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Showing posts with label Freud. Show all posts
Showing posts with label Freud. Show all posts

Saturday, May 7, 2011

Exploring Synchronicities - Part II

In my prior blog post, Exploring Synchronicities - Part 1, I discussed the nature of synchronicities and gave a brief summary of Carl Gustav Jung's theory.  I also discussed how Jung's ideas on synchronicities and the occult was a contributing factor to the rift between Carl Jung and Sigmund Freud.


Carl Jung
Demystifying Synchronicities 
As I mentioned in the prior blog post, Jung's theory dominates the professional literature about synchronicities. However, there are other theories, which are psychodyamic explanations about the nature of synchronicities. One such theory is by Gibbs A. Williams, Ph.D. My intention today is to explore his concepts, which are detailed in his new book, Demystifying Meaningful Coincidences (Synchronicities) (2010).

I recently attended a professional talk with Dr. Williams in his West Village office, where he has been for the last 43 years. The talk was based on his research, which he writes about in his book. According to Dr. Williams, he has been exploring synchronicities for many years, including his own and his patients' synchronicities. Dr. Gibbs has recorded a fascinating collection of meaningful coincidences (or synchronicities) in his book.

Dr. Williams theory about synchronicities is in sharp contrast to Jung's concepts. As you may recall, Jung believed that when people have synchronicities, they are connecting to transcendent, spiritual experiences. Jung's theory is that synchronicities are connected to the collective unconscious and to spiritual archetypes. He also believed that these experiences could not be researched because they were acausal and unpredictable as to when they would occur. (For more on Carl Gustav Jung and his theories, go to the C.G. Jung Foundation in NYC website: (http://www.cgjungny.org).

Synchronicities as Naturalistic, Psychodynamic Experiences
Gibbs A. Williams' psychodynamic theory is that synchronistic experiences are not connected to any mystical or spiritual experiences, and they are not part of the collective unconscious. Dr. Williams' theory, as I understand it, is that synchronicities are naturalistic, psychodynamic, experiences. Rather than being part of the collective unconscious, synchronicities are part of the individuals' personal unconscious. As Dr. Williams explains it, these meaningful coincidences are a combination of 1) internal, creative processes and 2) an attunement with the environment. According to Dr. Willilams, the environment provides us with so much stimuli to choose from that, when we are having synchronistic experiences, we selectively attune to those that relate to our own internal creative process that we are undergoing at that point in time.

Synchronistic Experiences at "Stuck Points"
According to Dr. Williams, these synchronistic experiences tend to occur when people are either at emotional "stuck points" or impasses in their lives (the proverbial "fork in the road"), or if when these individuals are searchers or seekers of their own internal truth. He gave many interesting examples of his own and his patients' experiences with synchronicities. All of them are uncanny experiences. These and other experiences with meaningful coincidences are outlined in his book.

There are also other psychodynamic theories about synchronicities, including the theories of M.D. Faber in his seminal work, Synchronicity: C. G. Jung, Psychoanalysis and Religion. According to Faber, synchronicities are naturalistic, psychodynamic, regressive experiences. According to Dr. Wiliams, who takes Faber's concepts one step further, synchronicities are not only regressive experiences--they are also progressive experiences, providing opportunities for psychological synthesis and an internal cohesiveness for the individuals who have them.

Dr. Williams continues to do his research on synchronicities, and if you're interested in learning more about his theories or contributing your ideas and experiences, you can go to his website: http://www.gibbsonline.com.

Synchronistic Experiences and Intuitive Dreams
I've been interested in synchronicities for many years. My own experiences usually occur through intuitive dreams where I have a dream that something will occur and within a short time, it actually occurs. My experience has been that I tend to have synchronicities when I write down and focus on my dreams. Over the years, I've had many intuitive dreams, mostly about people in my life, but also about impersonal experiences. Some of them have been uncanny experiences.

