A classification of countertransference phenomena and its application to inpatient psychiatry.
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Biomedical subjects
Publications and source records attributed to M Lakovics.
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Supervision of countertransference has been problematic for a number of reasons. Countertransference has had many different meanings and negative affective connotations associated with it. Conflict has existed over whether it is a subject more appropriate to personal therapy than to supervision. The absence of a single consistent conceptual framework to define and clarify these problems has contributed to them. This paper proposes a classification of countertransference into six types of phemonena: concordant identification, complementary identification, interactional reactions, life events, institutional countertransference, and classical countertransference. Examples from supervision of psychiatric residents are used to illustrate the utilization of this classification.
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As medicine and nursing have become increasingly specialized, the need for additional training for the graduate nurse has become more evident. One way in which nursing educators have dealth with this problem is through the establishment of general nursing internship programs. The authors review some of the historical background for the development of these programs and describe the establishment of an 8-week specialized nursing internship program in psychiatric nursing. They conclude with a brief evaluation of the program.
In a discussion of some problems that psychiatric residents encounter in learning to do good psychotherapy, the author compares learning techniques of medicine and those of psychiatry. He concludes that one of the most difficult experiences for the psychiatric resident is learning tolerance for ambiguity and uncertainty.