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Psychotherapists in Training
A Discussion for Beginning Psychotherapists
and Their Supervisors
J. Timothy Davis, PhD, Boston Psychoanalytic Society and Institute, Boston, Massa-
chusetts, and Judge Baker Children’s Center, Harvard Medical School.
An earlier version of this article was presented at the Winter Meetings of the
American Psychoanalytic Association, New York, December 1996. I wish to acknowl-
edge Jack Foehl, Anton Kris, Sydney Pulver, Dawn Obeidallah Davis, and the review-
ers for their thoughtful comments and helpful suggestions on drafts of this article.
Correspondence concerning this article should be addressed to J. Timothy
Davis, PhD, 15 Story Street, Cambridge, Massachusetts, 02138. E-mail: james_davis@
hms.harvard.edu
435
436 DAVIS
1
I use the terms analyst, psychoanalyst, therapist, and psychotherapist inter-
changeably to refer to a practitioner of psychoanalysis or psychoanalytically informed
psychotherapy.
COUNTERTRANSFERENCE TEMPTATION AND SELF-DISCLOSURE 437
2
Whether or not Freud actually advocated a stance of anonymity is unclear;
however, there is considerable evidence to suggest that he did not practice it (e.g.,
Roazen, 1995).
438 DAVIS
3
Because of the historical relationship of self-disclosure to anonymity, almost
anything that reveals something about the analyst (i.e., that reduces anonymity) has
been considered to be self-disclosure. As a result, many disparate analytic events have
been artificially and unhelpfully grouped together under the heading “self-disclosure.”
The term self-disclosure has been used in the literature to refer to the inadvertent
revelations that result from one’s choice of dress, choice of interpretations, spontane-
ous expressions of emotion, and so on, as well as deliberate disclosures. Even delib-
COUNTERTRANSFERENCE TEMPTATION AND SELF-DISCLOSURE 439
Renik (1995) and Singer (1977) take the critique even further. They
argue that anonymity is not just impossible to achieve, but that it is
harmful to the analytic process for a therapist even to strive for partial
anonymity. One problem with the concept of anonymity is that it promotes
a myth that the analyst can reduce, or even eliminate, his or her impact on
the patient’s associations through silence and nondisclosure. This myth is
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reflected in the old analytic saying that recommends when in doubt “don’t
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gests that the analyst should, as a general rule, “keep his personal affairs
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to himself . . . not out of slavish devotion to secrecy but out of respect for
the patient’s exclusive proprietary rights in the free association method”
(p. 24). For example, in following the fundamental rule, the patient has the
right and responsibility to ask questions of the analyst as they come to
mind without necessarily having the analyst interfere with the free asso-
ciations by answering.4 For Singer (1977), the importance of rejecting the
concept of anonymity is in freeing the analyst to be authentically present
in the analysis and not hidden from the patient. This authentic presence,
however, is not necessarily promoted by self-disclosure. The key issue is
for the analyst to accept, and not shy away from, the inevitable ways that
his or her “self” is profoundly revealed in the course of doing ordinary
analytic things like making interpretations. Greenberg (1995) suggests that
true self-disclosure, like anonymity, is impossible to achieve intentionally;
it is always partial. Self-disclosures inevitably conceal as much about the
analyst as they reveal. The use of self-disclosure, according to Greenberg
(1995), is furthermore often based on the faulty assumption that analysts
are “in a privileged position to know, much less reveal, everything that
[they] think or feel” (p. 197).
In light of these critiques of anonymity, many analysts (e.g., Cooper,
1998a, 1998b; Davies, 1994; Ehrenberg, 1992; Renik, 1995) have replaced
the general rule against self-disclosure with a discussion of what kinds of
information it is useful to disclose to what kinds of patients under what
circumstances. Cooper (1998a, 1998b) has argued that it can be helpful for
the psychoanalyst to disclose his or her experience of the session, espe-
cially when it is discrepant from the patient’s experience. He suggests
replacing the term self-disclosure with “analyst disclosure” to emphasize
that what is disclosed is most accurately described as the analyst’s expe-
rience of self in the role of analyst and not the individual analyst’s self
more broadly. Renik (1995, 1999) believes that an analyst should consis-
4
Kris (1982) argues that the procedures for how questions of the analyst are to
be handled (i.e., whether the question will be answered or not and how this decision
will be made in each instance) need to be worked out in each analytic pair.