The intuitive dream that stands out in my mind was when I had a dream that I was visiting a friend, L. We were standing in her living room, and she told me about a car accident that our mutual friend, R, was just in. When I woke up, I wrote down the dream, but I didn't think much of it since I had just seen both of my friends and they were both fine. However, about a week later, I was visiting L and we were standing in her living room in the same spot where we stood in the dream, and she told me that she had just heard that R was in a car accident. She described the accident in the same way that she described it in my dream. Fortunately, R was not seriously injured.

Needless to say, I was shocked. In the past, I had other synchronistic experiences, but nothing like this. For me, this was truly an uncanny, awe-inspiring, meaningful coincidence. L and I talked about my dream and how it related to what had just occurred. We both agreed that this was surprising. Neither of us had an explanation for it at the time.

As I explained to Dr. Williams when I met him, it seems that, as far as I can tell, my own experiences with synchronicities don't fall neatly into Jungian concepts or into Williams' or Faber's explanation of synchronicities. I didn't experience them as part of a collective unconscious or related to archetypes. They were neither regressive experiences nor did they occur during emotional impasses. You could say that they are intuitive experiences, but this doesn't seem to be the whole explanation. So, it seems that more research is needed.

On the day that I attended Dr. Williams' talk, one other psychoanalyst attended. Since there were only two of us, we had a chance to have a conversation with Dr. Williams about his experiences as well as our own synchronicities rather than it being a formal presentation.

There was also an interesting coincidence that day: The other psychoanalyst had an office in the same small West Village building where I have my own office; she has been there for about the same length of time as I have been there; we're both there on the same days and travel up to our offices on the only elevator in the building--and yet we've never seen each other before until we met at this talk about synchronicities.

If you're interested in exploring your own synchronicities, I recommend that you keep a journal with your dreams and synchronicities. Dr. Williams also recommends that you include the context of what is going on in your life at the time and compare your synchronicities to your life experiences to see how they might relate.

To find out more about synchronicities, you can explore the following resources:

Websites:
Gibbs A. Willilams, Ph.D. website: http://www.gibbsonline.com.

Carl G. Jung Foundation in NYC: (http://www.cgjungny.org

Books:
Memories, Dreams, and Reflections: Carl G. Jung

Man and His Symbols - Carl G. Jung

Demystifying Meaningful Coincidences (Synchronicities) Gibbs A. Williams, Ph.D.

Synchronicity: C.G. Jung, Psychoanalysis and Religion M.D. Faber

I am a NYC psychotherapist and psychoanalyst, hypnotherapist, Somatic Experiencing therapist, and EMDR therapist. I work with individuals and couples.

To find out more about me, visit my website: Josephine Ferraro, LCSW - NYC Psychotherapist.

To set up a consultation, call me at (917) 742-2624 during business hours or email me.










Monday, May 2, 2011

Exploring Synchronicities - Part I

What Are Synchronicities?
Have you ever had the uncanny experience of thinking or dreaming about a person, place or an event and then having your thoughts or dreams actually manifest in your life?

Exploring Synchronicities

For most people, when this occurs, especially if these experiences occur with any regularity, it can be an awe-inspiring event that seems mysterious and even perplexing. Some people attribute these uncanny experiences to a connection with the divine. Others believe they are intuitive experiences, and others aren't sure what to make of them. But, for the majority of people who experience these uncanny events, they feel meaningful, and in many cases, they can be life changing experiences. But how are we to understand these events?

Psychoanalytic Theories About Synchronicities:
There are many views about synchronicities and their origins. Most theorists agree that synchronicities are meaningful coincidences. They seem to occur out of the blue and from nowhere. Often, synchronicities are pleasurable experiences that leave people feeling more integrated and that they are part of something much larger than themselves, as if their internal experiences are, somehow, connecting to something external that is much larger than themselves.

Sigmund Freud and Carl Jung:
Most of the literature on synchronicities is dominated by the writings of Carl Jung, who wrote about his experiences with synchronicities after he and Sigmund Freud had an irreparable falling out about the occult in the early 1900s.

