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Beyond Transference

When the Therapist's Real Life Intrudes

Edited by Judith H. Gold, M.D., F.R.C.P.C., and John C. Nemiah, M.D.

  • ISBN 978-0-88048-361-2
  • Item #8361

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This volume recounts how personal events in the life of a therapist affect therapy and transference and countertransference. Leading psychotherapists share their personal experiences of the effects of life events such as illness, pregnancy, divorce, and malpractice suits on therapy. Through its poignant descriptions of life's intrusions on the therapeutic process, this volume offers guidance for therapists on practicing in the real world.


  • Practical and theoretical dilemmas of dynamic psychotherapy in a small community. The vulnerable therapist: on being ill or injured. The aging and dying psychotherapist: death and illness in the life of the aging psychotherapist. The therapist's absences. Countertransference and divorce of the therapist. When both therapist and patient are divorcing: the role of supervision. Pregnancy: the obvious and evocative real event in a therapist's life. Effects of malpractice suits on physicians. Countertransference reactions to a patient's sexual encounter with a previous therapist. Concluding reflections.

About the Authors

Judith H. Gold, M.D., F.R.C.P.C., is in private practice in Halifax, Nova Scotia. Dr. Gold is editor of the Clinical Practice Series of books published by American Psychiatric Press, Inc.

John C. Nemiah, M.D., is Professor of Psychiatry, Emeritus, at Harvard Medical School and Professor of Psychiatry at Dartmouth Medical School, Hanover, New Hampshire, where he is actively engaged in the supervision of psychiatric residents.

An interesting and unusual book that attempts to throw light on a difficult aspect of psychotherapeutic work and which would be of interest to the practicing medical and non-medical psychotherapist as well as to the interested general psychiatrist.—Journal of Psychosomatic Research

Beyond Transference raises many difficult and important issues. It is a practical and useful book for therapists, including psychiatrists, psychiatric residents, and others. . . . I recommend this book and hope that it will stimulate further thought and research toward building a scientific base for our clinical hunches.—Hospital and Community Psychiatry

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