But when I see a fat lady eat, I move down a couple of rungs on the ladder of human understanding. I want to tear the food away. To push her face into the ice cream.
“Stop stuf?ng yourself! Haven’t you had enough, for Chrissakes?” I’d like to wire her jaws shut! Poor Betty-thank God, thank God-knew none of this as she innocently continued her course toward my chair, slowly lowered her body, arranged her folds and, with her feet not quite reaching the ?oor, looked up at me expectantly.
Your client’s cultural background may trigger inappropriate countertransference reactions. These reactions may range from traditional discrimination to guilt and pity to competition .
There are many examples of cultural countertransference in the research literature. For example, a recent study showed that hospital staff in the United Kingdom are more likely to restrain patients from other races than they are to restrain patients from their own race . Similarly, mental health professionals from the United States have been found to overdiagnose psychotic disorders in patients of African American descent .
As you read this section, you may ?nd yourself wondering: “What’s the difference between countertransference and racism?” That’s an excellent question.
What do you think the differences might be? INDIVIDUAL AND CULTURAL HIGHLIGHT 5.1our early environment. These internalizations serve as the basis for how we feel about ourselves and how we interact with others . If we internalize “bad objects” , we may experience disturbing self perceptions and interpersonal relationships. Psychotherapy involves a relationship that can replace maladaptive or bad internalizations with more adaptive or good internalizations, derived from a relatively healthy psychotherapist. Strupp states: “[I have] stressed the importance of the patient’s identi?cation with the therapist, which occurs in all forms of psychotherapy. Since the internalization of
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