NDLI: The Relationship between Theoretical Orientation and Countertransference Expectations: Implications for Ethical Dilemmas and Risk Management.

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The Relationship between Theoretical Orientation and Countertransference Expectations: Implications for Ethical Dilemmas and Risk Management.

Content Provider	World Health Organization (WHO)-Global Index Medicus
Author	Gordon, Robert M. Gazzillo, Francesco Blake, Andrea Bornstein, Robert F. Etzi, Janet Lingiardi, Vittorio McWilliams, Nancy Rothery, Cheryll Tasso, Anthony F.
Description	Country affiliation: United States Author Affiliation: Gordon RM ( Independent Practice, Allentown, PA, USA.); Gazzillo F ( Department of Dynamic and Clinical Psychology, Faculty of Medicine and Psychology, Sapienza University of Rome, Rome, Italy.); Blake A ( Psychology, Cedar Crest College, Allentown, PA, USA.); Bornstein RF ( Gordon F. Derner Institute of Advanced Psychological Studies, Adelphi University, Garden City, NY, USA.); Etzi J ( Department of Graduate Psychology, Immaculata University, Immaculata, PA, USA.); Lingiardi V ( Department of Dynamic and Clinical Psychology, Faculty of Medicine and Psychology, Sapienza University of Rome, Rome, Italy.); McWilliams N ( Graduate School of Applied and Professional Psychology, Rutgers University, Flemington, NJ, USA.); Rothery C ( Department of Professional Psychology, Chestnut Hill College, Philadelphia, PA, USA.); Tasso AF ( Department of Psychology and Counseling, Fairleigh Dickinson University, Madison, NJ, USA.)
Abstract	UNLABELLED: Countertransference (CT) awareness is widely considered valuable for differential diagnosis and the proactive management of ethical dilemmas. We predicted that the more practitioners' theoretical orientation (TO) emphasizes insight into the dynamics of subjective mental life, the better they will be at using their CT expectations in differential diagnosis with high-risk patients. To test this hypothesis, we compared psychodynamic therapy (PDT) practitioners who emphasize insight into subjective mental life with practitioners who do not emphasize this epistemology. Results indicated that PDT practitioners expected significantly more CT than practitioners of cognitive-behavioural therapy (CBT) and other practitioners (e.g., family systems, humanistic/existential and eclectic) to patients with borderline personality organization overall. PDT practitioners had significantly more CT expectations to patients with borderline-level pathologies as compared with neurotic-level patients than both CBT and other practitioners. PDT practitioners were significantly more expectant of CT issues than CBT practitioners with respect to the personality disorders most associated with acting out and risk management problems (e.g., paranoid, psychopathic, narcissistic, sadistic, sadomasochistic, masochistic, hypomanic, passive-aggressive, counterdependent and counterphobic). The other practitioners generally had CT expectations between PDT and CBT. These findings suggest that clinical training into CT may be useful in differential diagnoses and in helping to avoid ethical dilemmas regardless of one's theoretical preference. Copyright © 2015 John Wiley & Sons, Ltd. KEY PRACTITIONER MESSAGE: Insight into countertransference can be used to help with differential diagnoses and to help prevent possible management problems with acting out patients. The Psychodynamic Diagnostic Manual is a useful taxonomy in that it includes countertransference as a diagnostic aid.
File Format	HTM / HTML
ISSN	10633995
Issue Number	3
Journal	Clinical Psychology & Psychotherapy
Volume Number	23
e-ISSN	10990879
Language	English
Publisher	Wiley
Publisher Date	2016-05-01
Publisher Place	Great Britain (UK)
Access Restriction	One Nation One Subscription (ONOS)
Subject Keyword	Discipline Psychiatry Discipline Therapeutics Discipline Psychology
Content Type	Text
Resource Type	Article
Subject	Medicine Clinical Psychology

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