COUNTERTRANSFERENCE TEMPTATION AND SELF-DISCLOSURE 441
tently disclose to the patient “a clear and explicit picture of the analyst’s
conscious view of his or her purposes and methods” (Renik, 1995, p. 482).
Davies (1994, 1998) and Ehrenberg (1992, 1995) discuss the use-
fulness of disclosing aspects of the analyst’s countertransference reactions
to the patient. In Ehrenberg’s (1992, 1995) view, countertransference dis-
closure covers a wide array of disclosures ranging from the analyst re-
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ing to have a patient put his or her life in the therapist’s hands.
Given the immense complexity of learning to practice psychoana-
lytic psychotherapy, previous generations of analytic therapists in training
were relieved to have straightforward rules, like “don’t self-disclose,” to
provide the comforting air of certainty. It is much easier to follow such a
rule than it is Aron’s (1991) open-ended statement that “the question of the
degree and nature of the analyst’s deliberate self-revelation is left open to
be resolved within the context of each unique psychoanalytic situation”
(p. 43). Some supervisors are even themselves tempted to treat self-disclosure
as an advanced issue. They encourage beginning therapists—often out of
a motivation to protect the student and the student’s patients—to keep
things simple by not using self-disclosure (Cooper, 1998c). However, to
recommend that the beginning therapist try to be anonymous threatens to
perpetuate the myth of the therapist’s nonparticipation during moments of
silence or nondisclosure and risks constraining the young and eager thera-
pist’s spontaneous and authentic involvement in the analytic enterprise.
It is unavoidable for psychotherapists in training and their supervi-
sors to grapple with “the question of the degree and nature” of the use of
self-disclosure by the beginning therapist with respect to each patient. Of
particular importance is providing assistance to the beginning therapist in
reflecting on and managing the countertransference temptations that often
influence decisions to self-disclose, as well as decisions to withhold self-
disclosures. Because of their limited experience with transference and
countertransference, and the limits of their grasp of technical options,
beginning therapists are particularly susceptible to the temptation to use
self-disclosure to impose “reality” onto the psychotherapy so as to deflect
or discourage a patient’s developing transference. Similarly, young and
eager therapists are tempted by countertransference reactions not to make
a self-disclosure so as to hide from the intensity of the relationship with
the patient behind the cover of anonymity. In either case, the temptation is
to use self-disclosure and nondisclosure, each in different circumstances,
to “minimize the rawness but also the excitement that a full encounter will
bring” (Singer, 1977, p. 188).
444 DAVIS
In the two cases that I will present, I have tried to highlight the
temptation of the psychotherapist in training to use both self-disclosure
and non-self-disclosure each in an attempt to avoid, rather than analyze,
intense transference–countertransference feelings. As I mentioned earlier,
I have selected two cases from the beginning stages of my career. The first
case, Mr. A, was one of the first patients that I saw during graduate school.
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fellow. I have not selected these cases as examples of when or how to use
self-disclosure. Instead, I chose them to illustrate the role of countertrans-
ference temptation in the decision to make or withhold a self-disclosure,
especially as it bears on a psychotherapist in training.
Mr. A, an African American man, was in his early 20s when I began
seeing him in weekly psychotherapy. Although it was his dream, he had
not gone to college and he had been unemployed for the past 2 years. Mr.
A grew up, and still lived, in a poor and crime-ridden neighborhood near
the university where I was attending graduate school. When he was 11
years old, his father had a schizophrenic break that, within a year, led to
the father permanently leaving the family. Tragedy struck his life again a
few years later, during his junior year of high school. At that time Mr. A,
who had been doing well in school, began having symptoms that eventu-
ally led to neurosurgery to treat a brain cyst.
