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Working with Transference

Working with Transference
Short-Term Psychodynamic Psychotherapy (STPP)
👥 Interpersonal

Using the client's live response to the therapist as a focused route into the central conflict.

Step-by-step guide

  1. Notice the client's expectation or reaction toward the therapist
  2. Name it tentatively
  3. Ask for the feeling in the room
  4. Link it to current and past relationships
  5. Use the new experience to revise the pattern

When to use

  • When the client reacts strongly to the therapist
  • When the central conflict appears in session
  • When alliance is sufficient

Key phrases

What do you imagine I am thinking of you right now?

Follow-up questions

What do you feel toward me as I say this?
Is this familiar from other relationships?

Alternative phrasings

Something important is happening between us right now.
Let us use what is happening here.

Warnings

  • ⚠️ Do not overinterpret normal relational reactions
  • ⚠️ Do not use transference work without alliance
  • ⚠️ Monitor shame and withdrawal

Source: Malan, D. Strupp, H. Luborsky, L

transference relationship interpretation

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Materials are informational and educational and summarize publicly available scientific sources. They are not medical or psychological advice, are not intended for self-diagnosis or self-treatment, and do not replace consultation with a qualified professional.