3 CE Credit Hour Presentation the Ethics of Countertransference

The Ethics of Countertransference: Race, Gender, Religious and Political Beliefs

September 20, 2024
9am Pacific | 10am Mountain | 11am Central | Noon Eastern

Countertransference is, indeed, an ethical issue. It can be very confusing to try to manage our countertransference reactions due to differences we might have with our clients in terms of race, gender and religious and political beliefs. When countertransference is not properly recognized, and thus not properly managed, it can be extremely damaging to the therapeutic alliance. But when properly acknowledged and managed, countertransference can actually strengthen that critical connection. Thus – an ethical issue through and through.

CE Credit Hours

Dive deep into the crucial gray areas of ethical practice

Learn from Kirsten Lind Seal, PhD, LMFT as she does a deep dive into examining the ways in which our understanding of issues and beliefs around race, politics, religion and gender contribute to the worldview of both therapist and client. This deeper self-knowledge clearly contributes in both positive and negative ways to the process of therapy and is thus crucial to managing the countransference. Learn how to ensure that you will be able to harness the full awareness of these countertransference situations, and therefore avoid the crucial countertransference pitfalls that can harm the alliance.

The literature on countertransference is clear that the most problematic types are when therapists are unaware of those feelings.  This training is crucial for heightening competence in seeing, understanding, managing and navigating the different sorts of countertransference reactions and developing the skill set to do all of this.  Does that seem impossible to do?  Rest assured that it’s actually quite possible.  But it does require a reframe, some conscious thought and ongoing in-the-moment decisions that are made by you, the clinician.  So join us for this fascinating webinar where we will dive deep into the crucial gray areas of ethical practice.  You and your clients will benefit.  Everyone needs regular ethics trainings, and this webinar offers practical, clinically applicable interventions and new ways of thinking for clinicians of every level.

“Dr. Lind Seal was one of the best presenters I had heard in a long time. She and her material was excellent!

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Ethical Considerations

Describe why understanding the connection between countertransference and race, gender, religious and political beliefs is crucial for ethical practice

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Integrate Ethical Principles

Integrate relevant ethical principles and professional ethical codes into managing countertransference and self-disclosure

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Create a countertransference management plan

Create ongoing countertransference management plan and apply a deeper understanding of implicit bias to same

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Strengthen Abilities

Integrate a self-care plan into ongoing practice as a way to strengthen ability to skillfully manage political countertransference

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Countertransference Consequences

Recognize and name 3 possible consequences of countertransference

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Therapeutic and Ethical Methods

Compare and contrast 3 methods of therapeutically and ethically addressing countertransference issues both in and out of session

Who is this event for?

This course is designed for solo practitioners, group practice leaders, and group practice clinical staff members. It is also suitable for practices that consist of 100% in-person, 100% telehealth, or a mixture of in-person and telehealth treatment.

green check mark  In-person Practices

green check mark  Hybrid Practices

green check mark  Teletherapy Only Practices

Topics covered:

Race: How do you show up with clients who identify similarly to you in terms of race (the way our society has framed it for us all)? What about when that is a difference between you?  What do we know about the neuroscience around implicit bias? 

Gender: How do you show up with clients who are the same gender, or different gender than you?  How much might this affect the therapeutic alliance? 

Religious and political beliefs: Do you struggle to sometimes find connection when you discover that your political beliefs are in conflict with your clients?  As society becomes more divisive, you may find yourself reacting more strongly to your client’s values and beliefs. What about when your religious beliefs conflict?  What sorts of value systems shape your worldview? And how does this worldview then shape the countertransference?

 Thank you for the information and for making it so accessible. Somehow you take the driest material and make it fun and immediately relevant. You folks knock it out of the park!

