[Transference and countertransference problems in patients treated with bone marrow transplantation]. 1995

R Gregurek, and I Ladika
Klinika za psiholossku medicinu, Medicinski fakultet Sveucilisa u Zagrebu, Klinicki bolnicki centar.

Psychological problems that restrain the patient before, during and after the bone marrow transplantation (BMT) are multiple and are very complex and often have significant effect on the transplantation procedure itself. What patient is going through followed with his expectations and dependence on the transplantation team, together with development of an archaic transference develops a number of counter-transference reactions within the team members. If we assume that during the time spent in a sterile unit and isolation, because of the regressive position, patients use early defending mechanisms, which again, reflect in the reactions of the team members. The aim of this project is to analyse transference and counter-transference problems of the patients and the team members during the BMT. The method used was psychodynamic clinical observance and analysis of transference and counter-transference problems of patients and the team members during the process of transplantation. Thirty-five patients with acute myeloblastic and acute lymphoblastic leukemia, treated with allogenic BMT, were observed during their stay in a sterile unit over the 5-year period. Transplantation procedure, based on observation of psychological dwelling and transference reactions of the patients, is divided into five phases while, from the perspective of the team members, the counter-transference problems are revealed especially during the moments of helplessness. The most important mechanism that the team members are using to protect themselves from this feeling is "selective avoidance of psychological", in other words, avoidance of empathy.

UI MeSH Term Description Entries
D007938 Leukemia A progressive, malignant disease of the blood-forming organs, characterized by distorted proliferation and development of leukocytes and their precursors in the blood and bone marrow. Leukemias were originally termed acute or chronic based on life expectancy but now are classified according to cellular maturity. Acute leukemias consist of predominately immature cells; chronic leukemias are composed of more mature cells. (From The Merck Manual, 2006) Leucocythaemia,Leucocythemia,Leucocythaemias,Leucocythemias,Leukemias
D008297 Male Males
D003379 Countertransference Conscious or unconscious emotional reaction of the therapist to the patient which may interfere with treatment. (APA, Thesaurus of Psychological Index Terms, 8th ed.) Countertransference, Psychology
D005260 Female Females
D006801 Humans Members of the species Homo sapiens. Homo sapiens,Man (Taxonomy),Human,Man, Modern,Modern Man
D000293 Adolescent A person 13 to 18 years of age. Adolescence,Youth,Adolescents,Adolescents, Female,Adolescents, Male,Teenagers,Teens,Adolescent, Female,Adolescent, Male,Female Adolescent,Female Adolescents,Male Adolescent,Male Adolescents,Teen,Teenager,Youths
D000328 Adult A person having attained full growth or maturity. Adults are of 19 through 44 years of age. For a person between 19 and 24 years of age, YOUNG ADULT is available. Adults
D014167 Transference, Psychology The unconscious transfer to others (including psychotherapists) of feelings and attitudes which were originally associated with important figures (parents, siblings, etc.) in one's early life. Psychological Transference,Transference (Psychology),Psychological Transferences,Psychology Transference,Psychology Transferences,Transference, Psychological,Transferences (Psychology),Transferences, Psychological,Transferences, Psychology
D016026 Bone Marrow Transplantation The transference of BONE MARROW from one human or animal to another for a variety of purposes including HEMATOPOIETIC STEM CELL TRANSPLANTATION or MESENCHYMAL STEM CELL TRANSPLANTATION. Bone Marrow Cell Transplantation,Grafting, Bone Marrow,Transplantation, Bone Marrow,Transplantation, Bone Marrow Cell,Bone Marrow Grafting

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