The Experts below are selected from a list of 297 Experts worldwide ranked by ideXlab platform
Richard J. Rosenthal - One of the best experts on this subject based on the ideXlab platform.
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Transference and Countertransference reactions in the psychotherapy of pathological gamblers
Journal of Gambling Studies, 1994Co-Authors: Loreen J. Rugle, Richard J. RosenthalAbstract:Traditionally, in psychodynamic forms of treatment, the patient's relationship with the therapist is central to eliciting and exploring the patient's characteristic ways of thinking, feeling and behaving. Research has increasingly demonstrated the significance of the therapeutic relationship to the treatment outcome. Since little has been written about the therapist-patient relationship in the treatment of pathological gambling, we shall describe what we have found to be some of the common and problematic transference and Countertransference reactions and interactions. Both positive and negative transferences and Countertransferences will be discussed not only as obstacles to successful therapy, but as tools for understanding patients' conflicts, defenses and reasons for gambling.
Joseph J. Shay - One of the best experts on this subject based on the ideXlab platform.
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Countertransference in the family therapy of survivors of sexual abuse
Child abuse & neglect, 1992Co-Authors: Joseph J. ShayAbstract:As family therapy of sexual abuse survivors has become more common, theoretical and technical issues have received considerable attention. Less attention has been devoted to the Countertransference experience of the therapist. Unexamined therapist Countertransference is a critical element in the treatment of these families, which markedly influences the nature and direction of treatment. Particular types of Countertransference are presented here. In addition, the contention is made that Countertransference is not only evoked by the particular presentation of the family members, but also by the therapist's unexplored political and moral beliefs.
Jeffrey A. Hayes - One of the best experts on this subject based on the ideXlab platform.
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Managing Countertransference
Psychotherapy Relationships that Work, 2019Co-Authors: Jeffrey A. Hayes, Charles J Gelso, D. Martin Kivlighan, Simon B. GoldbergAbstract:This chapter reviews the history and definition of Countertransference, as well as empirical research on Countertransference, its management, and the relation of both to psychotherapy outcome. Three meta-analyses are presented, as well as studies that illustrate findings from the meta-analyses. The first meta-analysis indicated that Countertransference reactions are related inversely and modestly to psychotherapy outcomes (r = –.16, d = –.33, k = 14 studies, N = 973). A second meta-analysis supported the notion that Countertransference management factors attenuate Countertransference reactions (r = –.27, d = –.55, k = 13 studies, N = 1,065). The final meta-analysis revealed that successful Countertransference management is related to better therapy outcomes (r = .39, d = .84, k = 9 studies, N = 392 participants). The authors conclude by summarizing the limitations of the research base, noting diversity considerations, and highlighting the therapeutic practices predicated on research.
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Countertransference management and effective psychotherapy meta analytic findings
Psychotherapy, 2018Co-Authors: Jeffrey A. Hayes, Charles J Gelso, Simon B. Goldberg, D. Martin KivlighanAbstract:In this article, we review the history and definition of Countertransference, as well as empirical research on Countertransference, its management, and the relation of both with psychotherapy outcome. Three meta-analyses are presented, as well as studies that illustrate findings from the meta-analyses. The first meta-analysis indicated that Countertransference reactions are related inversely and modestly to psychotherapy outcomes (r = -.16, p = .02, 95% CI [-.30, -.03], d = -0.33, k = 14 studies, N = 973). A second meta-analysis supported the notion that Countertransference management factors attenuate Countertransference reactions (r = -.27, p = .001, 95% CI [-.43, -.10], d = -0.55, k = 13 studies, N = 1,065). The final meta-analysis revealed that successful Countertransference management is related to better therapy outcomes (r = .39, p < .001, 95% CI [.17, .60], d = 0.84, k = 9 studies, N = 392 participants). In all meta-analyses, there was significant heterogeneity across studies. We conclude by summarizing the limitations of the research base and highlighting the therapeutic practices predicated on research. (PsycINFO Database Record (c) 2018 APA, all rights reserved).
