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Transference and Countertransference Issues During Times of Violent Political Conflict: The Arab Therapist–Jewish Patient Dyad

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Abstract

The complexity of long-term, dynamically oriented psychotherapy with a patient who belongs to an “enemy” national group, requires more than cultural sensitivity, especially during ongoing violent political conflict. This paper deals with some of the transference–countertransference dynamics that face therapists from a minority group involved in a political conflict with the patient’s majority group. Clinical examples from the Palestinian therapist–Jewish patient therapeutic dyad are presented in order to clarify these issues as they relate to setting, contract, interpretation, and termination of therapy. The main argument is that the therapist in such cases has to process not only his sense of threat, anger, and guilt in order to develop a good containment function during therapy, but also has to work on integrating different and denied parts of his national identity in order to be able to hear other, more internal dynamics in the patient’s mind, which are conveyed via the political conflict reality and transference issues.

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References

  • Al-Krenawi, A. (1996). Group work with Bedouin widows of the Negev in a medical clinic. Journal of Women and Social Work, 11, 303–318.

    Article  Google Scholar 

  • Al-Krenawi, A., & Graham, J. R. (2000). Culturally sensitive social work practice with Arab clients in mental health settings. Health and Social Work, 25, 9–22.

    Article  PubMed  Google Scholar 

  • American Psychological Association. (2003). Guidelines on multicultural education, training, research, practice, and organizational change for psychologists. American Psychologist, 58, 377–402.

    Article  Google Scholar 

  • Baum, N. (2006). Social work in political conflict. Families in Society, 87, 395–400.

    Article  Google Scholar 

  • Baum, N. (2010). After a terror attack: Israeli–Arab professionals’ feelings and experiences. Journal of Social and Personal Relationships, 27, 685–704.

    Article  Google Scholar 

  • Baum, N. (2011). Issues in psychotherapy with clients affiliated with the opposing side in a violent political conflict. Clinical Social Work Journal, 39, 91–100.

    Article  Google Scholar 

  • Baum, N. (2012). Field supervision in countries ridden by armed conflict. International Social Work, 55, 704–719.

    Article  Google Scholar 

  • Benson, J. F., Moore, R., Kapur, R., & Rice, C. A. (2005). Management of intense countertransference in group psychotherapy conducted in situations of civic conflict. International Journal of Group Psychotherapy, 55, 63–86.

    Article  Google Scholar 

  • Bion, W. R. (1970). Attention and interpretation. London: Tavistock.

    Google Scholar 

  • Bizi-Nathaniel, S., Granek, M., & Golomb, M. (1991). Psychotherapy of an Arab patient by a Jewish therapist in Israel during the Intifada. American Journal of Psychotherapy, 45, 594–603.

    PubMed  Google Scholar 

  • Blue, H. C., & Gonzalez, C. A. (1992). The meaning of ethno-cultural difference: Its impact on and use in the psychotherapeutic process. In D. Greenfeld (Ed.), Treating diverse disorders with psychotherapy. New directions for mental health services (pp. 73–84). San Francisco, CA: Jossey-Bass.

    Google Scholar 

  • Bodnar, S. (2004). Remember where you come from: Dissociative process in multicultural individuals. Psychoanalytic Dialogues, 14, 581–605.

    Article  Google Scholar 

  • Bollas, C. (1987). The shadow of the object: Psychoanalysis of the unthought known. New York, NY: Columbia University Press.

    Google Scholar 

  • Campbell, J., & Healey, A. (1999). Whatever you say, say something: The education, training and practice of mental health social workers in Northern Ireland. Social Work Education, 18, 389–400.

    Article  Google Scholar 

  • Campbell, J., & McCrystal, P. (2005). Mental health social work and troubles in Northern Ireland: A study of practitioner experiences. Journal of Social Work, 5, 173–190.

    Article  Google Scholar 

  • Chandler, D. K. (2007). The influence of racist attitudes and racial identity development among white counselors within cross racial counseling dyads with black clients. Master’s thesis, North Caroline State University, NC.

