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Current Women`s Health Reviews

Volume 6 Issue 4
ISSN: 1573-4048
eISSN: 1875-6581


   All Titles

  Counter-Transference and Neutrality: A Challenge for Abortion Counsellor
  pp.341-345 (5) Authors: Lorenzo Soldati, Francesco Bianchi-Demicheli, John Christian Kohla, Antonio Andreoli, Stephanie Ortigue, Johannes Bitzer

Introduction: In abortion counselling, the counsellor is generally supposed to be supportive, non-judgmental and neutral. However, counsellors can be confronted with strong internal emotions i.e., counter-transference reactions. Counter-transference may paralyse a counsellor s investigation and push the counsellor to lose their position of neutrality.

Objective: The objective of this article is to show counsellors the importance of integrating counter-transference in abortion counselling to increase the efficacy of their investigation and to maintain a neutral position.

Method: A systematic search of the literature was performed. The studies retained for review had to discuss certain aspects of abortion counselling interview techniques, specifically maintaining neutrality and dealing with countertransference.

Results: Eight studies matched our criteria. All studies stressed the danger of losing neutrality for the counsellor. A few authors suggested paying attention to this non-conscious process to better help patients.

Conclusions: We propose applying the psychoanalytical theory on neutrality and counter-transference to the abortion counselling setting. A cognitive awareness of counter-transference feelings may help the counsellor to understand the non-conscious transference-counter-transference dynamic and to use the moment when neutrality is lost to improve the patient's comprehension of ambivalence.

  Keywords: Abortion counselling, ambivalence, neutrality, counter-transference, Abortion, psychoanalytical, termination of pregnancy, legalisation of abortion, embryo, counselling techniques, counsellor, patient-counsellor dyad, gynaecologist, psychologist, psychiatrist, transfero-countertrasference dynamic, counsellor-patient interaction, psychotherapeutical encounter, doctor-patient relationship, psychoanalyst, therapist's attitude, sadistic patient, Pines' observations, contraceptive pill, psychotherapy, non-conscious processes, Psychoanalytical literature, participating Ego, geneticists, psychological vulnerability, legal abortion, Unplanned pregnancies
  Affiliation: Psychosomatic Gynaecology and Sexology Unit, Department of Psychiatry, Geneva University Hospital, 15, Rue des Pitons, 1205 Geneva-CH, Switzerland.
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