McIntyre S M, Schwartz R C
Charter Springs Behavioral Health System.
J Clin Psychol. 1998 Nov;54(7):923-31. doi: 10.1002/(sici)1097-4679(199811)54:7<923::aid-jclp6>3.0.co;2-f.
The purpose of this study was to examine psychotherapists' differential countertransference reactions toward either clients diagnosed with either Major Depression or Borderline Personality Disorder. Specifically, psychotherapists' personal perceptions and emotional reactions to these clients were assessed utilizing the Impact Message Inventory and the Stress Appraisal Scale (N = 155). Direct feelings, action tendencies, cognitive attributions, and perceived anxiety were evaluated. Results indicated that clients with Borderline Personality Disorder are perceived as significantly more dominant and hostile, whereas clients with Major Depression were considered significantly more submissive, friendly, and salient. In addition, it was found that as clinicians' years of experience increased, degree of countertransference decreased. These results suggest that countertransference reactions can be measured empirically, that differential countertransference reactions are evoked toward clients manifesting different symptoms, and that awareness of countertransference may be important for positive therapeutic outcome.
本研究的目的是考察心理治疗师对被诊断为重度抑郁症或边缘型人格障碍的来访者的不同反移情反应。具体而言，使用影响信息量表和压力评估量表（N = 155）评估心理治疗师对这些来访者的个人认知和情绪反应。评估了直接感受、行动倾向、认知归因和感知到的焦虑。结果表明，边缘型人格障碍的来访者被认为更具支配性和敌意，而重度抑郁症的来访者则被认为更顺从、友好且突出。此外，研究发现随着临床医生经验年限的增加，反移情程度会降低。这些结果表明，反移情反应可以通过实证方法进行测量，针对表现出不同症状的来访者会引发不同的反移情反应，并且反移情意识对于积极的治疗结果可能很重要。
