction, these misconceptions must be heard by the therapist and given ample time in counseling to talk about and “unpacked,” for further qualification. This may take time and patients to hear these feelings and to process with the client.

Rogers, C. (1959). ‘A theory of therapy, personality, and interpersonal relationships, as developed in the client-centered framework’, Psychology: A Study of a Science. vol. 3, pp. 184-256