Transference and Countertransference Problems in a Critically Ill Patient

Abstract

The severe depression of a patient critically ill with myasthenia gravis necessitated psychiatric intervention. Over a period of two years three different approaches were utilized by three therapists: 1) intensive psychotherapy, 2) limited supportive psychotherapy, and 3) therapy based on the therapist's presentation of himself as an all-powerful healing figure. Improvement occurred in phase one, severe regression in phase two and marked improvement and death in phase three. Transference and countertransference factors were of critical importance in each phase.