Carl Jung

Sigmund Freud

Prior to their falling out, Freud, who was the father of psychoanalysis, viewed Jung as the "heir apparent" for psychoanalysis, the person who would carry on and continue to expound and develop Freud's views on psychoanalysis. Based on the literature and their letters to each other, it seems that Jung also saw himself in that role before their falling out. He used Freud's psychoanalytic theories with his own patients, but it seems that he felt that there was something missing in Freud's theories that he wanted to explore on his own.

Early on, Jung revered Freud. Jung was young enough to be Freud's son. Based on their correspondence to each other, Jung seemed to see Freud as his spiritual father. Jung's own father was, supposedly, very distant with Jung and his relationship with his mother was severed at a very early age due to her mental illness, so Jung grew up being a lonely child. So, his relationship with Freud was very meaningful to him, like the father that he never had. In their early correspondence to one another, there is a tone of father-son affection between them.

But for Jung, although he had great admiration, respect and reverence for Freud and he used Freud's psychoanalytic theory with patients with some success, he came to feel that there was something missing. He continued to explore psychoanalytic concepts on his own, and he came to the conclusion that Freud's psychoanalytic theory placed too much emphasis on sexuality and resolving the Oedipus Complex. Jung came to feel that Freud's psychoanalytic concepts were devoid of a much-needed sense of spirituality and were missing the importance of the pre-Oedipal period of infancy.

As you may know, Freud was essentially an atheist and a rationalist. Jung, on the other hand, had a strong sense of curiosity about all types of spirituality from different cultures and also about the occult. Freud was also curious about the occult, but only to a point. He was wary of what he came to see as Jung's obsession with the occult and this is what eventually lead to the break between them.

One fateful day, Jung and Freud were talking about psychoanalysis and the occult in Freud's study. Apparently, Freud warned Jung against getting too involved and obsessed with the occult. If we can imagine this scene: Here were two geniuses who, until then, liked and had a mutual affection for one another, who were beginning to clash over ideas that each of them held very dear. According to the story, Jung began to feel very angry, as if he was burning up inside. Then, suddenly, as if from nowhere, they were both startled by a loud noise from Freud's bookcase. It seemed to come from nowhere.

As the story goes, Jung told Freud that this noise was evidence of occult phenomenon. Freud was curious about what just happened, but he wasn't buying that this had anything to do with the occult, so he dismissed Jung's assertions, which angered Jung even more. So, Jung told Freud that he would prove to Freud that the noise was an occult manifestation and predicted that it would happen again. And, sure enough, the loud noise occurred again and Freud was startled and amazed by this.

After this Freud and Jung each explored what this sudden noise might have been. Jung continued to attribute it to a mysterious occult manifestation. Initially, Freud was curious about this and he didn't completely dismiss it as out of hand, especially after Jung seemed able to predict that it would occur a second time. However, over time, Freud concluded that the noise occurred due to a change in temperature in the room and the bookcase, which was made of wood, creaking (although he seemed to have no explanation as to why it occurred a second time, as Jung predicted). After that, he dismissed Jung's ideas about the incident completely, which continued to infuriate Jung.

As previously mentioned, early on, Freud saw Jung as the "heir apparent" who would carry on his psychoanalytic theory and his legacy. But as Jung continued to explore the occult, Freud became concerned that Jung's ideas would be harmful for psychoanalysis. As the story goes, Freud feared that people would view Jung's ideas about psychoanalysis and the occult as outrageous and this would lead to the demise of the development of psychoanalysis. Freud had dedicated his life to developing his psychoanalytic theory, and he very much wanted to have a proponent of his ideas, his "heir apparent," to be taken seriously so that psychoanalysis would continue to grow and develop throughout the world.

After the incident in Freud's study, their relationship became more distant, which must have been painful for both of them, but it was especially painful for Jung. After the break in their friendship and professional relationship, Jung had what Jungians have come to describe as "a creative illness, " essentially a nervous breakdown. However, being the creative genius that he was, he was able to continue to see patients through this period and he also began writing about his own internal experiences in the Red Book, including his experiences with meaningful coincidences, also known as synchronicities.