Maegan Carney

Course Details

3 CE Credit Hour. Self-Study, On-Demand, Recorded Video Seminar CE training. 

Title: The Ethics of Countertransference: Race, Gender, Religious and Political Beliefs

Authors/Presenters: Kirsten Lind Seal, PhD, LMFT
CE Length: 3 CE credit hours, legal-ethical
Legal-Ethical CE Hours: 3 legal-ethical CE credit hours

Educational objectives: 

    1. Describe why understanding the connection between countertransference and race, gender, religious and political beliefs is crucial for ethical practice
    2. Recognize and name 3 possible consequences of countertransference
    3. Compare and contrast 3 methods of therapeutically and ethically addressing countertransference issues both in and out of session
    4. Create ongoing countertransference management plan and apply a deeper understanding of implicit bias to same
    5. Integrate relevant ethical principles and professional ethical codes into managing countertransference and self-disclosure
    6. Integrate a self-care plan into ongoing practice as a way to strengthen ability to skillfully manage political countertransference

Syllabus:

  1. Definitions 
  1. Transference
  2. Countertransference
  3. Therapist self-disclosure/boundaries
  • Countertransference and:
    1. Race
    1. Implicit bias
    2. Neuroscience undergirding this concept
    3. Role in countertransference situations
    4. Steps for managing implicit bias
    5. Recommendations
  • Gender
    1. Possible CT reactions
    2. Gender fluidity
  • Religious beliefs
    1. CT reactions
    2. Ethical bracketing
  • Political beliefs/Therapist Political Self-Disclosure (TPSD)
    1. What we know from current research
    2. Most therapists deeply affected by the political climate
    3. Necessity of training and peer consultation
    4. Clients may welcome this discussion
    5. Similarities promote stronger therapeutic alliance (convergence of beliefs)
    6. Reasons to do TPSD
    1. Deepen alliance
    2. Flatten hierarchy
    3. Increase feelings of closeness
    4. Promotes social justice/especially within a multicultural orientation
  • When to do TPSD
    1. When there is a strong interpersonal alliance
    2. When there is convergence between client and therapist
    3. For a targeted clinical reason (working with shame, for example)
    4. Bearing witness to client’s distress
    5. Therapy as “shock absorber” (Goldsmith, 2020)
    6. Holding and containment (only when you feel strong enough to manage your own countertransference reactions properly)
  • Crucial to watch out for
    1. Is this discussion keeping us away from deeper and more important issues?
    2. Is this discussion a way for the therapist to get validation of their own beliefs?
    3. Will this discussion lead to the client wanting more self-disclosure of other aspects of the therapist’s life?
    4. Polarization pulls – victim and victimizer tendency
    5. Temptation to descend into numbness, disengagement or dissociation
  • What to do when client’s political beliefs diverge from your own?
    1. Divergence vs. convergence of political belief systems
    2. Find similarities in terms of values (i.e., per Braver Angels protocols)
    3. Be very aware of the countertransference
    4. Anger, irritation or contempt for others not believing as you do
    5. Work on self-regulation
    6. To be able to share differences in a non-defensive way if you feel drawn to do so
    7. Remember and work on feeling a sense of liking for your client (unconditional positive regard per Carl Rogers)
    8. Ramifications of not disclosing/Especially when your client is “curious” about your political stance
  • How to do this
    1. Our own affect needs strong regulation
    2. Supportive internal self-talk in session
    3. Detach with love (from AlAnon) – agape love or, if not, then at least with neutrality
    4. Open letter to clients (per Bill Doherty) inviting discussion of the political landscape
    5. Language to use with clients with divergent political belief systems
    6. Go deep into what these beliefs mean for them in an ongoing relational way (what is going on for them that they need to engage in contentious political discourse at family events, for example?
    7. Self-care and connection rather than retreat and dissociation (Goldsmith, 2020)
  • Foundational ethical principles
    1. Definition/explanation
    2. Application to differing countertransference situations 
  • Relevant ethics codes/guidelines 
    1. APA
    2. ACA
    3. NASW
    4. AAMFT
  • Plan for self-care
  • Limitations of the research
  • Meet Our Presenter

    Presented by

    Kirsten Lind Seal, PhD, LMFT

    tara sanderson

    Kirsten Lind Seal, PhD, LMFT holds an MA in Counseling Psychology and a PhD in Couple and Family Therapy from the University of Minnesota.  Dr. Lind Seal teaches Ethics at two universities and regularly conducts trainings on Ethics and Cross-Cultural issues at the local, national and international level.  Her March 2024 PESI webinar has recently been translated into French and Italian. 