At the beginning of my work with Mr. A, I had found it very difficult
to understand what he was saying to me. My supervisor thought that Mr.
A’s rambling and occasionally incoherent narrative indicated that he had
a schizophrenic spectrum disorder like his father. Undaunted, I taped
every session with Mr. A and would pore over my transcribed notes for
clues about what he was trying to tell me. This is an advantage of having
a young and eager therapist. Beginning therapists can be full of energy and
idealistic about the healing power of psychotherapy. About 3 months into
the treatment, Mr. A began speaking about his life in a much more con-
sistently comprehensible way. When I asked him about the change he told
me that he had been checking me out to make sure that I was really
interested in helping him.
The incident that I will focus on occurred 10 months into my work
with Mr. A. He had achieved his goal of beginning college and had
successfully completed his first term. The one setback in this remarkable
COUNTERTRANSFERENCE TEMPTATION AND SELF-DISCLOSURE 445
semester was that Mr. A had dropped an algebra course midterm because
he was receiving a failing grade. He re-enrolled in the course in the
following semester and began a session by telling me that he had been
suffering from tension headaches and insomnia related to his fears about
the algebra course he had just started. Before returning to focus on his
worry about the course, Mr. A told me that he had received his report card
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from last semester and had earned a 4.0 grade point average. I congratu-
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lated him and he went on to tell me about his feeling that he had to do well
in his math course in order to feel competent. He talked about experiences
in high school with teachers and tutors who tried to teach him algebra, but
“it just didn’t sink in.” Mr. A described his dilemma this way: “I know that
I’m not stupid, but in a round about way they’re saying if you can’t do this
you are stupid.” I suggested to Mr. A that his fear about having a defective
brain—related to his brain surgery and his father’s schizophrenia—
seemed to be overlaid onto the math course. As a result he was not just
worrying about passing the class, but he was also feeling that he had to
prove that his brain was okay. Mr. A went on to talk more about how the
pressure of having to prove himself in the math class had consumed his
thoughts, was giving him headaches, and was preventing him from being
able to sleep at night.
Mr. A was clearly in a lot of distress and I felt very worried about
him. I had the fantasy of asking Mr. A to bring his math books to the
session so that I could tutor him myself. We had the following exchange
near the end of the hour. He said, “I am considering being tested for
dyslexia, but it’s a cop out. I’m working as hard as I possibly can, but I’ll
just have to work harder.” I replied, “you’re struggling hard to do some-
thing that is very difficult for you, but there’s so much added pressure
because you worry that not doing well in math means that you are stupid
or don’t think right.” He agreed with me and said, “it’s more symbolic
than it should be.” At this moment in the hour I made my self-disclosure.
I said to him, “right, there’s a distinction. Not being good at something
doesn’t mean that there’s something wrong with you. I once tried to learn
to play the guitar, but I had to accept that I just wasn’t very good and I
dropped it.” Fortunately, my relationship with Mr. A was strong and he
was able to let me know how misattuned this disclosure had been. He said,
but you got by algebra. Playing guitar is not part of your livelihood. My major
is education so I need to know it to teach it. I don’t know if guitar was as
important to you as algebra is to me. It gnaws at me that it beats me and I don’t
like to think of myself as giving up on things especially things that require
thought.
446 DAVIS
could not, or would not, help him. Looking back on this hour, it might also
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have been useful to try and examine with Mr. A how my self-disclosure
was related to what was going on in our relationship. Perhaps, at some
level, it reflected both of our fears about how much he was depending on
me and about how disappointed he would feel if I let him down.
With Mr. A, I used self-disclosure to shy away from him and his powerful
transference feelings. In the case of Mr. B I will present an instance of the
countertransference temptation to withhold a self-disclosure for similar
reasons. Mr. B was a White law student in his mid-20s when he presented
for psychotherapy because of feeling intermittently depressed over the
past year. About 6 months prior to his initial visit with me, he had made
an attempt to start psychotherapy. He left this treatment, however, after
only a few weeks of meeting because he felt that the sessions had been too
“unfocused.”
