Countertransference and limits of therapy in war situation.
Psychotherapy of war traumas and their specific emotional and psychological experiences is a challenge for the therapist. The two partners of the therapeutic dyad may undergo the same difficulties and suffer from the same anxieties, and be affected by the transference and countertransference processes. The conditions of neutrality that should be maintained in the treatment are thus prone to changes. The therapist may protect himself/herself from unconscious guilt, omnipotent fantasies and feelings of being overwhelmed by different modes of defenses. The historical and social context of the trauma have to be taken into account. A chronology to be introduced in the narrative is the first step in the process of reindividuation as the victim's identity has been attacked by the trauma as well as his/her physical integrity. The therapist may find in this intervention a reflection of his/her own needs. The aims of psychotherapy in war situations may be close to those of crisis intervention and at the same time deal with the reactivation of previous infantile traumas. The past plays a significant part in the readaptative process as much as it is relevant to the present. The therapeutic intervention is in essence a message of hope as it implies a potential future to be created.
Stern
J
J
Department of Psychiatry, Ben-Gurion University of the Neguev, Beer-Sheva, Israel.
D000328:Adult; D003130:Combat Disorders / Q000523:psychology / Q000628:therapy*; D003379:Countertransference; D003674:Defense Mechanisms; D005006:Ethnicity; D005260:Female; D006801:Humans; D007062:Identification, Psychological; D010817:Physician-Patient Relations; D011575:Psychoanalytic Therapy / Q000379:methods*; D011586:Psychology, Clinical; D014857:Warfare