Self-concept and self-esteem as moderators of client transference.

Operationalized transference as (a) the similarity of clients' perceptions of their therapist and their perceptions of their parents and (b) therapists' ratings on a transference scale, Therapy Session Check Sheet (TSCS; H. Graff and L. Luborsky, 1977), and examined the moderating role of self-esteem and ego development on client transference. Ss were 62 clients (aged 19–63 yrs) who were already involved in therapy, and 29 therapists (aged 25–61 yrs). The Barrett-Lennard Relationship Inventory (G. T. Barrett Lennard, 1962, 1973) measured the facilitative conditions (regard, empathy, and unconditionality) and therapist–parent similarity and the TSCS measured the therapists' perceptions of transference. Additional measures were the Ego Identity Scale (A. L. Tan, et al, 1977) and the Rosenberg Self-Esteem Scale (M. Rosenberg, 1979). Results support the idea that self-esteem and ego development impact a client's view of the therapist and parental figures and are associated with therapists' views of transference. Persons with low ego identity and low self-esteem tended to see their therapists and parental figures more dissimilarly; and the more transference that a therapist perceived, the greater the tendency for the client to have low ego identity. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

The relationship between clients' perceptions of therapist–parent similarity with respect to empathy, regard, and unconditionality and therapists' rating of client transference.

The authors studied the similarity between clients' perceptions of their therapists and their perceptions of their parents (or early parental figures) in terms of the relationship qualities of empathy, positive regard, and unconditionality of regard and how those perceptions compared with their therapists' ratings of transference. Participants were 62 actual therapy dyads. The results failed to support a hypothesized positive association between the similarity of the therapist and parents or parental figures on the relationship dimensions of empathy, regard, and unconditionality and therapist ratings of transference. Instead, the clients' relationship ratings of their parents and therapists suggested that therapists' perceptions of transference may more accurately reflect perceptions of their clients' nontransferential (i.e., real relationship) reactions to the therapist. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Reading the transference in adolescent psychotherapy: A comparison of novice and experienced therapists.

Compared how 3 novice and 3 experienced therapists dealt with the therapeutic relationship. I. Z. Hoffman and M. M. Gill's (1988; see also PA, Vol 76:19773) "patient's experience of the relationship with the therapist" method was used to identify adolescent patients' (16–28 yrs old) allusions to the transference. The experienced therapists (>10 yrs of clinical experience) were quite active in responding to the transference allusions (50–61%), whereas the novices (     

An experimental inquiry into transference roles and age.

In this psychotherapy analogue investigation, the effects of client age and therapist age on transference-like projections onto therapists were examined. Young (25–35) and older (60–70) pseudoclients compared paraprofessional therapists to significant figures in their own lives after a dyadic "helping" interview. The results provide empirical support for the phenomenon of reverse transference in therapy with older patients. Older clients were more inclined than young clients to view therapists, particularly younger therapists, as similar to their children. Young clients more willingly attributed parental qualities to older therapists. Both old and young clients may see therapists more as peers or friends than as family members. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

The therapist's therapist: A replication and extension 20 years later.

How do mental health professionals choose their own psychotherapists? This study replicates and extends a 1987 national survey of psychotherapists regarding the selection criteria and sociodemographic characteristics of their personal therapists; 608 psychologists, counselors, and social workers participated. Therapists' therapists tended to be middle aged and White (94%) but equally female and male. Their most frequent theoretical orientations were integrative, eclectic, cognitive, and psychodynamic (but rarely behavioral or systemic). Psychology was their most prevalent profession, followed by social work, counseling, and psychiatry. Topping the list of therapist selection criteria were competence, warmth, experience, openness, and reputation. The prototypical positive features of personal treatment that therapists repeated with their own patients all concerned cultivation of the therapeutic relationship. The 2007 results are tentatively compared with those obtained in 1987, thus chronicling the evolution of therapists' therapists over the years. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Client attachment to therapist: Relations to transference and client recollections of parental caregiving.

This study examined the relations between client attachment to the therapist and therapist perceptions of transference, as well as between client attachment and recollections of parental caregiving. Participants were 51 client-therapist pairs in ongoing therapy. After a therapy session, clients completed a measure of their attachment to their therapists and a measure of their perceptions of parental caregiving during childhood. Therapists rated levels of positive and negative, and amount of, client transference. Both secure and preoccupied-merger attachment were positively related to both negative transference and amount of transference. Level of avoidant-fearful attachment was not correlated with any type of transference. Insecure attachment to the therapist was associated with more negative recollections of parental caregiving. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

The Effect of Therapist Availability on the Frequency of Patient-Initiated Between-Session Contact.

