ArticleTrends in psychiatry and psychotherapy
Associations between countertransference reactions towards patients with borderline personality disorder and therapist experience levels and mentalization ability.
Article in Trends in psychiatry and psychotherapy. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.
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Who cites it
8 citing papers in PubMed, 19 citations in OpenAlex.
- Relational skills and self-awareness outcomes in psychotherapy trainees.Research in psychotherapy (Milano) · 2026Article
- Development and validation of a short form of the mentalization scale (MentS-11): an evidence-based measure for Turkish adults.Cognitive processing · 2026Article
- Community care for individuals with borderline personality disorder in Japan: a narrative review.Journal of rural medicine : JRM · 2026Article
- Enhancing psychiatry education: effectiveness of a psychodynamic psychotherapy module for borderline personality disorder for psychiatry residents.Frontiers in psychiatry · 2026Article
- Article
- Exploring therapeutic responsiveness: a comparative textual analysis across different models.Frontiers in psychology · 2024Article
- Psychometric properties of comprehensive cognitive, affective, and psychomotor competency assessment scales in psychodynamic psychotherapy for borderline personality disorder.Frontiers in psychiatry · 2024Article
- Does clinical training improve mentalization skills in future therapists? A comparison of first and last year students of clinical psychology and of engineering.Frontiers in psychology · 2023Article
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Authors and funding
2 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectiveThis exploratory study locates countertransference as a pan-theoretical concept, comprising of thoughts, feelings, and behaviors expressed or experienced by therapists toward their patients. It aims to understand the patterns of countertransference experienced in working with borderline personality disorder. Associations between countertransference reactions and therapist-related variables of experience and mentalization ability are also examined.
methodPsychotherapists (n = 117) completed the Therapist Response Questionnaire to assess patterns of countertransference experienced with a representative patient diagnosed with borderline personality disorder. They also completed a measure of mentalization ability that examined self-related mentalization, other-related mentalization, and motivation to mentalize.
resultsThe profile of responses across eight countertransference dimensions is discussed, with the most strongly endorsed reactions being positive/satisfying, parental/protective, and helpless/inadequate. More experienced therapists reported less negative countertransference reactions in select dimensions. Therapists' self-reported ability to reflect on and understand their own mental states was negatively correlated with a range of difficult countertransference experiences. There were few associations between their ability to make sense of others' mental states, the motivation to mentalize, and the strength of their countertransference reactions.
conclusionThe implications for countertransference management as well as therapist training and development are highlighted.
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