    She is currently Adjunct Associate Professor at Saint Mary’s University of Minnesota and Core Ethics Faculty (adjunct) at Chaminade University of Honolulu.  She has extensive training in teaching and learning: at Saint Mary’s she was a Teaching Fellow (2013-2014), and she completed the Preparing Future Faculty Certificate Program at the University of Minnesota in 2014. 

    Dr. Lind Seal’s research has been published in Psychology Today, Journal of Marital and Family Therapy and Family Process.  She has published several case studies and an Ethics-focused “In Consultation” piece in the Psychotherapy Networker and has reviewed for The Journal of Critical Psychology, Counselling and Psychotherapy (UK).  She is currently conducting a Scholarship of Teaching and Learning research project examining the impact of her Cultural Context Ethical Decision-Making model on graduate students’ cultural growth and ethical decision-making at Chaminade University of Honolulu.

    Dr. Lind Seal’s professional memberships are with the Minnesota Association for Marriage and Family Therapy and the New England Association for Family and Systemic Therapy, for which organizations she has created, presented and recorded numerous trainings and webinars on a variety of Ethical issues.  She has been participating in ongoing monthly Anti-Racism groups through NEAFAST for the last four years.

    She has a completely virtual private practice where she works with individuals, couples and family, and offers ethics consultations to colleagues.  She has been interviewed as a content expert by MPR, CNN.com, and the Minneapolis Star Tribune and is in her tenth year as a regular on-air creator/contributor on Relationship Reboot, a weekly segment on relationships on WCCO TV’s Channel 4 (CBS Twin Cities).  

    Resources & Citations:

    Ofer Zur’s website https://www.drzur.com/ 

    Zur Institute https://www.zurinstitute.com/

    Kenneth Pope’s website https://kspope.com/

    PROQOL (Professional Quality of Life Scale) https://proqol.org/

     Ten Percent Happier (meditation app and podcasts) https://www.tenpercent.com/

    Kirsten Lind Seal’s website http://www.kirstenlindseal.com
    Email [email protected]

    Baumann, Ryu & Harney (2020). Listening to identity: Transference, countertransference and therapist self-disclosure in psychotherapy with sexual and gender minority clients. Practice Innovations, 5(3), 246-256. http://dx.doi.org/10.1037/pri0000132

     

    Birbilis J.M. (2018). When psychology and politics commingle. Journal of Clinical Psychology, 74, 730–733. doi: 10.1002/jclp.22602

     

    Enders, A., Uscinski, J., Klofstad, C., et al. (2021). Do conspiracy beliefs constitute a belief system? Examining the structure and organization of conspiracy beliefs.  Journal of Social and Political Psychology, 9(1), 255-271. https://doi.org/10.5964/jspp.5649

     

    Cordes (2021).  Burnout…trauma…both? Identifying and addressing needs during Covid through infomatics.  Families, Systems and Health, 39(1), 169-171. https://doi.org/10.1037/fsh0000598

     

    Corey, Corey & Corey (2019).  Issues and Ethics in the Helping Professions.  Cengage Learning.

    Corpuel (2009). Countertransference: A foundation of psychotherapy.  In Handbook of Contemporary Psychotherapy (Eds. O’Donohue & Graybar). 195-227.