Does therapist availability affect the frequency of patient-initiated between-session phone contacts? There are few empirical data to inform therapists on this question: This study was designed to redress this literature gap. Results demonstrated that in general, therapists' availability policies did not strongly relate to patient-initiated contacts. However, there were some exceptions: The more willing therapists were to receive crisis intervention and mental status update calls, the fewer calls they received. Additionally, when therapists were less willing to be contacted between sessions, patients with personality disorders and/or poor global functioning tended to make more nonemergency calls to the therapist, whereas patients with elevated suicidality tended to make fewer nonemergency calls between sessions. The implications of the results on therapists' policies and patients' expectations are discussed. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Comment on Horowitz's (2002) "Self- and relational observation."

Emphasizing a relational psychodynamic perspective, the author discusses some of M. Horowitz's (see record 2002-13441-001) ideas about self- and relational observation: (a) Because of its specificity, therapists' advancement of patients' mindfulness is a useful way of thinking about and approaching insight, (b) although therapists' concern with patients' states and state changes represents a practicable, complementary way of thinking about and working with repetitive interaction themes, therapists must avoid the pitfall of thinking in terms of the present alone when concentrating on mindfulness rather than considering it within a broader context that includes the past; (c) this temporal observation applies as well to ways of considering role relationships, which are best understood in terms of patients' interactions, past as well as present; and (d) in advancing personality change, it is not just what therapists "teach" patients but what patients "live through" with therapists in a very real and important, mutative human relationship. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Development and Validation of the Self-Awareness and Management Strategies (SAMS) Scales for Therapists.

The Self-Awareness and Management Strategies (SAMS) Scales were created to assess therapists' experiences of hindering self-awareness during counseling sessions. A sample of 301 therapists completed the SAMS, along with 2 other measures used to establish validity. In addition to asking about therapists' experiences with their self-awareness, the SAMS also assessed the strategies therapists use to manage hindering self-awareness. The results suggest that there is strong initial evidence for the reliability and validity of the SAMS Scales. A factor analysis of the SAMS Scales resulted in 2 subscales for hindering self-awareness (Anxious and Distracting) and 5 subscales of management strategies (Self-Care, Relaxation, Focusing on the Client, Suppression, and Use of Basic Techniques). Future research ideas and implications for counseling are discussed. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Client and therapist variability in clients' perceptions of their therapists' multicultural competencies.

This study examined therapist differences in their clients' ratings of their therapists' multicultural competencies (MCCs) as well as tested whether therapists' who were rated as exhibiting more MCCs also had clients who had better therapy outcomes (N = 143 clients and 31 therapists). All clients completed at least 3 sessions. Results demonstrated that therapists accounted for less than 1% of the variance in their clients' Cross-Cultural Counseling Inventory–Revised (CCCI-R; T. D. LaFromboise, H. L. K. Coleman, & A. Hernandez, 1991) scores, suggesting that therapists did not differ in terms of how clients rated their MCCs. Therapists accounted for approximately 8.5% of the variance in therapy outcomes. For each therapist, their clients' CCCI-R scores were aggregated to provide an estimate of therapists' MCCs. Therapists' MCCs, based on aggregate CCCI-R scores, did not account for the variability in therapy outcomes that were attributed to them. Additionally, clients' race/ethnicity, therapists' race/ethnicity, or the interaction of clients'–therapists' race/ethnicity were not significantly associated with clients' perceptions of their therapists' MCCs. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Therapists' psychological adaptation to client suicide.

Explores psychotherapists' complex reactions to client suicide, focusing on therapists' psychological adaptation (i.e., emotional, cognitive, and behavioral responses) and therapists' life experiences. Based on a literature review and research findings, implications are identified for therapists, supervisors, and researchers. Suggestions to therapists include using personal and professional supports and participating in a postsuicide review in response to a client suicide. The primary task for supervisors is to create experiences that will positively impact therapists' beliefs about their professional role. Researchers are encouraged to increase the quality of their research designs, attend to findings in related fields, and investigate neglected areas identified by the author. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Advent of objective measures of the transference concept.

Reviews research on measurement of transference that has used Q-sort questionnaires and psychotherapy process measures. The 1st type of measure, although reliable, has lacked validity information. The newer psychotherapy process measures, such as the 1st author's (1976) core conflictual relationship theme (CCRT) method, provide evidence for their reliability and validity. A study of 8 patients showed considerable comparability between data from the CCRT method and operationalized propositions from 9 of Freud's observations about transference, which concerned such issues as the uniqueness, origins, and consistency of the transference pattern. The CCRT is compared with other methods, and methodological issues and proposals that could further advance research on transference are examined. (61 ref) (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

The management of sexualized transference and countertransference with older adult patients: Implications for practice.