Jung saw synchronicities as being inspired by the divine. In his view, which is the view that dominates in professional literature, when someone experiences a synchronicity (or a meaningful coincidence), he or she is getting in touch with the collective unconscious and archetypetal figures in the spiritual or occult realm. Jung felt that, because these uncanny experiences occurred suddenly and out of the blue, they could not be researched or explained in any other way.

Exploring Synchronicities - Part II:
Also, see my article: Exploring Synchronicities - Part II where I continue to explore the fascinating phenomenon of synchronicities and present an alternative, psychodynamic theory, based on the work of the NYC psychoanalyst, Gibbs A. Williams, Ph.D., that differs from Jung's archetypal/collective unconscious theory.

In the meantime, keeping a journal of your synchronicities can be a fascinating experience, especially if you include the context of what's going on in your life at the time.

About Me
I am licensed New York City psychotherapist, contemporary psychoanalyst, hypnotherapist, Somatic Experiencing therapist, and EMDR therapist.


I work with individuals and couples.

To find out more about me, visit my website: Josephine Ferraro, LCSW - NYC Psychotherapist.

To set up a consultation, call me at (917) 742-2624 during business hours or email me.

Sunday, November 7, 2010

Psychotherapy and the Erotic Transference: Falling "In Love" With Your Psychotherapist

When Freud first encountered the erotic transference among his patients, he was very concerned and he didn't think it was a useful part of treatment. But, as he continued to work with these patients and to explore the transference, he discovered that it was, in fact, a very useful part of psychoanalysis, and the transference could be worked through so that the patient could gain insight and grow in treatment.

Psychotherapy and the Erotic Transference:  Falling "In Love With Your Therapist

Psychotherapists who are psychoanalysts have rigorous psychoanalytic training as well as years of their own psychoanalysis so that they are trained to work with the transferential aspects of therapy, including the erotic transference.

But, first let's understand what we mean by the word "transference" in the context of psychoanalysis or psychodynamic psychotherapy.

What is Transference?
There are many explanations for transference but, basically, transference entails, primarily, unconscious feelings that clients develop for their psychotherapists where they usually "transfer" feelings related to their childhood. Transference can be positive, negative, idealized, erotic and so on.

Usually, the clients develop these transferential feelings based on unmet needs from their childhood, so that if their parents were cold and neglectful, they have a strong desire for the psychotherapist to fulfill these needs that weren't met by their parents.

When you consider that psychoanalytic clients meet with their psychoanalysts any where from 2-5 times per week, you can see how transference, in whatever form, would build up quickly. Psychoanalysts also usually delve into the most intimate aspects of a client's interior world, including dreams, which can also fuel transferential feelings.

Psychotherapy and the Erotic Transference:  Falling "In Love" With Your  Therapist

Also, most psychoanalysts, especially at the beginning of treatment, don't reveal that much about themselves because transference is an important part of treatment. Since they want to work with the transference, they are unlikely to reveal a lot of personal information because the more a client knows about his or her therapist, the less room there is for transference to develop. So, the combination of the frequency of sessions, the intimate nature of what the client is sharing in the treatment, and the lack of information about the analyst (where there's lots of room for clients to project their fantasies) can create powerful transferential feelings.

Sometimes, clients' transferential feelings are not totally unconscious. They might be very aware of feelings that they're developing for the therapist, although they might not realize that the basis of these feelings is based on childhood experiences. This is all very common and part of what would be discussed in treatment.

Transference is not a phenomenon that is only found in treatment. In fact, it is a normal part of every day life in many areas of our lives. I'm sure that many of us can think of teachers that we had crushes on in school. This is also usually transference because it's a projection of the student's feelings for the teacher. Usually, students outgrow these crushes and, eventually, develop healthy relationships with their own peers.

