Developing countertransference awareness as a therapist in training: The role of containing contexts

The psychodynamic literature suggests that countertransference is an inevitable part of therapy and a significant feature of the client-therapist relationship. However, countertransference is also considered to be a ‘double-edged sword’: when it is reflected on by the therapist, it can offer valuable insights into the therapeutic relationship, but when it remains outside of awareness and therefore unmanaged it can result in the therapist unwittingly acting out in the therapeutic relationship and responding in counter-therapeutic ways. The purpose of this research was to explore the factors involved in the development of countertransference awareness in therapists and to construct a grounded theory of the process. Fifteen qualified therapists were recruited and interviewed, either face to face or via Skype, using a semi-structured interview schedule. The grounded theory constructed from the data suggests that during training participants initially experienced countertransference as threatening and overwhelming. When this experience was contained in supervision and therapy, the organisational context and by participants’ theoretical framework, they could reflect on their countertransferential responses and make sense of their experience, which then developed their self-awareness and other insights to the benefit of the therapeutic relationship. Conversely, a lack of containment in these domains resulted in participants acting out their countertransference and becoming either over or under available in the therapeutic relationship. The findings offer a useful process model on the role containing contexts play in the development of countertransference awareness for therapists in training.     

Self-awareness, probability of improvement, and the self-serving bias.

Evidence for the self-serving bias (attributing success internally and failure externally) is inconsistent. Although internal success attributions are consistently found, researchers find both internal and external attributions for failure. The authors explain these disparate effects by considering the intersection of 2 systems, a system comparing self against standards and a causal attribution system. It was predicted that success and failure attributions are moderated by self-awareness and by the ability to improve. When self-focus is high (a) success is attributed internally. (b) failure is attributed internally when people can improve, (c) failure is attributed externally when people cannot improve, and (d) these attributions affect state self-esteem. Implications for the self-serving bias are discussed.     

Effects of IQ on executive function measures in children with ADHD.

The present study compared children with Attention-Deficit Hyperactivity Disorder (ADHD) and controls on a selected set of clinical measures of executive function (EF). A total of 92 children (51 ADHD, 41 control), ages 6-16, completed measures chosen from a larger neuropsychological battery to illustrate diverse components of the EF construct (planning, inhibitory control, response preparation, memory search). The selected measures were moderately correlated with one another, and moderately correlated with IQ. After controlling for age, sex, presence of learning disability (LD), ADHD, and IQ test version, Full Scale IQ was significantly related to four of the five selected EF measures. A second analysis showed group differences on the EF measures at different IQ levels. After covarying for age, there was a significant multivariate effect for IQ level (average, high average, superior) and a significant multivariate interaction between group (ADHD vs. control) and IQ level. Three of the five selected EF measures showed significant univariate group effects (controls performing better than ADHD) at the average IQ level; however, there were no significant group differences between children with ADHD and controls at high average or superior IQ levels. These results suggest that clinical measures of EF may differ among children with ADHD and controls at average IQ levels, but there is poorer discriminatory power for these measures among children with above average IQ.     

Structured latent curve models for the study of change in multivariate repeated measures

This article considers a structured latent curve model for multiple repeated measures. In a structured latent curve model, a smooth nonlinear function characterizes the mean response. A first-order Taylor polynomial taken with regard to the mean function defines elements of a restricted factor matrix that may include parameters that enter nonlinearly. Similar to factor scores, random coefficients are combined with the factor matrix to produce individual latent curves that need not follow the same form as the mean curve. Here the associations between change characteristics in multiple repeated measures are studied. A factor analysis model for covariates is included as a means of relating latent covariates to the factors characterizing change in different repeated measures. An example is provided.     

Are self-enhancing cognitions associated with healthy or unhealthy biological profiles?

Self-enhancement is variously portrayed as a positive illusion that can foster health and longevity or as defensive neuroticism that can have physiological-neuroendocrine costs. In a laboratory stress-challenge paradigm, the authors found that high self-enhancers had lower cardiovascular responses to stress, more rapid cardiovascular recovery, and lower baseline cortisol levels, consistent with the positive illusions predictions and counter to the predictions of the defensive neuroticism position. A second set of analyses, replicating the "illusory mental health paradigm" (J. Shedler, M. Mayman, & M. Manis, 1993), also did not support the defensive neuroticism hypothesis. The association between self-enhancement and cortisol was mediated by psychological resources; analyses of the cardiovascular results provided no definitive mediational pathway. Discussion centers on the potential stress-buffering effects of self-enhancing beliefs.     

Portrait of the self-enhancer: well adjusted and well liked or maladjusted and friendless?

Research has variously portrayed self-enhancement as an indicator of narcissistic defensiveness or as a concomitant of mental health. To address this controversy, the present study used multiple measures of self-enhancement along with multiple measures and judges of mental health, comprehensively assessing their relationship. The results indicated that self-enhancement is positively associated with multiple indicators of mental health and with a more favorable impact on others. Discussion centers on a reconciliation of discrepant portraits of the self-enhancer.     

Hand differences in pegboard performance through development

Handedness is often measured by comparing the relative performance of the two hands on a given task, such as peg moving. Studies of the development of manual skill have typically found that the difference between the hands for a peg-moving task does not fluctuate with age. The current study was conducted to examine age-related changes in manual performance, on the standard Annett pegboard. Ninety-eight right-handed individuals ranging in age from 5 to 24 performed three trials on the pegboard with each hand. Performance with each hand was reflected in movement time and as a laterality quotient. Analyses revealed a right-hand advantage in performance which was larger in the younger than the older participants. The smaller hand difference in the older participants appeared due to greater changes in performance with the non-preferred hand as a function of age.     

Early environment, emotions, responses to stress, and health

A harsh early family environment is related to mental and physical health in adulthood. An important question is why family environment in childhood is associated with these outcomes so long after its initial occurrence. We describe a program of research that evaluates a model linking these variables to each other. Specifically, we hypothesize that low social competence and negative emotional states may mediate relations between a harsh early family environment and physiological/neuroendocrine responses to stress, as well as long-term health outcomes. We report evidence that the model characterizes self-rated health, cortisol responses to stress, and, in males only, elevated cardiovascular responses to stress. We discuss how the social context of early life (such as SES) may affect the family environment in ways that precipitate adverse health consequences. Perspectives on comorbidities in physical and mental health are discussed.     

What makes experiences satisfying? The interaction of approach-avoidance motivations and emotions in well-being

Two studies examined how dispositional approach-related and avoidance-related motivations moderate the degree to which people base satisfaction judgments on past experiences of positive affect (PA) and negative affect (NA). Using both laboratory-based (Study 1) and experience sampling (Study 2) methodologies, the authors found that high approach participants, as compared with low approach participants, made satisfaction ratings that were more strongly tied to PA. In contrast, avoidance-related motivations did not moderate the degree to which satisfaction ratings were based on either PA or NA. Results indicate that approach motivations may influence well-being not only through emotion over time but also through the degree to which people weight particular emotional experiences in broader judgments of satisfaction.