Countertransference in the General Hospital Setting: Implications for Clinical Supervision

摘要: Psychiatry residents completing their consultation-liaison (CL) rotations are implicitly expected to recognize and consider countertransference reactions when offering clinical recommendations. Residents often lack formal guidance in this role, as there exists limited examination of scenarios from a psychodynamic perspective. The authors present historical review the literature on with medically ill describe vignette illustrating vicissitudes liaison work. case involves psychotic patient mental retardation acute renal failure. Through refusal care tumultuous course, elicited various countertransferential primary CL teams, turn adversely impacting treatment. illustrates how clinicians' failure collaborate led hospital administrators having take role. (1) A corroborates importance psychiatrists' assistance management countertransference. At same time, it is notable for paucity teaching these skills psychiatry trainees. resident-in-training faces challenges shortcomings Formal training aspect psychiatric consultation lacking, evidenced by extant publications. propose future directions research teaching, emphasis clarifying component advocating establishment psychotherapy guidelines general setting.