What is Countertransference
I've chosen to focus on a particular type of transference in this blog article, namely, erotic transference, but I wanted to add a few words about countertransference. Countertransference is also a form of transference but, in the context of treatment, it's the transferential feelings that the therapist has for the client. Therapists who are psychoanalytically trained know that they will feel countertransference for some clients, and they often experience the same type of transferential feelings as clients do.

The big difference is that therapists who are psychoanalytically trained have the therapeutic skills to deal with these countertransferential feelings, and will usually recognize that it's not really about the client.

Rather, it can point to something that is lacking in their own lives, something from the past, or some unconscious feelings regarding their own unmet needs. Early on, in psychoanalytic training, psychoanalytic candidates in training use their own personal psychoanalysis and supervision to deal with these feelings and learn how to handle them without compromising the treatment. If countertransference becomes an issue for a therapist after his or her training, usually, he or she will seek professional guidance either in his or her personal therapy, in supervision, or among peers.

Erotic Transference:  Falling "In Love" With Your Therapist

When psychoanalysts act on transferential and/or countertransferential feelings, rather than seeing them as a signal for work to be done with the client and/or with themselves, there can be boundary violations, especially sexual boundary violations, which I discussed in an earlier blog post. This type of boundary violation, whether it occurs during the treatment or after the treatment, is usually most harmful to the client. It can leave a client feeling devastated since these types of "relationships," which continue to be unequal even if the treatment is over, almost never work out.

There are some psychotherapists, who are not psychoanalytically trained, who are uncomfortable with clients' transference or their own countertransference, and they avoid dealing with it and don't know how to deal with it. This is usually detrimental to the treatment and has been the cause of many treatment failures.

What is the Erotic Transference?
The erotic transference is a particular form of transference that occurs when the client thinks that he or she has fallen in love with the therapist. Once again, as mentioned previously, feelings can develop quickly in psychoanalysis or psychodynamic psychotherapy due to the intensity of the treatment.

Initially, this can be emotionally painful for clients because, an ethical psychotherapist who maintains the treatment frame, won't gratify these erotic transferential feelings and fantasies, so that clients feel a yearning for their therapists that cannot be satisfied. These feelings are explored in treatment and, usually, as previously mentioned, they have their origins in unmet childhood needs.


It's easy to see how someone who grew up in a home where their emotional needs were not met or not sufficiently met, for whatever reason, would feel like he or she is falling in love with the therapist who is spending so much time listening to his or her most innermost feelings. The early yearning to have these needs met can come roaring to the surface very quickly. Many times, clients have repressed (pushed down) these needs for so long that. before starting treatment, they might not even be aware that they still have these needs. Then, lo and behold, these needs are tapped into and they often erupt with full force.

Note that I emphasized that this can be part of the initial part of treatment. The reason for this is that a skilled psychoanalytically trained therapist will use these transferential feelings not only to explore those unmet needs but also to help the client to develop healthy relationships outside of treatment where those needs can be met. So, although it can be initially painful to feel unrequited love as part of the erotic transference, the client is helped to develop into an adult who can have his or her needs met.

The erotic transference can occur regardless of the client's and therapist's gender or sexual orientation. That means that a heterosexual woman can develop an erotic transference for a heterosexual female therapist, even if this client never had erotic or romantic feelings for women in the past.

It can also occur with a heterosexual man and a gay therapist, even if the client never had sexual or romantic feelings for gay men before. A gay male client can develop an erotic transference for a heterosexual female therapist. And so on. This can be very confusing for clients and, at times, causes them to question their sexual orientation. But, most often, especially if they're not having these romantic and sexual feelings outside of treatment, it's not about a change in their sexual orientation. It's usually about unmet childhood needs and, as an adult, these needs can be transformed into romantic and/or sexual feelings for the therapist.

In a successful psychoanalytic or psychodynamic treatment, the client matures into a person who can work through these early unmet needs and find mature love among his or her own peers rather than continuing to fantasize about the therapist.

But it would be misleading to say that this happens quickly in every psychoanalytic of psychodynamic treatment or that, for some people, it happens at all. Some clients can spend years feeling that they're in love with their therapists and not understanding why the therapist is not willing to satisfy their needs by seeing them outside of the therapy sessions or going out with them or telling them about personal aspects of the therapist's life.