     

    Drustrup, D. (2019). White therapists addressing racism in psychotherapy: An ethical and clinical model for practice. Ethics & Behavior, 30(3), 181-196. https://doi.org/10.1080/10508422.2019.1588732

     

    Fitzgerald, Martin, Berner & Hurst (2019) interventions designed to reduce implicit prejudices and implicit stereotypes in real world contexts: A systematic review.  BMC Psychology, 7(29), 1-12. https://doi.org/10.1186/s40359-019-0299-7

     

    Gutheil & Gabbard (1993). The Concept of Boundaries in Clinical Practice: Theoretical and Risk-Management Dimensions” American Journal of Psychiatry, (150), 188-196.  Retrieved January 3, 2024 from https://kspope.com/ethics/boundaries.php

     

    Farber, B. (2018). “Clowns to the left of me, jokers to the right”: Politics and psychotherapy, 2018. Journal of Clinical Psychology, 74, 714-721. doi: 10.1002/jclp.22600

     

    Goldsmith, B.L. (2020). Turbulent times inside and outside the consulting room: The politics of polarization and hate and the illusion of the therapist’s freedom from impingement. Journal of Humanistic Psychology, 60(6).  747-760. https://doi.org/10.1177/0022167820913358

     

    Groshong, L. (2013). Politics in the consulting room: Hate in the countertransference revisited.

    Clinical Social Work Journal, 41, 43–49, https://doi.10.1007/s10615-011-0371-0

     

    Hayes, Gelso, Goldberg & Kivlighan (2018).  Countertransference management and effective psychotherapy: Meta-analytic findings.  Psychotherapy, 55(4). 496-507.  http://dx.doi.org/10.1037/pst0000189

     

    Kernberg, (2001). Countertransference. Retrieved from https://www.sciencedirect.com/topics/computer-science/countertransference on July 18, 2021

    Maharaj, Bhatt & Gentile (2023).  Bringing it into the room: Addressing the impact of racism on the therapeutic alliance.  Innovations in Clinical Neuroscience. 18(7-9), 39-43. 

     

    Kubin, E., Puryear, C., Schein C. & Gray, K. (2021). Personal experience bridges moral and political divides better than facts.  Proceedings of the National Academies of Sciences, 118(6), 1-9. https://doi.org/10.1073/pnas.2008389118

     

    McWhorter (2019). Balancing Value Bracketing with the Integration of Moral Values in Psychotherapy: Evaluation of a Clinical Practice from the Perspective of Catholic Moral Theology .  The Linacre Quarterly, 86(2-3).  doi: 10.1177/0024363919856810

     

    Ringel, S. (2002). To disclose or not to disclose: Political beliefs in the countertransference.  Smith Studies in Social Work, 347-358.

     

    Ross, H. (2020). Everyday Bias. London, UK, Rowan & Littlefield.

     

    Sapolsky, R. (2017). Behave: The biology of humans at our best and worst. New York, New York, Penguin Press. 

     

    Sierakowska, M. & Doroszkiewicz, H. (2022).  Stress strategies used by nurses during the Covid-19 pandemic. PeerJ (10).  1-19. http://doi.org/10.7717/peerj.13288

     

    Solomonov, N. & Barber (2019). Conducting psychotherapy in the Trump era: Therapists’ perspectives on political self-disclosure, the therapeutic alliance, and politics in the therapy room. Journal of Clinical Psychology, 75, 1508-1518. doi: 10.1002/jclp.22801

     

    Yourman, D.B. (2018). A Marxist therapist treats a Trump-supporting client: A tale of politics and psychotherapy. Journal of Clinical Psychology, 74, 776-773. doi: 10.1002/jclp.22607

     

    Accuracy, Utility, and Risks Statement: 

    • The speaker is not an attorney.
    • None of the information or comments contained in this training should be construed to be legal advice.
    • Remember that the majority of our practice is guided by state law and state laws vary widely .
    • Legal situations are highly individualized, so please consult a lawyer licensed in your state and who has expertise in mental health issues

     

    Conflicts of Interest: Financial Disclosures: 

    Financial: 

    • The speaker receives a fee for this webinar from Person Centered Tech.
    • The speaker has an employment relationship with Saint Mary’s University of Minnesota and Chaminade University of Honolulu.
    • The speaker presents for PESI and Psychotherapy Networker where she receives a fee and royalties.

    Non-financial: 

    • The speaker is a regular contributor/creator of Relationship Reboot segments for WCCO TV (CBS) Channel 4’s MidMorning show.

      Commercial Support: none.

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