Transference in Cognitive Behavioral Therapy and Its Ethical Implications

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• 作者：J. Vyskocilova¹ ; M. Slepecky² ; J. Prasko³ ; A. Kotianova⁴ ; M. Ociskova⁵
• 刊名：European Psychiatry
• 出版年：2015
• 出版时间：28-31 March 2015
• 年：2015
• 卷：30
• 期：supp_S1
• 页码：1401
• 全文大小：56 K

文摘

Transference is part ofalmost all human relations, and therefore is also a part of any therapeuticrelationship. Classic CBT literature deals with transference only marginally. Butto the work with complex patients, the conceptualization of transference andcounter- transference need to be developed, as well as dealing with ethicalissues that relate to the transference.

Method

Articles and studies were identified throughPubMed, Web of Science and Scopus databases as well as existing reviews. Thesearch terms included “transference”, “cognitivebehavioral therapy”, “acceptance and commitment therapy”,“schema therapy,” “dialectic behavioral therapy” Compassiontherapy“, ”ethics “in different combinations. Other relevanttexts were searched by references found articles.

Outcome

Transference relationship can work inconjunction with therapy and helps to achieve its objectives, or restricts thetherapy, distorts it or blocks. For uncomplicated psychiatric disorders and tosolve simple problems CBT doesn´t address the therapeutic relationship. Conversely, therapeutic relationship becomes the focus of the therapy in clientswith personality disorders. It can be used to identifying automatic thoughts, dysfunctional assumptions and core beliefs well as to their changing. Transferencemay also be misconduct in favor the therapist at the expense of the client. Thecrossing of the borders can be done unconsciously or consciously. Ethicalreflection of the therapeutic relationship is possible only when the therapistconceptualizes recognized transference of the client and also owncounter-transference reactions. Self-reflection, however, must be supplementedby asking the relevant ethical questions.