If a therapist is not able to help a client work through the transference so that the client can transfer his or her feelings from the therapist to a healthy, mature relationship with a peer, the therapist might have to refer the client to a different therapist to work out these issues. This can feel very rejecting to the client, who might not understand why this is necessary, but it is sometimes necessary and preferable to allowing a client to spend year after year feeling deprived because his or her therapist won't gratify his erotic or romantic needs.

The fictionalized vignette below demonstrates how the erotic transference can develop in a psychoanalytic treatment. As an aside, I also want to reiterate that, although I'm focusing on psychoanalytic and psychodynamic treatment, transference can develop in any type of therapy and, overall, transference out in the world (outside of the treatment setting) is ubiquitous.

Terry:
When Terry began treatment, she had just ended her third long-term relationship with a man who turned out to be cold and distant. She felt depressed and "a failure" because she continued to choose men who didn't meet her emotional needs.

Terry chose a woman psychotherapist who was recommended to her by her doctor. During the initial few visits, the therapist asked Terry about her childhood history, and Terry recounted a childhood where her parents provided her with everything that she needed and wanted materially, but they were emotionally distant. Whenever she wanted to talk to her parents, they were too preoccupied with other things to listen to her. As an only child, Terry grew up feeling lonely. She loved to go visit her best friend's home because her friend's mother was very warm and affectionate. Terry used to secretly wish that her friend's mother would become her mother.

Since Terry was significantly depressed (although not suicidal), Terry and her therapist agreed to meet three times a week. As the treatment went on, Terry described how she had never felt that anyone close to her ever really listened to her. She was tired of going out with men who turned out to be so much like her parents, and she couldn't understand the unconscious process that compelled her to continue to choose the same type of man over and over again.

After a few weeks, Terry really began to look forward to her therapy sessions. Her therapist provided a safe and nonjudgmental environment for Terry to express her innermost feelings. Terry told her therapist about thoughts and feelings that she had never revealed to anyone else in her life, and she was amazed at how easily she was able to do this with her therapist. Most of all, she felt that her therapist was caring, attentive and really listened to her in a way that she had never been listened to before.

Erotic Transference:  Falling "In Love" With Your Therapist

Soon after that, Terry began having erotic dreams about her therapist. These dreams made her feel very frightened, confused, and embarrassed because she considered herself to be heterosexual, and she had never had romantic or erotic feelings for a woman before. She had gay and lesbian friends, and she didn't think she was prejudice against gays. She was just bewildered by these dreams and wished that she would stop having them.

Terry also began to notice that she was ruminating about her therapist between sessions, wondering what she was doing and with whom. She fantasized about meeting her therapist outside of their sessions for dinner and getting to know her therapist personally. When her fantasies turned erotic, she began to worry because now she was having erotic feelings for her therapist in her dreams as well as her waking hours. In fact, she worried because she was feeling obsessed.

Erotic Transference:  Falling "In Love" With Your Therapist

At that point, whenever she went to therapy, she wished that the session wouldn't end. She looked at her therapist's ring finger to see if she was wearing a wedding ring, but she saw no signs of whether her therapist was married or had a significant other. She felt that, at least, if she knew that her therapist was married, maybe she could stop ruminating about her day and night.

When her therapy session ended and Terry walked out into the waiting room and saw the next client about to go in to see the therapist, she felt jealous. On an emotional level, she wanted the therapist to only spend time with her and it was painful to think that she had to share her with other clients. On a rational level, Terry could step back and look at her feelings and know that they were irrational, but she couldn't stop them.

She had fantasies about standing across the street from her therapist's office, somewhere where the therapist couldn't see her, and waiting to see where she went or if she met up with a husband or lover. She felt that her curiosity and yearning to know more about her therapist's life was overwhelming. And, although she often had this fantasy, she never gave into it because she didn't want to feel like a stalker.

