Institutional countertransference

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Abstract
A case of a patient with an institutional transference was presented and the existence of institutional countertransferance, which confounded his therapy and obscured his potential for change, was discussed. Confronted with the patient''s tradition in the institution, the new therapist had to overcome feelings of unimportance and therapeutic impotence to focus on the patient as a person in his own right. The signs of institutional countertransference and how it can seriously hinder clinical assessment of patients with institutional transferences were discussed.

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