Transference

Woman lying on sofa, hands in the air, while older male therapist takes notes

WHAT IS TRANSFERENCE?

Transference is a psychology term used to describe a phenomenon in which an individual redirects emotions and feelings, often unconsciously, from one person to another. This process may occur in therapy, when a person receiving treatment applies feelings including romantic feelings toward—or expectations of—another person onto the therapist and then begins to interact with the therapist as if the therapist were the other individual. Often, the patterns seen in transference will be representative of a relationship from early childhood or past experiences. There are however several different forms of transference that can occur.

The concept of transference was first described by psychoanalyst Sigmund Freud in his 1895 book Studies on Hysteria, where he noted the deep, intense, and often unconscious feelings that sometimes developed within the therapeutic relationships he established with those he was treating.

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Transference is a common occurrence among humans, and it may often occur in therapy, but it does not necessarily imply a mental health condition. Transference can also occur in various situations outside of therapy and may form the basis for certain relationship patterns in everyday life.

TYPES OF TRANSFERENCE

Some of the more common types of transference include:

  • Paternal transference, when an individual looks at another person as a father or an idealized father figure. The person may be viewed as powerful, wise, and authoritative, and an individual may expect protection and sound advice from this person.
  • Maternal transference occurs when an individual treats another person as a mother or idealized mother figure. This person is often viewed as loving and influential, and nurture and comfort is often expected from them.
  • Sibling transference can occur when parental relationships are lacking or when they break down. Unlike parental transference, this type of transference is generally not represented by leader/follower behavior, but by peer or team-based interactions.
  • Non-familial transference can be seen when individuals treat others according to an idealized version of what they are expected to be rather than who they actually are. Stereotypes can form in this manner. For example, priests may be expected to be holy in everything they do, while policemen may be expected to uphold the law at all times, and doctors may be expected to cure any ailment.
  • Sexualized transference, sometimes categorized as either erotic or eroticized transference, may occur when a person in therapy develops a sexual attraction to their therapist. While erotic transference often refers to sexual thoughts an individual identifies as unrealistic and can be a positive type of transference, eroticized transference is a consuming attraction toward the therapist that can be detrimental to the therapeutic relationship and the client’s progress.

Sometimes, transference is seen in everyday situations, such as when:

  • A person is easily annoyed by a classmate who looks a bit like their often-irritating younger sibling.
  • A young person treats a much older female coworker with tenderness because she brings back memories of that person’s now-deceased mother.
  • An individual begins to mistrust a romantic partner simply because a partner in a past relationship cheated.

Transference may be positive or negative emotional reactions. Both types can benefit therapy in different ways. Positive transference can lead the person in therapy to view the therapist as kind, concerned, or otherwise helpful and create positive feelings. Negative transference might cause a person in therapy to direct angry , painful , or negative feelingstoward the therapist, but the therapist may still be able to use these emotional responses to help the person achieve greater understanding.

TRANSFERENCE IN THERAPY

A person’s social relationships and mental health may be affected by transference, as transference can lead to harmful patterns of thinking and behavior. The primary concern is generally the fact that, in the case of transference, an individual is not seeking to establish a relationship with a real person, but with someone onto whom they have projected feelings and emotions.

When transference occurs in a therapy session, a therapist may be able to better understand an individual by gaining knowledge of the projected feelings and, through this new understanding, help the person in therapy achieve results and recovery. By understanding how transference is occurring, a mental health professional may be better able to understand both a person’s condition and/or aspects of the person’s early life that affect them in the present.

Transference may often occur between a therapist and a person in therapy. For example, the therapist may be viewed as an all-knowing guru, an ideal lover, the master of a person’s fate, a fierce opponent, and so on. Proponents of psychoanalysis believe that transference is a therapeutic tool crucial in understanding an individual’s unconscious or repressed feelings. Healing is believed to be more likely to occur once these underlying issues are effectively exposed and addressed.

A therapist might also educate a person in treatment on the identification of various situations in which transference may be taking place. Techniques such as journaling can allow a person in therapy to identify possible patterns in both thought and behavior, through the review and comparison of past entries. When examples of problematic transference become more recognizable, a person in therapy may be able to explore why the transference occurs and help prevent its recurrence.

One type of therapy known as transference-focused therapy (TFP) harnesses the transference that occurs in the therapeutic process to help individuals gain insight into their own behavior and thought patterns. It is most commonly used to treat borderline personality (BPD).

References:

  1. Ladson, D., & Welton, R. (2007). Recognizing and managing erotic and eroticized transferences. Psychiatry (Edgmont), 4(4), 47-50. Retrieved from http://www.ncbi.nlm.nih.gov/pmc/articles/PMC2921238
  2. Makari, G. J. (1994). Toward an intellectual history of transference [Abstract]. The Psychiatric Clinics of North America, 17(3), 559-570. Retrieved from http://www.ncbi.nlm.nih.gov/pubmed/7824382
  3. Pereira, J. G. (2010). Transference and the therapeutic relationship–Working for or against it? Retrieved from https://www.researchgate.net/publication/268363858_Transference_and_the_Terapeuthic_Relationship_-_Working_For_or_Against_It
  4. Prasko, J., Diveky, T., Grambal, A., Kamaradova, D., Mozny, P., Sigmundova, Z., Slepecky, M., & Vyskocilova, J. (2010). Transference and countertransference in cognitive behavioral therapy. Biomedical Papers of the Medical Faculty of the University Palacky, Olomouc, Czechoslovakia, 154(3), 189-197. Retrieved from http://biomed.papers.upol.cz/getrevsrc.php?identification=public&mag=bio&raid=95&type=fin&ver=2
  5. Transference. (n.d.). Retrieved from https://www.mentalhelp.net/articles/transference

Last Updated: 09-25-2019

Last Updated: 09-12-2023