title: Dimensions of Activity in Countertransference and Therapist Reactions: Therapist Reactions During Sessions with Depressed Patients.
abstract: OBJECTIVE
  This paper presents the interaction structure between the therapist's countertransference and the patient's affect based on identified dimensions of how therapists feel and react during sessions with depressed patients.
  
  
  METHODS
  639 sessions were audio-recorded and rated by trained raters. These recordings were obtained from the Munich Psychotherapy Study and analyzed with the PQS, the AREQ, and the TRQ/CTQ.
  
  
  RESULTS
  Seven components with good to excellent internal consistency (Cronbach α = .745-.902) were found and labeled Hostile Feelings, Positive, Disengaged, Overwhelmed and Encroaching Feelings concerning countertransference and therapists' emotional reaction, while the therapist's behavior was scored on separate dimensions. The middle and final sessions reveal significant correlations between a patient's positive affect experience and positive countertransference.
  
  
  CONCLUSIONS
  The confirmed pattern implies not only that a positive affect is related to a positive countertransference reaction, but also that a positive countertransference entails a positive affect. The fact that this pattern could be accounted for only during the middle and the last sessions indicate that the working alliance is not fully established at the beginning of the treatment.
authors.affiliation: Dept. for Psychoanalysis and Psychotherapy and University Program for Psychotherapy Research Medical University Vienna Waehringer Guertel 18-20 A-1090 Vienna Austria https://www.meduniwien.ac.at/hp/psychoanalyse/.
authors.forename: Felicitas
authors.initials: F
authors.lastname: Datz
authors.affiliation: Dept. for Psychoanalysis and Psychotherapy and University Program for Psychotherapy Research Medical University Vienna Waehringer Guertel 18-20 A-1090 Vienna Austria https://www.meduniwien.ac.at/hp/psychoanalyse/.
authors.forename: Karoline
authors.initials: K
authors.lastname: Parth
authors.affiliation: Dept. for Psychoanalysis and Psychotherapy and University Program for Psychotherapy Research Medical University Vienna Waehringer Guertel 18-20 A-1090 Vienna Austria https://www.meduniwien.ac.at/hp/psychoanalyse/.
authors.forename: Christine
authors.initials: C
authors.lastname: Rohm
authors.affiliation: Dept. for Psychoanalysis and Psychotherapy and University Program for Psychotherapy Research Medical University Vienna Waehringer Guertel 18-20 A-1090 Vienna Austria https://www.meduniwien.ac.at/hp/psychoanalyse/.
authors.forename: Simon
authors.initials: S
authors.lastname: Madanoglu
authors.affiliation: Emory University 201 Dowman Drive Atlanta, Ga. 30322 USA http://www.emory.edu/home/index.html.
authors.forename: Charles
authors.initials: C
authors.lastname: Seidman
authors.affiliation: Dept. for Psychoanalysis and Psychotherapy and University Program for Psychotherapy Research Medical University Vienna Waehringer Guertel 18-20 A-1090 Vienna Austria https://www.meduniwien.ac.at/hp/psychoanalyse/.
authors.forename: Henriette
authors.initials: H
authors.lastname: Löffler-Stastka
mesh_terms: D000328:Adult; D000339:Affect; D015928:Cognitive Behavioral Therapy; D003379:Countertransference; D003674:Defense Mechanisms; D003865:Major Depressive Disorder / Q000523:psychology* / Q000628:therapy*; D006801:Humans; D007062:Identification, Psychological; D009769:Object Attachment; D010817:Physician-Patient Relations; D011575:Psychoanalytic Therapy; D064889:Psychotherapy, Psychodynamic; D011795:Surveys and Questionnaires
keywords: AREQ; Depression; PQS; TRQ/CTQ; Therapist Reactions