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Psychology In Seattle Podcast

Negative Therapeutic Reaction (2016 Rerun)

Psychology In Seattle Podcast

Kirk Honda

Mental Health, Health & Fitness

4.61.2K Ratings

🗓️ 2 April 2022

⏱️ 2 minutes

🧾️ Download transcript

Summary

[Rerun] Dr. Kirk Honda talks about the Freudian concept of the negative therapeutic reaction.

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Trigger Warning: This episode may include topics such as assault, trauma, and discrimination. If necessary, listeners are encouraged to refrain from listening and care for their safety and well-being.

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Transcript

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0:00.0

Hello and welcome to Psychology and Seattle. I'm your host, Kirk Honda, licensed therapist.

0:05.1

It's just me today. I thought I would dive into the negative therapeutic reaction. In

0:12.7

my efforts to help therapists with their work, I have investigated several topics related

0:17.8

to treatment failure, and the negative therapeutic reaction was one of those topics. But first,

0:23.7

a little disclaimer. I am by no means a Freudian or psychoanalytic scholar. As a psycho

0:29.8

dynamic therapist and professor, I have studied the history of psychoanalysis, but not to the

0:35.4

extent that would make me an expert. Also, another disclaimer, I am in no way going to be able to

0:41.8

summarize every nuance and tributary of this topic that I know of. Almost every topic related to

0:47.4

psychoanalysis and psychodynamic theory has been expanded upon by many, many authors over, you

0:53.3

know, the past 110 years or so. Some of them are brilliant and some of them are strange and some

0:59.3

of them are both and some of them are not so brilliant or strange. And so it's a complex area

1:05.8

that is difficult to summarize very quickly, but I will attempt to provide a useful summary.

1:13.1

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

1:21.0

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

1:26.3

to the therapy or to the therapist, him or herself. But what if therapy doesn't work? What if a

1:32.8

client symptoms get worse? Treatment failure has been a source subject for therapists since the

1:37.7

beginning of the profession. It's rarely discussed. Personally, I attribute this lack of discussion

1:44.9

to the self-serving attitudes of those in my field. It's so much easier to blame others when we

1:50.4

fail, right? But before I get more into that area, let's take a trip down history lane, okay?

1:56.7

All right, so in an attempt to understand why some of his patients were getting worse with

2:01.4

psychoanalysis, Sigmund Freud, first coined the term negative therapeutic reaction

2:07.7

in the early part of the 20th century. Hey, deserving listeners, this is an old episode that we

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