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Psychology In Seattle Podcast

Negative Therapeutic Reaction (2013 Rerun)

Psychology In Seattle Podcast

Kirk Honda

Health & Fitness, Mental Health

4.51.3K Ratings

🗓️ 24 March 2026

⏱️ 2 minutes

🧾️ Download transcript

Summary

[Rerun] Dr. Kirk Honda talks about the Freudian concept of the negative therapeutic reaction. (Intro)
April 12, 2013

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Transcript

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0:00.0

Hello and welcome to Psychology in Seattle. I'm your host, Kirkonda, licensed therapist. It's just me today.

0:07.4

I thought I would dive into the negative therapeutic reaction. In my efforts to help therapists with their work,

0:15.4

I have investigated several topics related to treatment failure, and the negative therapeutic reaction was one of those

0:22.3

topics. But first, a little disclaimer. I am by no means a Freudian or psychoanalytic scholar.

0:29.3

As a psychodynamic therapist and professor, I have studied the history of psychoanalysis,

0:34.6

but not to the extent that would make me an expert.

0:43.9

Also, another disclaimer, I am in no way going to be able to summarize every nuance and tributary of this topic that I know of. Almost every topic related to psychoanalysis and psychodynamic theory

0:49.6

has been expanded upon by many, many authors over, you know, the past 110 years or so.

0:56.1

Some of them are brilliant and some of them are strange and some of them are both and some

1:00.4

of them are not so brilliant or strange.

1:03.3

And so it's a complex area that is difficult to summarize very quickly.

1:07.9

But I will attempt to provide a useful summary. Okay, so,

1:14.3

um, so first off, I have a few questions for you. Is it possible for psychotherapy to always succeed?

1:22.3

If psychotherapy helps someone, then the therapist is likely to attribute that success to the

1:26.7

therapy or to the therapist,

1:28.3

him or herself.

1:30.3

But what if therapy doesn't work?

1:32.3

What if a client's symptoms get worse?

1:34.3

Treatment failure has been a source subject for therapist since the beginning of the profession.

1:39.3

It's rarely discussed.

1:41.3

Personally, I attribute this lack of discussion to the self-serving attitudes

1:46.5

of those in my field. It's so much easier to blame others when we fail, right? But before I get more

...

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