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cover of episode Episode 392: When Therapists Fall In Love With Their Patients

Episode 392: When Therapists Fall In Love With Their Patients

2025/4/29
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Sex and Psychology Podcast

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A
Allison McCleary
J
Jordan Bickell
J
Justin Lehmiller
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Justin Lehmiller: 我是本期节目的主持人,我们将讨论治疗师对患者产生性或浪漫情感的现象,即性反移情。研究表明,这是一种普遍现象,但在临床培训中常常被忽视,导致治疗师对此缺乏准备。我们需要了解其背后的心理学机制以及如何应对这种情况,以确保患者得到合乎伦理的治疗。 在节目中,我邀请到了两位注册临床顾问兼播客主持人Allison McCleary和Jordan Bickell,她们共同主持《沙发边缘》播客,该播客旨在探讨治疗师的真实经历,包括在培训项目中经常被忽略的话题。 本期节目将探讨性反移情的定义、发生原因、发生频率以及治疗师培训项目中为何回避该话题。我们将讨论在何种情况下治疗师与患者建立恋爱或性关系是否合乎伦理,以及治疗师在遇到性反移情时应采取的措施。 Allison McCleary: 性反移情是指治疗师对患者的情感反应,包括吸引、不适、保护欲等。治疗师也是普通人,也会将自己的情感投射到患者身上,治疗关系的亲密性加剧了这种可能性。患者的魅力和个性也会影响治疗师的情感。人们倾向于认为治疗师可以控制自己的情感,但这并不现实。性吸引的定义和社会禁忌影响了对该现象发生频率的判断。性幻想并不等同于性欲,治疗师的性吸引可能不会付诸行动。性反移情在治疗师培训中很少被提及,这反映了社会对性话题的禁忌。讨论性反移情有助于消除其带来的负面影响。治疗师对患者的性吸引是私人的,患者不应过度解读。 在与患者建立关系方面,我们坚持一个明确的立场:治疗师和患者之间永远不应该发生恋爱或性关系,即使治疗关系结束也是如此。即使患者表示同意,由于权力不平衡,这种关系仍然是不道德的,并且可能会对患者造成伤害。治疗师应处理好自身的情感,并寻求专业帮助。 Jordan Bickell: 性反移情可以是任何情感,包括浪漫或性吸引。治疗师也是普通人,也会将自己的情感投射到患者身上,治疗关系的亲密性加剧了这种可能性。患者的魅力和个性也会影响治疗师的情感。人们倾向于认为治疗师可以控制自己的情感,但这并不现实。性吸引的定义和社会禁忌影响了对该现象发生频率的判断。性幻想并不等同于性欲,治疗师的性吸引可能不会付诸行动。治疗师培训项目回避性反移情话题,部分原因是担心将性反移情与性侵犯混淆。督导可以帮助治疗师识别和处理性反移情,并避免不当行为。即使治疗关系结束,治疗师和患者之间也不应发生恋爱或性关系,由于权力不平衡,治疗师和患者之间无法真正达成双方自愿的性关系。客户在选择治疗师时应注意其资质。治疗师应寻求督导或自身治疗来应对工作中的情感压力。

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Shownotes Transcript

In the last episode), we talked about patients who fall in love with their therapists. Today, we’re taking about the flip side of things: when therapists develop sexual and/or romantic feelings toward their patients, a phenomenon known as erotic countertransference. Research suggests that this is surprisingly common, so we’re going to discuss why it happens and what to do in situations like this.

I am joined once again by Alison McCleary and Jordan Pickell.) Alison and Jordan are both Registered Clinical Counsellors and podcasters. Together, they co-host the Edge of the Couch podcast), which provides a space to have conversations about what it is *actually *like to be a therapist, including the conversations that are regularly missed during training programs.

Some of the specific topics we explore include:

  • What does the term erotic countertransference really mean?

  • What is the psychology behind why therapists sometimes develop feelings for their patients?

  • How common is it for therapists to become attracted to their patients?

  • Why is the subject of erotic countertransference avoided in many therapy training programs?

  • Is it ever ethically acceptable for a therapist and client to have sex or start a romantic relationship?

You can check out the Edge of the Couch podcast) to learn more.

Got a sex question? Send me a podcast voicemail to have it answered on a future episode at speakpipe.com/sexandpsychology.)


*Thank you to our sponsors! *

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