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Personality disorders and therapist countertransference: A review

Published online by Cambridge University Press:  13 August 2021

I. Cuevas Iñiguez  and
M.D.C. Molina Lietor
I. Cuevas Iñiguez*
Affiliation:
Psiquiatría, Hospital Universitario Príncipe de Asturias, Alcalá de Henares, Spain
M.D.C. Molina Lietor
Affiliation:
Psiquiatría, Hospital Universitario Príncipe de Asturias, Alcalá de Henares, Spain
*
*Corresponding author.

Abstract

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Introduction

The countertransference of the therapist is crucial in psychotherapy. Although the concept of countertransference arose from psychoanalysis, it is considered a construct that occurs in any type of therapy.

Objectives

The purpose of this review is to examinate the relationship between personality disorders and countertransference.

Methods

A systematic literature review was performed on PubMed using the keywords “personality disorder” and “countertransference”. All papers published between 2015 and 2020 were evaluated.

Results

There were significant relationships between and patients’ personality disorders and patterns of countertransference. Criticized countertransference were associated with paranoid and antisocial personality disorders. Borderline personality disorders was related to helpless, overwhelmed, and overinvolved responses. Narcissistic and schizotypal personality disorders were associated with disengaged therapist responeses. Helpless countertransference was associated with schizoid personality disorders. Avoidant personality disorders was associated with postive responses. Special/overinvolved therapist responses were associated with obsessive-compulsive personality disorders

Conclusions

Several studies suggest that therapists’ emotional responses occur consistently in any kind of therapy. Moreover, specific personality disorders are associated with concrete emotional responses. Therefore, therapists can make therapeutic and diagnostic use of their conuntertransference.

Keywords

personality disorderTherapycountertransference
Type
Abstract
Information
European Psychiatry , Volume 64 , Special Issue S1: Abstracts of the 29th European Congress of Psychiatry , April 2021 , pp. S441
Creative Commons
Creative Common License - CCCreative Common License - BY
This is an Open Access article, distributed under the terms of the Creative Commons Attribution licence (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted re-use, distribution, and reproduction in any medium, provided the original work is properly cited.
Copyright
© The Author(s), 2021. Published by Cambridge University Press on behalf of the European Psychiatric Association
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