Comprehensive Psychiatry
Volume 48, Issue 3 , Pages 225-230 , May 2007

An empirical study of countertransference reactions toward patients with personality disorders

  • Jan Ivar Rossberg

      Affiliations

    • Ullevaal University Hospital, 0407 Oslo, Norway
    • Institute of Psychiatry, University of Oslo, 0407 Oslo, Norway
    • Corresponding Author InformationCorresponding author. Psychiatric Division, Ullevaal University Hospital, N-0407 Oslo, Norway. Tel.: +47 23 02 73 25; fax: +47 22 11 84 23.
    • ,
  • Sigmund Karterud

      Affiliations

    • Ullevaal University Hospital, 0407 Oslo, Norway
    • Institute of Psychiatry, University of Oslo, 0407 Oslo, Norway
    • ,
  • Geir Pedersen

      Affiliations

    • The Norwegian Network of Psychotherapeutic Day Hospitals, 0407 Oslo, Norway
    • ,
  • Svein Friis

      Affiliations

    • Ullevaal University Hospital, 0407 Oslo, Norway
    • Institute of Psychiatry, University of Oslo, 0407 Oslo, Norway

References 

  1. Kernberg O. Notes on countertransference. J Am Psychoanal Assoc. 1965;13:38–56
  2. Heiman P. On countertransference. Int J Psychoanal. 1950;31:81–84
  3. Holmes G, Perrin A. Countertransference: what is it? What do we do with it?. Psychodin Couns. 1997;3:263–277
  4. Geddes MJ, Pajic AK. A multidimensional typology of countertransference responses. Clin Soc Work J. 1990;18:257–272
  5. Miles MW. The evolution of countertransference and its applicability to nursing. Perspect Psychiatr Care. 1993;29:13–20
  6. Guy JD, Brady JL. Identifying the faces in the mirror: untangling transference and countertransference in self-psychology. Psychother Pract. 2001;57:993–997
  7. Berkowitz M. Know your borderline: countertransference as a diagnostic tool. Psychother Theory Res Pract. 1983;4:405–407
  8. Greenson RR. Loving, hating and indifference towards the patient. Int Rev Psychoanal. 1974;3:259–266
  9. Rosenbluth M. New uses of countertransference for the inpatient treatment of borderline personality disorder. Can J Psychiatry. 1991;36:280–284
  10. Lotterman A. Emotional induction: communication via the countertransference. J Am Acad Psychoanal. 1990;18:587–612
  11. Russell M, Marsden P. What does the therapist feel? Countertransference with bulimic women with borderline personality disorder. Br J Psychother. 1998;15:31–42
  12. De Rivera J. A structural theory of the emotions. Psychol Issues. 1977;10(4):40;[Monograph]
  13. Brown LJ. Staff countertransference reactions in the hospital treatment of borderline patients. Psychiatry. 1980;43:333–345
  14. Stamm I. Countertransference in hospital treatment. Basic concepts and paradigms. Bull Menninger Clin. 1985;45:432–450
  15. McCready K. Milieu countertransference in treatment of borderline patients. Psychotherapy. 1987;24:720–728
  16. Gallop R. The patient is splitting. Everyone knows and nothing changes. J Psychosoc Nurs. 1985;23:6–10
  17. Brody EM, Farber BA. The effects of therapist experience and patient diagnosis on countertransference. Psychotherapy. 1996;3:372–380
  18. McIntyre SM, Schwartz RC. Therapists' differential countertransference reactions toward clients with major depression or borderline personality disorder. J Clin Psychol. 1998;54:923–931
  19. Holmqvist R. The influence of patient diagnosis and self-image on clinicians' feelings. J Nerv Ment Dis. 1998;186:455–461
  20. Colson D, Allen J, Coyne L, et al. An anatomy of countertransference: staff reactions to difficult psychiatric hospital patients. Hosp Community Psychiatry. 1986;37:923–928
  21. Betan E, Heim AK, Conklin CZ, et al. Countertransference phenomena and personality pathology in clinical practice: an empirical investigation. Am J Psychiatry. 2005;162:890–898
  22. Karterud S, Wilberg T, Friis S, et al. Time-limited and intensive day hospital treatment for patients with personality disorders. Nord J Psychiatry. 1998;52:112–113
  23. Røssberg J, Hoffart IA, Friis S. Psychiatric staff members' emotional reactions toward patients. A psychometric evaluation of an extended version of the Feeling Word Checklist (FWC-58). Nord J Psychiatry. 2003;57:45–53
  24. First MB, Gibbon M, Spitzer RL, et al. Structured Clinical Interview for DSM IV Axis II Personality Disorders (SCID II). Washington, DC: American Psychiatric Press; 1997;
  25. Spitzer R. Psychiatric diagnosis: are clinicians still necessary?. Compr Psychiatry. 1983;24:399–411
  26. Pedersen G, Hagtvet KA, Karterud S. Generalizability studies of the Global Assessment of Functioning (GAF)—Split version. Compr Psychiatry. 2007;48:88–94
  27. Johansen KH. The impact of patients with chronic character pathology on a hospital inpatient unit. Hosp Community Psychiatry. 1983;34:842–846
  28. Burnham DL. The special-problem patient: victim or agent of splitting?. Psychiatry. 1966;29:105–122
  29. Rosenkrantz J, Morrison T. Psychotherapist perceptions of self and patients in the treatment of borderline personality disorder. J Clin Psychol. 1992;48:553–560
  30. Gabbard G. Splitting in hospital treatment. Am J Psychiatry. 1989;14:444–451
  31. Greene LR, Rosenkrantz J, Muth DY. Borderline defenses and countertransference: research findings and implications. Psychiatry. 1986;49:253–264

PII: S0010-440X(07)00018-1

doi: 10.1016/j.comppsych.2007.02.002

Comprehensive Psychiatry
Volume 48, Issue 3 , Pages 225-230 , May 2007

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