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. 2023 Sep 15;14:1235478. doi: 10.3389/fpsyt.2023.1235478

Table 3.

Changes of transference and countertransference reactions transitioning low level borderline patients from face to face to VCP.

Transference (T, n = 203) Frequency Countertransference (CT, n = 239) Frequency
None 10 Little/none 11
Increased positive T Increased positive CT
More positive feelings, less aggression 17 More caring / compassion 5
More free association/ more open 12 Calmer/ more patient 5
Less paranoia 8
More closeness 5
Less acting out 5
Less anxiety 5
Increased negative T Increased negative CT
More aggression 20 More helplessness/resignation 19
(Fear of) dropout 15 More irritated; less calm 12
More resentment 15 More anxiety 12
More paranoia 15 Lower frustration tolerance/ more impatient 7
More boundary enactments/risk behavior 12 More anger 7
More anxiety 6 More annoyed 6
More depressed 6 Distance
More negative transference 6 More distant 26
More controlling 5 More difficult to recognize CT 13
Dependency/attachment Less interest/more boredom 9
More needy/clinging 21 More superficial/less vital 8
Fear of abandonment/ attachment insecurity 14 Increased intensity / more intimate 6
More regression 11 More casual 5
More idealization (analyst as savior) 10 Therapeutic attitude/technique
Emotional distance More supportive 27
More superficial/less intensity 27 More concerned 12
More casual 7 Harder to maintain therapeutic neutrality 8
Less engagement 6 Difficulty in maintaining setting 5
More withdrawn 5
Pandemic Pandemic
Shared experience/horizontal relationship 6 Shared experience/ horizontal relationship 7
Concern about the object 5 Setting
Setting More exhausting 6
More curiosity about private life of therapist 8 Frustration/irritation with technical issues 5

VCP, videoconferencing psychotherapy.