  • Comas-Diaz, L., & Jacobsen, F. M. (1991). Ethno-cultural transference and countertransference in the therapeutic dyad. American Journal of Orthopsychiatry, 61, 392–402.

    Article  PubMed  Google Scholar 

  • Davids, F. (2006). Internal racism, anxiety and the world outside: Islamophobia post 9/11. Organizational and Social Dynamics, 6, 63–85.

    Google Scholar 

  • Davids, F. (2008). Race, culture and psychotherapy. In Conference on race, culture and psychotherapy, June 20, 2008. London: Royal Society of Medicine.

  • Dwairy, M. (2009). Culture analysis and metaphor psychotherapy with Arab–Muslim clients. Journal of Clinical Psychology, 65, 199–209.

    Article  PubMed  Google Scholar 

  • Dwairy, M., & Van-Sickle, T. D. (1996). Western psychotherapy in traditional Arab societies. Clinical Psychology Review, 16, 231–249.

    Article  Google Scholar 

  • Dyche, L., & Zayas, L. H. (2001). Cross-cultural empathy and training the contemporary psychotherapist. Clinical Social Work Journal, 29, 245–258.

    Article  Google Scholar 

  • Ericskon, C., & Al-Timini, N. (2001). Providing mental health services to Arab Americans: Recommendations and considerations. Cultural Diversity and Ethnic Minority Psychology, 7, 308–327.

    Article  Google Scholar 

  • Garrett, M. T., & Pichette, E. F. (2000). Red as an apple: Native American acculturation and counseling with or without reservation. Journal of Counseling and Development, 78, 3–13.

    Article  Google Scholar 

  • Gorkin, M. (1986). Counter-transference in cross cultural psychotherapy: The example of Jewish therapist and Arab patient. Psychiatry, 49, 69–79.

    PubMed  Google Scholar 

  • Gorkin, M. (1987). The uses of countertransference. Northvale, NJ: Jason Aronson.

    Google Scholar 

  • Gorkin, M., Masalha, S., & Yatziv, G. (1985). Psychotherapy of Israeli–Arab patients: Some cultural considerations. Journal of Psychoanalytic Anthropology, 8, 215–234.

    Google Scholar 

  • Griffith, M. (1977). The influences of race on the psychotherapeutic relationship. Psychiatry, 40, 27–40.

    PubMed  Google Scholar 

  • Guru, S. (2010). Social work and the ‘War on Terror’. British Journal of Social Work, 40, 272–289.

    Article  Google Scholar 

  • Haj-Yahia, M. M. (1995). Toward culturally sensitive intervention with Arab families in Israel. Contemporary Family Therapy, 17, 429–447.

    Article  Google Scholar 

  • Haj-Yahia, M. M., & Roer-Strier, D. (1999). On the encounter between Jewish supervisors and Arab supervisees in Israel. The Clinical Supervisor, 18, 17–37.

    Article  Google Scholar 

  • Hastie, B., & Rimmington, D. (2014). 200 years of white affirmative action: White privilege discourse in discussions of racial inequality. Discourse and Society, 25, 186–204.

    Article  Google Scholar 

  • Inayat, Q. (2007). Islamophobia and the therapeutic dialogue: Some reflections. Counseling Psychology Quarterly, 20, 287–293.

    Article  Google Scholar 

  • Lago, C., & Thompson, J. (2000). Race culture and counselling. Buckingham: Open University Press.

    Google Scholar 

  • Masalha, S. (1999). Psychodynamic psychotherapy as applied in an Arab village clinic. Clinical Psychology Review, 19, 987–997.

    Article  PubMed  Google Scholar 

  • McIntosh, P. (1988). White privilege and male privilege: A personal account of coming to see correspondences through work in women’s studies. Working paper 189. Wellesley, MA: Wellesley College Centre for Research on Women.

  • Nassar-McMillan, S., & Hakim-Larson, J. (2003). Counseling considerations among Arab Americans. Journal of Counseling and Development, 81, 150–159.

