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April 24, 2017 by Brighton & Hove Psychotherapy 2 Comments

What is transference?

I am sometimes asked, “What is transference?” Some clients are strongly negative towards the idea (of how they understand) the concept. A blog seems like a good opportunity to de-mystify this term and emphasise its importance to psychotherapy and to psychodynamic and psychoanalytic counselling.

Freud Again!

The notion of transference dates back to Freud. He used the term to describe how patients (clients) will project, or quite literally, transfer their feelings from a significant childhood relationship onto their psychotherapist.

The notion of transference is not limited to the therapy relationship. It’s something that affects many of our close relationships with others, particularly our partners. For instance, we may respond with anger or frustration if we ‘hear’ our partner use a tone of voice or phrase that a parent once used with us. Conversely, we may be drawn to someone because they remind us of a family member with whom we enjoyed a close relationship.

What’s Wrong With That?

The underlying principle of transference is that it is an unconscious process and therefore, we are unaware of it. While we are engaged in unconscious processes, the conscious part of us is always playing ‘catch-up’ by inventing reasons for why we behave in a certain way or for the way we feel about another person.

In the therapeutic relationship, the client starts to transfer ideas, fantasies, and feelings onto their therapist. This occurs because the client knows relatively little about the life of their therapist. What is transferred by the client onto the therapist becomes the basis of the collaboration in understanding the client’s relational patterns, childhood traumas and unresolved conflict.

Counter-Transference

Counter-transference is the term used to describe what the therapist feels in relation to their client. It is the therapist’s part of the entanglement of the relationship. It enables the therapist to become aware of what the patient may be feeling towards them or eliciting in them. Counter-transference shows why it is so essential for psychotherapists to be well trained and to have undergone their own rigorous analysis or psychotherapy. This enables therapists to distinguish which feelings come from their own unconscious process, and which are counter-transferential.

So transference matters?

Transference is the foundation of the work in any method of psychotherapy where the unconscious forms the basis of understanding a client’s struggles.

Is transference risky, or something to be scared of?

In a word, no, providing your psychotherapist is experienced enough to work in the transference and to be aware of unconscious processes. A psychotherapy process should never be dangerous, but nor should it be too safe. It is a daring adventure into the unconscious inner world that can be painful and difficult. Ultimately, however, it carries the goal of relieving suffering and trauma.

In other words

British analyst Harry Guntrip summarised the purpose and role of transference thus:

“Transference analysis is the slow and painful experience of clearing the ground of left-overs of past experience, both in transference and in counter-transference, so that the patient and therapist can meet “mentally face to face” and know that they know each other as two human beings. This is without doubt the most important kind of relationship of which human beings are capable and is not to be confused with erotic “falling in love”.

Mark Vahrmeyer is a UKCP-registered psychotherapist working in private practice in Hove and Lewes, East Sussex.  He is trained in relational psychotherapy and uses an integrative approach of psychodynamic, attachment and body psychotherapy to facilitate change with clients.

Click here to listen to our podcast on this post.

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Filed Under: Attachment, Mark Vahrmeyer, Psychotherapy Tagged With: attachment, Attachment Styles, Freud, transference

February 16, 2017 by Brighton & Hove Psychotherapy 4 Comments

What is psychotherapy?

Freud once described psychotherapy as the “impossible profession.” To those who have not experienced it, psychotherapy can sound like a curious, mysterious, complex or even frightening endeavour.

Using brief and simplistic explanations such as “talking to someone about your problems” to describe psychotherapy does not do it justice. At its best, psychotherapy is a process of looking at all aspects of an individual’s life in its depth and entirety.

What makes a person who they are?

Good psychotherapists are curious about what makes a person who they are, which begins with child development and the formation of personality structures and an individual’s past history of attachment to significant others and transgenerational influences. Additionally, psychotherapists take into account the historical, cultural, social and political influences in an individual’s life. These can include, for example, gender, age, disability, sexuality, cultural norms, their present situation and resources. All of these elements have an impact on how someone both views and processes the issues they bring to therapy.

