Chapter 8, Problem 1Q

Summary Introduction

Concept introduction

Transference, an unconscious redirection of feelings from one person to another, is one of the core concepts of psychodynamic therapy. According to Freud, transference allows a therapist to get a glimpse of the client's past conflict-ridden relationships, which can be used to promote insight about the patient.

Explanation of Solution

Suggested response

There are various transference issues that can emerge in therapy of depressed patients. Fear of abandonment by the therapist is the most common issue observed. These patients often feel hurt and alone, longing for a closer relationship with someone. However, while they crave the therapist's attention and affection, they are also afraid that the therapist might reject them.

A common transference pattern seen among these patients is dependent transference. In this, the patients become overly dependent on the therapist, always seeking their help and support, and expecting them to care for them. They experience feelings of helplessness, and require the therapist to constantly reassure them. The other side of dependence is characterized by negative emotions, such as anger and hate. The patient might re-experience previous losses in which the therapist takes the role of a hurtful or non-nurturing parent.

Lastly, some patients might also see the therapist as critical and rejecting. The patient might think that the therapist does not approve of them and their choices, resulting in feelings of worthlessness and anger in the patient. Some other issues that can emerge include feelings of shame and embarrassment, distrust in the therapist's abilities, irregular attendance, and ambivalence.