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The development and initial validation of the Countertransference management scale
Psychotherapy (Chicago Ill.), 2017Co-Authors: Andrés E. Pérez-rojas, Jeffrey A. Hayes, Beatriz Palma, Avantika Bhatia, John Jackson, Earta Norwood, Charles J GelsoAbstract:Countertransference is an important aspect of the therapeutic relationship that exists in therapies of all theoretical orientations, and depending on how it is managed, it can either help or hinder treatment. Management of Countertransference has been measured almost exclusively with the Countertransference Factors Inventory (Van Wagoner, Gelso, Hayes, & Diemer, 1991) and its variations, all of which focus on 5 therapist qualities theorized to facilitate management: self-insight, conceptualizing ability, empathy, self-integration, and anxiety management. Existing versions of the Countertransference Factors Inventory, however, possess certain psychometric limitations that appear to constrain how well they assess actual management of Countertransference during a therapy session. We thus sought to develop a new measure that addressed these limitations and that captured the 5 therapist qualities as constituents (rather than correlates) of Countertransference management that manifest in the treatment hour. The development and initial validation of the resulting 22-item Countertransference Management Scale (CMS) is described here. Exploratory factor analysis of ratings of 286 therapy supervisors of current supervisees indicated that the 5 constituents of Countertransference management could be grouped into 2 correlated factors: "Understanding Self and Client" and "Self-Integration and Regulation." Evidence of convergent and criterion-related validity was supported by CMS total and subscale scores correlating as expected with measures of theoretically relevant constructs, namely, therapist Countertransference behavior, theoretical framework, self-esteem, observing ego, empathic understanding, and tolerance of anxiety. Results also supported the internal consistency of the CMS and its subscales. Research, clinical, and training implications are discussed. (PsycINFO Database Record
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Managing Countertransference.
Psychotherapy (Chicago Ill.), 2011Co-Authors: Jeffrey A. Hayes, Charles J Gelso, Ann M HummelAbstract:In this article, we review the history and definition of Countertransference as well as empirical research on Countertransference, its management, and the relation of both to psychotherapy outcome. Three meta-analyses are presented, as well as studies that illustrate findings from the meta-analyses. The first meta-analysis indicated that Countertransference reactions are related inversely and modestly to psychotherapy outcomes (overall weighted effect r = -.16, p = .002, 95% CI [-.26, -.06], k = 10 studies, N = 769 participants). The second meta-analysis suggested that Countertransference management factors that have been studied to date play little to no role in actually attenuating Countertransference reactions (r = -.14, p = .10, 95% CI [-.30, .03], k = 11 studies, N = 1065 participants). However, the final meta-analysis revealed that managing Countertransference successfully is related to better therapy outcomes (r = .56, p = .000, 95% CI [.40, .73], k = 7 studies, N = 478 participants). We conclude by summarizing the limitations of the research base and highlighting the therapeutic practices predicated on research.
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Countertransference and the Therapist's Inner Experience: Perils and Possibilities
2007Co-Authors: Charles J Gelso, Jeffrey A. HayesAbstract:Contents: Preface. The Past and the Present: The Evolution of Countertransference. An Integrative Conception of Countertransference. Countertransference Within Different Theoretical Stances. Countertransference and the Therapist's Experiential World. The Management of Countertransference. Empirical Research on Countertransference. Countertransference and the Psychotherapist's Subjectivity: Conclusions and Recommendations.
Svein Friis - One of the best experts on this subject based on the ideXlab platform.
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psychiatric symptoms and Countertransference feelings an empirical investigation
Psychiatry Research-neuroimaging, 2010Co-Authors: Jan Ivar Rossberg, Sigmund Karterud, Geir Pedersen, Svein FriisAbstract:The main aim of this study was to examine the relationship between patients' psychiatric symptoms and therapists' Countertransference reactions. Additionally, we wanted to examine the relationship between symptom improvement and Countertransference reactions. Eleven therapists completed the Feeling Word Checklist 58 for each patient admitted to a day treatment program. Forty-two patients met the inclusion criteria. The patients completed the Symptom Checklist-90 Revised (SCL-90R) upon admission and at discharge. The study revealed several specific and significant correlations between the therapists' Countertransference reactions and the patients' self-reported symptoms. At the end of treatment, notable findings included negative correlations between higher patient scores on the symptom dimensions and the therapists' feelings of being important and confident, and positive correlations between higher patient scores on the symptom dimensions and the therapists' feelings of being bored, on guard, overwhelmed and inadequate. Symptom change was positively correlated with positive Countertransference feelings and negatively correlated with negative Countertransference feelings. The study revealed that the patients' levels of self-reported symptoms were significantly associated with the therapists' Countertransference feelings. This empirical study confirmed findings from the clinical literature of a specific relationship between symptom improvement and Countertransference reactions.