    Article  Google Scholar 

  • Nuttman-Shwartz, O. (2008). Working with others in a context of political conflict: Is it possible to support clients whose views you disagree with. In S. Ramon (Ed.), Social work in the context of political conflict (pp. 48–70). Birmingham: Venture Press.

    Google Scholar 

  • Perez-Foster, R. (1998). The clinician’s cultural counter-transference: The psychodynamics of culturally competent practice. Clinical Social Work Journal, 26, 253–271.

    Article  Google Scholar 

  • Perez-Foster, R. (1999). An intersubjective approach in cross cultural clinical work. Smith College Studies in Social Work, 69, 269–283.

    Article  Google Scholar 

  • Ramon, S. (2004). The impact of the 2nd Intifada on Israeli Arab and Jewish social workers. European Journal of Social Work, 7, 285–303.

    Article  Google Scholar 

  • Ramon, S. (2008). Social work in the context of political conflict. Birmingham: Venture Press.

    Google Scholar 

  • Roysicar, G. (2003). Religious differences: Psychological and sociopolitical aspects of counselling. International Journal for the Advancement of Counseling, 25, 255–267.

    Article  Google Scholar 

  • Rubin, S. S., & Nassar, H. Z. (1993). Psychotherapy and supervision with a bereaved Moslem family: An intervention that almost failed. Psychiatry: Interpersonal and Biological Processes, 56, 338–348.

    Google Scholar 

  • Sayed, M. (2003). Psychotherapy of Arab patients in the West: Uniqueness, empathy, and “otherness”. American Journal of Psychotherapy, 57, 445–459.

    PubMed  Google Scholar 

  • Schachter, J. S., & Butts, H. F. (1968). Transference and countertransference in interracial analysis. Journal of the American Psychoanalytic Association, 16, 792–808.

    Article  PubMed  Google Scholar 

  • Shoshani, M., Shoshani, B., & Shinar, O. (2010). Fear and shame in an Israeli psychoanalyst and his patient: Lessons learned in times of war. Psychoanalytic Dialogues, 20, 285–307.

    Article  Google Scholar 

  • Stewart, T. L., Latu, I. M., & Branscombe, N. R. (2012). White privilege awareness and efficacy to reduce racial inequality improve white Americans’ attitudes toward African Americans. Journal of Social Issues, 68, 11–27.

    Article  Google Scholar 

  • Suchet, M. (2004). A relational encounter with race. Psychoanalytical Dialog, 14, 22–38.

    Google Scholar 

  • Sue, D. W., & Sue, D. (1990). Counseling the culturally different: Theory and practice. New York: Wiley.

    Google Scholar 

  • Thompson, N. (1993). Anti-discriminatory practice. London: Macmillan.

    Book  Google Scholar 

  • Ticho, G. (1971). Cultural aspects of transference and countertransference. Bulletin of the Menninger Clinic, 35, 313–334.

    PubMed  Google Scholar 

  • Volkan, V. D. (1997). Blood lines: From ethnic pride to ethnic terrorism. Boulder, CO: Westview Press.

    Google Scholar 

  • Winnicott, D. W. (1949). Hate in the counter-transference. The International Journal of Psychoanalysis, 30, 69–74.

    Google Scholar 

  • Yovel, Y. (2001). Mindstorm. Keshet (Hebrew): Tel Aviv.

    Google Scholar 

Download references

Conflict of interest

The author declares that he has no conflicts to report.

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The author declares that informed consent was obtained from all patients for being included in the study. And no real identifying information about patients is included in the article.

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Correspondence to Roney Srour.

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Srour, R. Transference and Countertransference Issues During Times of Violent Political Conflict: The Arab Therapist–Jewish Patient Dyad. Clin Soc Work J 43, 407–418 (2015). https://doi.org/10.1007/s10615-015-0525-6

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  • DOI: https://doi.org/10.1007/s10615-015-0525-6

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