Countertransference as a reflection of the patient's inner relationship conflict.

Countertransference may reflect the patients’ diagnosis and can be used to better understand patients’ inner worlds and core conflictual relationship themes (CCRTs). Thus, the changing emotions of therapists can serve as a marker of treatment processes. This exploratory study aims to identify how the interaction between patients’ CCRT patterns and their respective therapists’ emotions associate with working alliance postsession and patient symptoms. The data analysis is based on 17 subjects who received supportive−expressive therapy. Therapists’ emotional reactions were assessed using the Feeling Word Checklist. The Working Alliance Inventory—Short Revised and the Outcome Questionnaire were completed at each session. The relationship between the patients’ CCRTs and (a) the therapists’ emotional profile, (b) therapists’ rated working alliance, and (c) patient symptoms was analyzed using mixed models. Results show that patients’ CCRT moderated the correlation between therapists’ feeling engaged and time. In addition, patients’ CCRTs and therapists’ emotions together was associated with therapists’ rated working alliance and patient symptoms. (PsycInfo Database Record (c) 2021 APA, all rights reserved) 治疗师的反移情可以反映出患者的诊断,也可用于更好地理解患者的内心世界和冲突关系的主题(CCRT). 因此,治疗师情绪的变化可以作为治疗进程的一个标志. 这一探索性研究旨在确定,患者的CCRT模式与其治疗师的情绪的互相作用是如何与会谈后工作联盟和病人的症状相联系的. 数据分析是基于17名接受过支持-表达性治疗的受试者. 治疗师的情绪反应是使用感受词汇清单来评估的. 每次会谈都用WAI−SR和QQ-45来管理. 患者的CCRT与(a)治疗师的情绪状况, (b)治疗师评定的工作联盟, 和(c)患者的症状之间的关系,则使用混合模型进行了分析. 结果显示,患者的CCRT减弱了治疗师的”投入的”情感和时间的相关性. 另外,患者的CCRT和治疗师的情绪都与治疗师评定的工作联盟及患者的症状相关联.