title: [Therapists' psychological problems when treating posttraumatic stress disorder].
abstract: War experience in interaction with personality structure can have a traumatic effect and provoke various psychopathological responses and even disorders at the psychological level. PTSD is one of the possible psychopathological responses to war trauma, which provokes a range of different emotions in those working with such patients. The heterogeneity of the clinical aspect of the disorder, the comorbidity and social malfunctioning of the patients represent a frequent source of difficulties in the psychiatrist's work. The disorder brings about alterations at the somatic, psychological, social and occupational level of the affected individual, requiring a complex approach to treatment. The psychotherapeutic treatment of PTSD patients gives rise to different counter-transfer emotions at different stages of the therapeutic process. The therapist experiences fright, anger, guilt, frustration, and sometimes even a tendency to avoid the patient. His ability for empathy and understanding of the patient can be exhausted and become the cause of a reduced capacity for sympathy, a secondary traumatic stress and a vicarious trauma.
authors.affiliation: Psihijatrijska bolnica Sveti Ivan Zagreb, Hrvatska.
authors.forename: Slobodanka
authors.initials: S
authors.lastname: Kezić
authors.forename: Mate
authors.initials: M
authors.lastname: Mihanović
authors.forename: Sven
authors.initials: S
authors.lastname: Molnar
authors.forename: Ivica
authors.initials: I
authors.lastname: Sain
mesh_terms: D003379:Countertransference; D006801:Humans; D010817:Physician-Patient Relations; D011613:Psychotherapy; D013313:Stress Disorders, Post-Traumatic / Q000523:psychology / Q000628:therapy*; D014857:Warfare