Finally, much of what is communicated in the therapy room is communicated non-verbally, through facial expressions, body language and tone of voice. This isn’t to say that we, as therapists, scrutinise every detail of how someone presents. It is more about being genuinely curious about who the individual sitting in front of us is, and how they interact with those around them, so that they themselves begin sharing in this curiosity.

How does this lead to change?

Profound change in psychotherapy happens at different levels. At one level, it’s vital that we begin talking about what is troubling us with a curious and understanding other. This reduces isolation and helps us feel heard and validated. It is common for some of the symptoms to begin subsiding at this stage, and to experience a sense of relief. Another common response is for thoughts and feelings to surface more frequently, and this can lead to discomfort in the short term.

At this point, it is important to begin making sense of what we are experiencing. While it feels good to be heard, it is also necessary to skilfully sort through the chaos and uncertainty that can be generated by unprocessed feelings.

Alongside this, we will assess how past and present experiences are linked. For instance, does this situation bring up familiar feelings from the past? In dealing with this situation, what resources are available to you and what beliefs and values are hindering you? Where do these unhelpful influences come from? Throughout psychotherapy, we look at both conscious and unconscious influences in a person’s life. Some of the ways to explore those are through dialogue, associations, insight and dreams.

Next, we explore how to separate internalised unhelpful beliefs from current reality. Here, we draw on your internal resources, exploring the patterns repeat themselves in your life, and how to create a different way of being in the world. This process sounds more simplistic than it actually is, as some of our ways of being in the world are deeply ingrained and take time to shift. Plus, some are survival strategies which we have developed very early on and served us in getting through life, for better or worse.

Psychotherapy is a long-term endeavour because human beings are rich with complexity. This complexity can take time to unravel and transform. For long-term, sustainable change, there are no short cuts and quick fixes.

This just a taste of what psychotherapy can be. However, therapy is always led by what the individual (or group, family or couple) presents, and what they want to achieve. Getting there is a joint piece of work grounded in a solid working alliance between client and therapist.

If you are curious to find out more about how psychotherapy can be helpful to you, please get in touch with us at Brighton and Hove Psychotherapy.

Sam Jahara is a UKCP Registered Psychotherapist and Certified Transactional Analyst with a special interest in cross-cultural and intergenerational influences.

Click here to download a PDF version of this post.

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Filed Under: Mental Health, Psychotherapy, Sam Jahara Tagged With: attachment, Freud, Psychotherapy, Relationships

March 8, 2013 by Brighton & Hove Psychotherapy Leave a Comment

Dreams and Associations

I have recently learnt more about working with dreams from my clinical supervisor, a woman whom I admire for her intelligence, knowledge and the way she encourages me to think.

Dreams are both crazy and fascinating. When explored in psychotherapy it can lead to a better understanding of internal conflicts, unprocessed material and offer insight on a profound level. Anything is possible in a dream; conflicting aspects and feelings can co-exist. The sense of time and boundaries is free-flowing and completely subjective.

Our conscious minds repress a range of information and affect which would be too much to process by day. These normally appear in our dreams. Freud thought of dreams as wish fulfilment and used interpretation, while Jung saw it as compensation for what was missing in a person’s life and worked with the original images in a dream.

I am interested in how the unconscious seeks ways of communicating, not only through dreams but also in waking life; and how this manifests between client and therapist. For instance, the use of imagery and metaphor is a powerful way of unconscious communication.

Phillip Bromberg writes about the use of association in his clinical work. Often a client’s unformulated feelings or thoughts seek to find expression in therapy through an unconscious or telepathic communication with their therapist. The use of associations by the therapist in deep attunement with their client (when appropriately communicated in a timely way) can enable an internal dialogue between parts of the client’s self which seek to become more integrated.

“The road to the patient’s unconscious is created, and it is created nonlinearly by the analyst’s own unconscious participation in its construction even while he thinks he is simply observing it” (Bromberg 2011 p.86).

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Filed Under: Psychotherapy, Sam Jahara Tagged With: dreams, Freud, Jung, Unconscious

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