Negative Reactions of Therapists Working with Suicidal Patients: a CBT/Mindfulness Perspective on “Countertransference”

摘要: While the construct of countertransference has been established in psychodynamic theory since its inception, it received relatively little attention from cognitive-behavioral theorists. However, is generally agreed that therapists’ reactions to patients powerfully influence treatment, for better or worse. Suicidal particular are likely evoke negative therapists. In this paper, we briefly review theoretical literature on countertransference, with suicidal patients, standpoints and research. We argue perspective, together RAIN model proposed by mindfulness authors (Recognition, Acceptance, Investigation, Non-Identification), opens avenues assess, distance from, perhaps modify cognitions could lead counter-therapeutic emotions behaviors working patients. conclude that, while work can be challenging, therapists potentially improve effectiveness enhance their own well-being managing a manner consistent orientation.