Psychotherapists’ Countertransference Experiences and Coping with Major Depressive Disorder Clients

• Main Authors: Yu-Shan Lin, 林育珊
• Other Authors: 陳易芬
• Format: Others
• Language: zh-TW
• Published: 2011
• Online Access: http://ndltd.ncl.edu.tw/handle/72569763661527196992

碩士 === 國立臺中教育大學 === 諮商與應用心理學系碩士班 === 99 === 　　The purpose of this study is to explore psychotherapists’ countertransferene（CT） experiences and coping with major depressive disorder（MDD） clients. Three psychotherapists’ CT experiences toward MDD clients are collected through the in-depth interview. The qualitative research method is used to analyze and deduce the dada of interview transcript. The findings are as follows. 1.Psychotherapists’ CT views and specificity of CT：(1) Psychotherapists’ views of CT are related with the psychotherapists or clients, interaction of therapeutic process, the feelings toward the clients, the ways to understand themselves and clients, and there has always been in the therapeutic process. (2) Specificity of CT are MDD clients’ high sensitivity, different feeling toward the clients and therapeutic settings, high emotional impact, and psychotherapists’ role as a listener. 2.Content of CT：(1) Psychotherapists show more negative CT reactions than positive ones toward MDD clients. There are the most feelings in the CT and including the fear and pressure feeling shared by three psychologists. (2) CT is caused by psychotherapists form their characteristics and past experiences. CT is caused by interaction of process from the therapeutic relationship, competition for the power to control, relationships of trust, shifted to the clients of the relationship between treatment, free interactive modes, and close therapeutic relationships. CT is caused by other factors from the therapeutic team, the clinic regime, and the involvement of other systems. (3) The influences on psychotherapists include sensitivity, good mood, emotional impact, resistance to the clients, fast therapeutic steps, focus on themselves, spending more time on the client, and easy to build up a relationship with clients. The CT influences on therapeutic process include a change of the therapeutic relationship and the effect. 3.The awareness of CT：(1) Clues from psychotherapists have emotional sensitivity, to hold the habit, and to reflect on their own. (2) Clues from process have a deviation of the therapeutic frame, a repeat of the process, an advance of the therapeutic relationship and effect. 4.The coping of CT：(1) Psychologists’ external coping include peer discussions, the assistance of supervisors, case conferences, record of feelings, self-reminder, provision of resources to clients, and the management of personal issues. (2) Psychologists’ internal coping include self-reflection, sensitive self-awareness, to tolerate anxiety, the accumulation of practical experiences, the adjustment of attitude, the professional competence of psychotherapists, and accepting the current situation. (3) The coping of psychologists interaction with the clients includes discussing the issue with the clients, clarification, self-disclosure of psychologists, the maintenance of therapeutic frame, making good use of a positive therapeutic relationship, and the moderation of boundary. 5.The interpretation of CT：(1) Psychologists’ interpretation of their own CT include understanding their relationship with the clients, the interaction of clients’ and psychotherapists’ personal issues, demystification, self-reflection, and understanding their own advantages and limitations. The accumulation of practical experiences can enhance psychotherapists’ self-awareness. (2) Psychologists’ interpretation of similar CT experiences include the specific issues, the psychotherapists’ characteristics, and clients’ nature. 　　Finally, suggestions are proposed to psychotherapists and future research directions based on the findings of the study.