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A 45-year-old male presents to clinic for a routine physical. The physician-patient interview is uneventful until the patient reveals that he is a recovering alcoholic. The physician grew up with an alcoholic, abusive father and begins interacting with the patient in an angry and hostile manner. The physician™s behavior is best described as which of the following?
A. Positive transference
B. Negative transference
C. Positive counter transference
D. Negative counter transference
E. Displacement
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D. Negative counter transference
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Choice (D) is the correct answer. Negative counter transference is best described as an unconscious redirection of feelings towards a patient on the part of the physician based on early childhood experiences. In this example, the physician grew up with an abusive, alcoholic father. When the physician discovers that his patient is a recovering alcoholic, his interaction with the patient becomes angry and hostile, which is a remnant of the physician's childhood experiences. This is known as negative counter transference. Positive transference (Choice A) is unconscious redirection of feelings towards the physician based on childhood experiences on the part of the patient. For example, suppose a physician reminds a patient of a kind, caring, grandfather. The patient may treat the physician with warmth and regard, because the physician reminds the patient of a kind, caring grandfather encountered during childhood. Negative transference (Choice B) is similar to positive transference, except the feelings and behaviors associated with negative transference are negative and hostile while the behaviors associated with positive transference are warm and caring. Positive counter transference (Choice C) is the unconscious redirection of feelings toward a patient resulting from childhood experiences. Positive counter transference involves feelings of warmth and kindness towards a patient. Displacement (Choice E) is a defense mechanism that involves taking out anger or frustrations on someone or something less threatening. A father comes home angry and frustrated from work and kicks the family cat. This would be considered displacement.
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D. Negative Counter Transference....