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specific personality traits evoke different Countertransference reactions an empirical study
Journal of Nervous and Mental Disease, 2008Co-Authors: Jan Ivar Rossberg, Sigmund Karterud, Geir Pedersen, Svein FriisAbstract:The main aim of this study was to examine the relationship between patients' self-reported personality characteristics, treatment outcome and therapists' Countertransference reactions. Eleven therapists filled in the Feeling Word Checklist 58 (FWC-58) for each patient admitted to a day treatment program. The patients completed the Circumplex of Interpersonal Problems (CIP) at admission and discharge. Outcome measures were assessed at the end of treatment. At the start of treatment, therapists reported fewer feelings of rejection and being on guard in response to patients who reported high avoidant, exploitable, overly nurturing and intrusive CIP subscale traits. At the end of the treatment, the CIP subscales of being domineering, vindictive and cold correlated with fewer positive and more negative Countertransference feelings. The study revealed a strong relationship between improvement and Countertransference feelings. This study confirms clinical narratives on relationships between the therapists' Countertransference reactions and patients' reported interpersonal problems and outcome.
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an empirical study of Countertransference reactions toward patients with personality disorders
Comprehensive Psychiatry, 2007Co-Authors: Jan Ivar Rossberg, Sigmund Karterud, Geir Pedersen, Svein FriisAbstract:Objective: The study examined to what extent patients with cluster A + B personality disorders (PDs) evoked other Countertransference reactions among psychotherapists compared with patients with cluster C PDs as well as the relationship between the different Countertransference reactions and outcome. Methods: A total of 11 therapists at the Department for Personality Psychiatry, Ullevaal University Hospital, Oslo, Norway, filled out the Feeling Word Checklist-58 (FWC-58), 2 weeks after admission and 2 weeks before discharge, for 71 patients admitted to the day treatment program. The patients were diagnosed with the Structured Clinical Interview for DSM-IV Axis II Disorders (SCID-II). Results: The study revealed that patients with cluster A + B PDs evoked more negative and less positive Countertransference reactions than those with cluster C PDs. The psychotherapists varied significantly more in their reported Countertransference reactions toward patients with cluster A + B PDs than toward those with cluster C PDs. Patients who dropped out of treatment evoked significantly more negative Countertransference reactions after 2 weeks than patients who completed the treatment. In addition, the study revealed strong correlations between Countertransference feelings and change during the treatment. Conclusions: This empirical study confirms clinical narratives on specified relationships between Countertransference reactions, different PDs, and treatment course.
Charles J Gelso - One of the best experts on this subject based on the ideXlab platform.
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Managing Countertransference
Psychotherapy Relationships that Work, 2019Co-Authors: Jeffrey A. Hayes, Charles J Gelso, D. Martin Kivlighan, Simon B. GoldbergAbstract:This chapter reviews the history and definition of Countertransference, as well as empirical research on Countertransference, its management, and the relation of both to psychotherapy outcome. Three meta-analyses are presented, as well as studies that illustrate findings from the meta-analyses. The first meta-analysis indicated that Countertransference reactions are related inversely and modestly to psychotherapy outcomes (r = –.16, d = –.33, k = 14 studies, N = 973). A second meta-analysis supported the notion that Countertransference management factors attenuate Countertransference reactions (r = –.27, d = –.55, k = 13 studies, N = 1,065). The final meta-analysis revealed that successful Countertransference management is related to better therapy outcomes (r = .39, d = .84, k = 9 studies, N = 392 participants). The authors conclude by summarizing the limitations of the research base, noting diversity considerations, and highlighting the therapeutic practices predicated on research.