Finally, one day when Terry couldn't tolerate having these erotic feelings for her therapist any more, with much hesitation and embarrassment, she told her therapist about her erotic feelings. Part of her hoped that her therapist would tell her that she felt the same way about her, which she also knew would be terrifying for her. Another part of her was afraid that her therapist would think this was highly inappropriate and she would need treatment with Terry.

Terry's therapist listened intently to what Terry had to say. Terry became tearful because she was confused about what this meant about their therapeutic relationship and also what it meant in terms of Terry's sexual orientation. Terry poured out all the feelings that she had been holding back and allowed her tears to flow.

After she finished, Terry raised her eyes for the first time during that session to meet her therapist's eyes. What she saw was the same empathetic and compassionate look that her therapist usually had. She breathed a sigh of relief that, at least, her therapist wasn't throwing her out of the office. Then, her therapist talked to Terry about transference and, in particular, the erotic transference. Terry was surprised to hear that this is a very common experience in psychoanalytic and psychodynamic psychotherapy. At least, she knew that she was not some odd ball and that many other clients in therapy experienced the same feelings. Most importantly. she learned that most clients work through these feelings as they learn to develop healthy, romantic relationships outside of treatment.

Terry and her therapist continued to explore these feelings as they related to her unmet childhood needs. Terry did a lot of grieving for what she didn't get when she was growing up. Over time, she also learned to accept that her parents, who would never even think of getting into their own therapy, probably would not change. This is often a very hard part of treatment for many clients who still hold onto the wish, no matter how impossible it might seem, that one day their parents would change.

In the meantime, Terry began to date again. Whenever she started to see a man who turned out to be cold and distant as all the other men she dated, she wished that she could be in a romantic relationship with her therapist. Sometimes, these feelings were so strong that she felt they were unbearable. Although she still really didn't know if her therapist was heterosexual or a lesbian and she didn't know if her therapist was in a relationship, she fantasized about her therapist being a single lesbian.

Although she understood that she and her therapist couldn't be romantically or sexually involved while she was still in treatment, she now had fantasies that they could be together after the treatment ended. She even had thoughts about terminating the treatment with her therapist and seeing a different therapist so that she and her current therapist could be together.

This thought made her feel happy and excited her sexually as well. She no longer cared if she considered herself to be heterosexual or a lesbian. It didn't matter. All she could think about at that point was that she and her therapist could be so happy together if she was no longer in treatment with her. She thought to herself, "Why didn't I think about this before? Surely, my therapist must recognize that there's a special feeling between us. She's too ethical to pursue this feeling while I'm in treatment with her, but she'd have no reason not to be with me if I was in treatment with someone else."

Terry was very excited on the day when she decided to bring this up in her psychotherapy session. She had fantasies about having romantic candlelight dinners with her therapist, being sexually intimate, and, in time, even living together. So, when she brought up her feelings about this in therapy, as always, her therapist listened to her intently. Terry was so happy to have someone finally listen to her as if she was the only person in the world, and she imagined how wonderful this would be to experience all the time, and not for 45 minutes several times a week.

Once again, Terry's therapist acknowledged that it is not at all unusual for a client to have these feelings and, in fact, many clients had these feelings. Then, she proceeded to explain to Terry how, even after their treatment ended, whenever it ended, they could never be together or have anything but a therapeutic relationship because it would ruin the treatment that they had together. Also, she explained that these romantic and sexual feelings that Terry had, while very strong, were still based on her unmet childhood needs. And a relationship between a former therapist and a former client would be disastrous for the client.

Even though her therapist normalized her feelings, Terry was extremely disappointed. She thought she had found a way to be with her therapist, only to be rejected. This was the subject of many sessions after that session. Terry's therapist was also able to help her connect her current feelings to her earlier feelings connected to the childhood emotional neglect.