For a variety of reasons, psychologists are beginning to see an increasing number of older adults in their practice. However, the sexualized transference and countertransference sometimes encountered with older adult patients can foster therapeutic impasse and resistance in treatment among both novice and experienced therapists. Societal taboos and therapy within the context of institutional settings (e.g., nursing homes) can make the management of these dynamics particularly challenging. Although difficult to broach, an analysis of sexualized dynamics can provide valuable information regarding an elderly patient's sense of intrinsic value, beliefs about power and agency, and difficulties with or desires for emotional intimacy. Case examples and implications for practice are presented. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Male therapists' clinical bias: Influence of client gender roles and therapist gender role conflict.

This study examined male therapists' gender role conflict, client sexual orientation, and client emotional expression as they interrelated with clinical judgments about male clients. Using a series of written clinical vignettes to manipulate the client variables of sexual orientation and emotional expression, 196 experienced male therapists completed a measure of male gender role conflict, read a clinical vignette varying the client's sexual orientation and emotional expression, and rated the client on several clinical dimensions. Canonical analysis revealed 2 roots indicating that therapist gender role conflict factors, in combination with client sexual orientation and emotional expression, were associated with therapists' ratings of the male client's prognosis and how much therapists liked, had empathy for, had comfort with, and had willingness to see the male client. Implications for counseling practice, limitations, and future research are discussed. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Comparative study of emotional experiencing in psychodynamic-interpersonal and cognitive-behavioral therapies.

Despite increased interest in the role of emotion in the process of psychotherapy, a valid gauge of its importance in the change process is currently lacking. Significant sessions obtained from 13 experienced psychodynamic-interpersonal and 17 experienced cognitive-behavior therapists were examined to determine the extent of affective exploration and therapists' views of these client states. Results indicate that affective experiencing was present in equivalent amounts in the change sessions of these 2 orientations. However, therapists' clinical views were dissimilar. Psychodynamic-interpersonal therapists viewed portions containing higher affective experiencing as more critical to the change process, whereas cognitive-behavior therapists viewed lower levels of experiencing as being therapeutically more significant. These findings suggest that, with regard to emotional experiencing, psychodynamic-interpersonal therapists may share common ground with experiential therapists, whereas cognitive-behavior therapists appear to have a unique perspective. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Same difference: Black therapists' experience of same-race therapeutic dyads.

Do Black therapists experience their work with Black clients differently than their work with other clients? A phenomenological study of 12 Black psychologists, social workers, and counselors working in college counseling centers examined these therapists' lived experience of same-race therapeutic dyads. The therapists described the unique aspects of their therapy with Black clients, as well as how they learned to perform that work. The implications of this study are vital not only to Black therapists, but also to educators and supervisors of Black therapist trainees. (PsycINFO Database Record (c) 2011 APA, all rights reserved)     

The working self-concept in transference: Significant-other activation and self change.

This research tested the hypothesis that changes in the working self-concept emerge in transference, defined as the activation and application of a significant-other representation to a new person and indexed by relevant inferences and memory (e.g., S. M. Andersen & A. Baum, see record 82-21185; S. M. Andersen et al, see record 82-40398). In an idiographic-nomothetic design, participants learned of a target person who resembled their own or a yoked participant's positively or negatively toned significant other. Results replicated the basic memory effect verifying transference. As predicted, the working self-concept changed in the transference condition. After learning about the new person, participants' freely listed self features shifted; the working self-concept became more infused with aspects of the self reflecting the self when with this significant other. Relevant changes in self evaluation were observed. Hence, changes in the working self-concept occurred in transference. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Clients', therapists', and judges' evaluations of psychotherapy.

Asked 41 patients and their 17 therapists to complete a questionnaire indicating problem areas and their severity before and after the 1st and last therapy session. 2 clinical psychologists served as independent judges rating the client questionnaires. The clients' evaluations were unrelated to their therapists' evaluations, but were highly related to the evaluations made by independent judges. Further analyses suggest that the disagreements between clients and therapists stemmed from the therapists' inaccuracy in perceiving the clients' problems and the therapists' tendency to overestimate the progress of therapy relative to clients and independent judges. The results and the broader issue of client-therapist disagreements are discussed in terms of the client as a "consumer." (l6 ref.) (PsycINFO Database Record (c) 2010 APA, all rights reserved)