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Feelings of the therapist and the obligations of countertransference

Abstract The author discusses countertransference in relation to the impact of training institutions on the therapist as a person. The author claims that therapist's feelings and experiences determine the diagnosis of the personality. It is neither the behavior nor the psychopathological phenomena, which have a diagnostic value, but how the relationship is experienced in terms of the therapist's feelings. The author speaks about the problems connected to of “as if” personalities as a starting point. This concept originated with the psychopathological studies of Helene Deutsch, who associated it with schizophrenia. Later, Paul Roazen transported the concept to the social dimension of politics and to the personality of politicians. In this article, the author treats the “as if” personalities as a concept of unification, in contrast to current attempts to fragment diagnostic personality disorders, as in many psychoanalytic concepts in relation to the medicalization of psychoanalysis. Some clinical vignettes are briefly presented in order to sharpen this focus.