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Countertransference management and effective psychotherapy meta analytic findings
Psychotherapy, 2018Co-Authors: Jeffrey A. Hayes, Charles J Gelso, Simon B. Goldberg, D. Martin KivlighanAbstract:In this article, we review the history and definition of Countertransference, as well as empirical research on Countertransference, its management, and the relation of both with psychotherapy outcome. Three meta-analyses are presented, as well as studies that illustrate findings from the meta-analyses. The first meta-analysis indicated that Countertransference reactions are related inversely and modestly to psychotherapy outcomes (r = -.16, p = .02, 95% CI [-.30, -.03], d = -0.33, k = 14 studies, N = 973). A second meta-analysis supported the notion that Countertransference management factors attenuate Countertransference reactions (r = -.27, p = .001, 95% CI [-.43, -.10], d = -0.55, k = 13 studies, N = 1,065). The final meta-analysis revealed that successful Countertransference management is related to better therapy outcomes (r = .39, p < .001, 95% CI [.17, .60], d = 0.84, k = 9 studies, N = 392 participants). In all meta-analyses, there was significant heterogeneity across studies. We conclude by summarizing the limitations of the research base and highlighting the therapeutic practices predicated on research. (PsycINFO Database Record (c) 2018 APA, all rights reserved).
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The development and initial validation of the Countertransference management scale
Psychotherapy (Chicago Ill.), 2017Co-Authors: Andrés E. Pérez-rojas, Jeffrey A. Hayes, Beatriz Palma, Avantika Bhatia, John Jackson, Earta Norwood, Charles J GelsoAbstract:Countertransference is an important aspect of the therapeutic relationship that exists in therapies of all theoretical orientations, and depending on how it is managed, it can either help or hinder treatment. Management of Countertransference has been measured almost exclusively with the Countertransference Factors Inventory (Van Wagoner, Gelso, Hayes, & Diemer, 1991) and its variations, all of which focus on 5 therapist qualities theorized to facilitate management: self-insight, conceptualizing ability, empathy, self-integration, and anxiety management. Existing versions of the Countertransference Factors Inventory, however, possess certain psychometric limitations that appear to constrain how well they assess actual management of Countertransference during a therapy session. We thus sought to develop a new measure that addressed these limitations and that captured the 5 therapist qualities as constituents (rather than correlates) of Countertransference management that manifest in the treatment hour. The development and initial validation of the resulting 22-item Countertransference Management Scale (CMS) is described here. Exploratory factor analysis of ratings of 286 therapy supervisors of current supervisees indicated that the 5 constituents of Countertransference management could be grouped into 2 correlated factors: "Understanding Self and Client" and "Self-Integration and Regulation." Evidence of convergent and criterion-related validity was supported by CMS total and subscale scores correlating as expected with measures of theoretically relevant constructs, namely, therapist Countertransference behavior, theoretical framework, self-esteem, observing ego, empathic understanding, and tolerance of anxiety. Results also supported the internal consistency of the CMS and its subscales. Research, clinical, and training implications are discussed. (PsycINFO Database Record
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Managing Countertransference.
Psychotherapy (Chicago Ill.), 2011Co-Authors: Jeffrey A. Hayes, Charles J Gelso, Ann M HummelAbstract:In this article, we review the history and definition of Countertransference as well as empirical research on Countertransference, its management, and the relation of both to psychotherapy outcome. Three meta-analyses are presented, as well as studies that illustrate findings from the meta-analyses. The first meta-analysis indicated that Countertransference reactions are related inversely and modestly to psychotherapy outcomes (overall weighted effect r = -.16, p = .002, 95% CI [-.26, -.06], k = 10 studies, N = 769 participants). The second meta-analysis suggested that Countertransference management factors that have been studied to date play little to no role in actually attenuating Countertransference reactions (r = -.14, p = .10, 95% CI [-.30, .03], k = 11 studies, N = 1065 participants). However, the final meta-analysis revealed that managing Countertransference successfully is related to better therapy outcomes (r = .56, p = .000, 95% CI [.40, .73], k = 7 studies, N = 478 participants). We conclude by summarizing the limitations of the research base and highlighting the therapeutic practices predicated on research.
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Countertransference and the Therapist's Inner Experience: Perils and Possibilities
2007Co-Authors: Charles J Gelso, Jeffrey A. HayesAbstract:Contents: Preface. The Past and the Present: The Evolution of Countertransference. An Integrative Conception of Countertransference. Countertransference Within Different Theoretical Stances. Countertransference and the Therapist's Experiential World. The Management of Countertransference. Empirical Research on Countertransference. Countertransference and the Psychotherapist's Subjectivity: Conclusions and Recommendations.
