"Incongruent Countertransference: A Mismatch Between Patient And Analyst, Or Not?"
Valerie Frankfeldt, PhD
One of the more intriguing aspects of our work occurs when our feeling states appear not to match the verbal content or feeling state presented by the patient. As preverbal phenomena, these experiences may manifest as feelings, per se, or as physical sensations (e.g., hunger, nausea, coughing, yawning, a tic, tightness in chest, changes in heart rate, pain, unexplained tears), psychological sensations (e.g. feelings of derealization, depersonalization, changes in body image, feeling larger or smaller, etc.), hard to grasp ethereal fantasies, dreams, impulses, cognitive problems, or behavioral enactments that feel out of character, and more.
These moments may be fleeting or ongoing. They can be disturbing, bewildering or confusing, but are always fascinating. Developing a sensitivity to noticing and experiencing these countertransference states allows for bringing a raft of new information into the treatment. Dr. Frankfeldt will define and illustrate this phenomenon, grapple with possible meanings, and consider ways of understanding how it comes about.
Valerie Frankfeldt, PhD, is the Director of Training, a faculty member, training analyst and supervisor at PPSC. She is a Certified Imago Relationship Therapist, and a graduate of the Center for Modern Psychoanalytic Studies. She has written and presented extensively on psychoanalytic/12 Step/Harm Reduction treatment of addictions, mother-child problematic interactions and their healing, conflicts for psychoanalysts regarding integrating the digital world with treatment, couples treatment, and work with severely disturbed patients. She is in private practice in Greenwich Village, NY.
*This talk has been approved by New York State for 2 hours of Continuing Education Credit for LMSWs and LCSWs.
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