As treatment continued, Terry began to feel deep down that she deserved to be with someone who was emotionally available to her. Since she didn't have attractions for women outside of her therapy sessions, she continued to date men and talk about these experiences in her therapy. She still held onto a wish that her therapist would eventually change her mind and get romantically involved with Terry after the treatment was over. But she also began to choose men who were more emotionally attuned to her.

Several months later, Terry met a man that she really liked and who was very kind and generous with her. Unlike her other relationships, he was attentive and also reciprocated her feelings. Initially, she was almost too afraid to get excited about this man because she feared that she would get disappointed and hurt like she had in the past. But, as she continued to see him, their relationship developed and became more intimate.

At first, Terry felt like she was "cheating" on her therapist, although, rationally, she knew this wasn't true. But, until then, most of her erotic dreams and fantasies had been about her therapist, and it had been the most intense relationship (albeit it a therapeutic relationship) that she had ever had.

Unlike her mother, who had almost never shown much concern for Terry's emotional well being, Terry sensed that her therapist was happy for her that she had met someone that she really cared about and who really cared about her.

As Terry continued to see this man and continued to talk about it in her therapy, gradually, over time, she realized that her feelings for her therapist were changing. Although she felt a deep caring for her therapist, she no longer had romantic or sexual feelings for her therapist.

This surprised Terry greatly because, when she was obsessing about her therapist, she thought these feelings would never change and she worried about what it might be like to terminate treatment and never see her therapist again. Whenever she had those feelings, she worried that she had become "too dependent" on her therapist. But much to her surprise, over time, she was beginning to feel that she could foresee a time when she could end treatment and be all right about it.

Erotic Transference:  Falling "In Love" With Your Therapist

When she discussed this with her therapist, her therapist assured her that, even after she ended this treatment, if she felt that she wanted to work out other issues that had come up after this treatment was over, she could return to see her. She also told Terry that it wasn't unusual for people to return to their therapists after years of being away from treatment. She also told her that Terry had the option in the future of seeing a different therapist, possible someone who worked differently, to get a different perspective.

Soon after that, Terry and her therapist went through the termination process, which lasted a few months. During that time, they saw each other less frequently. They processed the therapy in a way that gave closure to their therapeutic relationship. During that time, Terry realized that her feelings for her therapist had changed to no longer feeling at all erotic, romantic or idealized in any way. Rather, she saw her therapist as being an ordinary person who happened to be very skilled at her work. And, when she looked back at her erotic transferential feelings, she was glad that her therapist was ethical, and maintained the therapeutic frame in a safe and empathic environment.

Terry and her boyfriend eventually got married and, overall, she was happy. After a few years, she returned to see her former therapist for brief treatment to work through particular issues. She was grateful to be able to return for treatment whenever she needed it. And rather than feeling caught up in transferential feelings that were based on unmet childhood needs, she felt that she was with a capable mental health professional who could help her to overcome these problems.

About the Fictionalized Scenario 
The fictionalized scenario that I presented above is one example, among many different types of situations, of the erotic transference and how it might appear in treatment and get worked through. There are times when clients, who feel too uncomfortable with their erotic and romantic feelings for their therapist, leave treatment and never work through these issues or the unmet childhood needs that tend to fuel these feelings.

While there are certainly times, especially if a psychotherapist is crossing professional boundaries, where clients should leave treatment before transferential feelings are worked through (and work them through with another more professional and ethical therapist), most of the time, it is beneficial to stay in treatment and get to the early core issues that are at the heart of the matter.

Getting Help in Therapy
If you're overwhelmed with problems that you've been unable to resolve on your own, you could benefit from seeing a licensed mental health professional who can help you to work through these issues so you can lead a more fulfilling life.

About Me
I am a licensed psychotherapist in New York City, who is psychoanalytically trained.

Since my psychoanalytic training, I have also developed expertise in other treatment modalities, including EMDR, clinical hypnosis, Somatic Experiencing, AEDP, EFT and Sex Therapy.  

I work with individual adults and couples.

To find out more about me, visit my website: Josephine Ferraro, LCSW - NYC Psychotherapist

To set up a consultation, call me at (917) 742-2624 or email me.