J Psychother Pract Res
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J Psychother Pract Res 10:79-92, April 2001
© 2001 American Psychiatric Association


Regular Article

Early Transference Interventions With Male Patients in Psychotherapy

Elisabeth Banon, M.D., Marcella Evan-Grenier, Ph.D. and Michael Bond, M.D.

Received June 1, 2000; revised September 25, 2000; accepted October 2, 2000. From the Department of Psychiatry, McGill University, and the Sir Mortimer B. Davis–Jewish General Hospital, Montreal, Quebec, Canada. Address correspondence to Dr. Banon, Jewish General Hospital and Institute of Community and Family Psychiatry, 3755 Cote St. Catherine Road, Room A-532, Montreal, Quebec, Canada, H3T 1E2.

Transcripts of early sessions for 7 personality-disordered male subjects participating in an ongoing naturalistic long-term dynamic psychotherapy project were rated for therapist interventions and alliance. Early transference interpretations were followed by increased defensiveness even when there was a solid alliance. Omitting transference interpretations in the face of an early negative transference was equally problematic. However, the rapid sequence of early transference and defense interpretations, or early defense interpretations alone, enhanced therapeutic work without increasing defensiveness. Caretaking of the alliance after early interpretive work was also investigated. Two different styles of handling affect emerged from the sample.

Key Words: Transference/Countertransference • Psychotherapy, Psychodynamic • Personality Disorders







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