Evidence map›Paper›PMID 41146362›Full record

ReviewJournal of eating disorders2025

Countertransference in the treatment of patients with eating disorders.

Almut Zeeck, Vivien Gruteser, Inga Lau, Milena Egenolf, Carolin Klose, Sonja Lienhart, Armin Hartmann

Abstract readReview
In one paragraph

Review in Journal of eating disorders, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

  1. Article
  2. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors.

Almut ZeeckDepartment of Psychosomatic Medicine and Psychotherapy, Center for Mental Health, Faculty of Medicine, University of Freiburg, Freiburg, Germany. Almut.zeeck@uniklinik-freiburg.de.
Vivien GruteserDepartment of Psychosomatic Medicine and Psychotherapy, Center for Mental Health, Faculty of Medicine, University of Freiburg, Freiburg, Germany.
Inga LauDepartment of Psychosomatic Medicine and Psychotherapy, Center for Mental Health, Faculty of Medicine, University of Freiburg, Freiburg, Germany.
Milena EgenolfDepartment of Psychosomatic Medicine and Psychotherapy, Center for Mental Health, Faculty of Medicine, University of Freiburg, Freiburg, Germany.
Carolin KloseDepartment of Psychosomatic Medicine and Psychotherapy, Center for Mental Health, Faculty of Medicine, University of Freiburg, Freiburg, Germany.
Sonja LienhartDepartment of Psychosomatic Medicine and Psychotherapy, Center for Mental Health, Faculty of Medicine, University of Freiburg, Freiburg, Germany.
Armin HartmannDepartment of Psychosomatic Medicine and Psychotherapy, Center for Mental Health, Faculty of Medicine, University of Freiburg, Freiburg, Germany.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundPeople with eating disorders (EDs) such as anorexia nervosa (AN) and bulimia nervosa (BN) can trigger intense affective reactions and impulses to act in their counterparts and in those treating them (countertransference, CT). The aim was to summarize the existing evidence on CT in the treatment of EDs by conducting a scoping review oriented on the model of J. Hayes. This model describes CT according to five dimensions: therapist characteristics, triggers, manifestations, effects and management of CT.

methodThe PubMed and EBSCOhost databases were systematically searched for publications on CT in EDs up to October 2024. Studies were screened according to the PRISMA guidelines and findings extracted oriented on Hayes´ dimensions, distinguishing between quantitative and qualitative studies.

resultsFrom 5346 publications identified, 27 were included in the review (18 quantitative and nine qualitative studies). Even though positive CT reactions predominate, a range of negative reactions (such as helplessness, anger, fear) are described, in particular in the treatment of AN. Therapist variables (professional background, experience), patient´s characteristics (type of the eating disorder, traumatization, personality) and relationship building as well as conditions of the treatment setting are related to the type of CT reactions and its management.

conclusionPatients with ED are a difficult group to treat, partly due to the intense CT reactions they can trigger. Therapists should be trained to recognize, mentalize and deal with these reactions and have sufficient time for exchange and supervision during a treatment process.

Indexed as

Anorexia nervosaBulimia nervosaCountertransferenceEating disorderEmotional reactionPsychotherapy

Identifiers

PMID41146362
PMCPMC12560542

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.