Shirah Vollmer MD

The Musings of Dr. Vollmer

Archive for December 30th, 2011

Re-Posting With A New Comment: Transference

Posted by Dr. Vollmer on December 30, 2011

 

The Comment:

Subject: Transference
Conditions for challenges in the therapeutic relationship: Are the clients
ready? It is important to work with the material to gain an assessment of the
right time to intervene. Can they hear? Clients might have intense shame and
feelings of worthlessness. There might be a shock of being confronted by the
shadow. Clients might act out rather than work through the difficult
material. Research has shown that negative transference is best to establish
bond.

There is no magic wand. This is one of the great realisations a client can
have. The ideal is self-challenge. What is the story behind the story that
the client is bringing? Bodywork and meditation only give us images and these
must reflect the client narrative.

 

The Post:

My 24 year old male patient, who has entered my most recent blogs, looks to me to struggle with his issues, but he does not look to me for comfort. I characterize our relationship as one which involves a lot of mutual fondness. He sees me as an intelligent participant in his life who helps him think and reflect on his life, but he also experiences me as emotionally distant.

Transference, first described by Sigmund Freud, is a phenomenon in psychotherapy in which there is an unconscious redirection of feelings from one person to another. In his later writings, Freud learned that understanding the transference was an important piece of the psychotherapeutic work.

In the case of this patient, he has a distant mom and a warm dad who he does not see very often. When his parents divorced, he and his mom developed an intense, but in his terms, a “weird” relationship. By “weird” he means that she took care of him, but she did not want to spend a lot of time with him. He came to understand that he was not “worthy” of her time. Although it would be too simple to say that he has made me into his mother, it does appear that he assumes that I cannot comfort him based on his childhood experience of his mother.

I know that my critics are going to argue that perhaps I am a cold person and so this is not transference, but rather a repetition of his past. The question becomes how much is my patient responding to his past relationships and how much is he responding to the present connection. As with most things, the past and the present are now woven together and it becomes nearly impossible to sort out. Having said that, the idea that his childhood relationship with his mom has shaped his expectations of our therapeutic relationship may be worth exploring.

According to The Source  published in 2001, “During transference, people turn into ‘biological time machine.”‘ A nerve is struck when someone says or does something that reminds you of your past. This creates an “emotional time warp” that transfers your emotional past and your psychological needs into the present.

My client wants to grow and he wants to feel comfort. At the moment, he is able to access the growth and reflection aspect of psychotherapy. I am hopeful that by talking about the nature of our relationship, he will begin to feel the comfort that is embedded in the deep affection that we have for one another. We will start by looking at the transference.
https://shirahvollmermd.wordpress.com/2010/01/24/transference/

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