role in the process of self-reflection as a PMHNP provider

Reflection Week 5

The relationships between a patient and a therapist can become complex, particularly when dynamics from the patient’s other relationships come in any given situation. In such cases, a patient is more likely to transfer specific feelings or patterns of behaviors associated with another relationship onto the therapist’s relationship. Such situations are known as transferences. Technically, therapists can gain an insight into thought patterns and, most importantly, patient behaviors, particularly as a result of transference. In such cases, the patient needs to identify when it is happening and possibly figure out where it may be originating from in general. 

When patients tend to attach a specific feeling to the therapists, transferences have happened to me. Examples of these feelings include hostility, adoration, anger, love, and other feelings. Therefore, these feelings can be considered factors influencing and contributing to the development of transferences. Logically, it is important for any therapist or healthcare professional to understand and accept that such events are possible and may develop in any relationship with patients (Diamond et al. 2020). As a result, it would be important to ensure transferences are actively monitored and responded to effectively.

Technically, there are different and reliable ways to consider when dealing with or to respond to transferences. Some of the ways include the effective provision of peer support, continual self-reflection, clear boundaries between in consideration to the relationship between the therapist and the patient, being mindful, and most importantly, using empathy (Piedfort-Marin, 2018). These strategies play a critical role in ensuring a therapist will continue offering support to the patient while limiting possible interferences of transferences that may affect the outcomes and positive impacts towards the patient and the existing relationships.            

References

Diamond, D., Yeomans, F. E., Stern, B. L., & Kernberg, O. F. (2020). Treating Pathological Narcissism with Transference-Focused Psychotherapy. Guilford Publications.

Piedfort-Marin, O. (2018). Transference and countertransference in EMDR therapy. Journal of EMDR Practice and Research, 12(3), 158-172.