Particularly of note in Mr. B’s history was his parents’ divorce when
he was 8 years old. After a “nasty custody battle,” he went to live with his
mother while his older brother stayed with the father. Mr. B was not close
to his father or his brother after the divorce. Looking back, he felt that his
mother had “poisoned” his opinion of them both. Mr. B’s mother was very
critical of the father for being a poor provider, and she did not get along
well with her eldest son who she felt was “too willful.” His father died in
an automobile accident when Mr. B was in high school. He felt very guilty
that he had not spent more time with his father in the years after the
divorce.
In our initial session, I found Mr. B’s affect difficult to follow. He
was disconnected and unfocused in a way that resembled his description
of his first treatment, and I was concerned that my work with him might
end with the same fate as this previous psychotherapy. Mr. B began our
second session by saying he had not felt like coming in because he had
been feeling “blah.” I asked him if he thought that the blah feeling might
448 DAVIS
have been related to our first session. He replied that he had experienced
me as too “still” during our initial meeting. Mr. B’s mood lifted percep-
tibly in response to my interest in his feelings of discomfort with my
“stillness” and at my desire to help him feel more comfortable with me.
The first few weeks of my work with Mr. B continued to be char-
acterized by a difficulty connecting with him affectively. At about that
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time, Mr. B began talking in an hour about how painful a transition it had
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been for him when he started going to private school. He had been a top
student in public school, but when he transferred to private school he did
not do as well because of the greater demands and competition. We
discussed how he had lied, at his mother’s insistence, on his financial aid
application for private school. Mr. B said, “I had to pretend that my father
[who was still alive at that time] didn’t exist.” He then started talking
about how terrible it felt to be the “scholarship kid” going to a wealthy
private school. He stopped at this point and asked me excitedly if I had
gone to private school. I hesitated and, before I could reply, he said
somewhat dejectedly, “I guess you just want to hear my opinion of it.”
Looking back on this clinical moment, I see that my hesitation was
an important communication to my patient. It was an inadvertent “self-
disclosure” of the kind that Hoffman (1983) refers to. Partially I was
constrained by the belief I held at that time that self-disclosure represented
“bad” technique. Additionally, in my not responding to his excitement, I
unintentionally conveyed to Mr. B that I had some hesitance about being
the recipient of his intense longing for connection.
Initially, I withheld my answer, preferring instead “to explore” the
meaning of his question. I asked Mr. B if he knew why it had come up just
then. He said he asked me the question because he wanted to know
whether I could relate to his experience. Seeing that I was not going to
answer him right away, Mr. B associated to the shame he felt at wearing
secondhand clothes to school when his classmates dressed in clothes from
Brooks Brothers. Although I believed, at that time, I was employing the
“correct” (and most helpful) analytic technique, Mr. B’s association to the
shame of not fitting in at private school suggested that he experienced my
not answering his question primarily as a rejection.
I asked Mr. B how it would feel for me not to answer his question.
He responded by talking about how it was hard to feel entirely comfortable
because I was so completely unknown to him. He said that it was as if
there was a “Lucite barrier between us.” Mr. B said that his best friend at
law school was also a poor kid at private school and that the two of them
“bonded” around this shared experience.
COUNTERTRANSFERENCE TEMPTATION AND SELF-DISCLOSURE 449
present with him and his description of me as being behind “Lucite” was
a powerful statement of my current inaccessibility to him. I told Mr. B that
I had gone to private school in junior high and high school, and that my
family was at the lower end of things at the school economically. Mr. B
said excitedly that it helped for him to know that. He said he realized now
that I could relate to what he had been through. He also said that it made
me seem more like a real person to him.5
As with the case of Mr. A, I do not present the case of Mr. B as an
example of the exemplary use of self-disclosure. Instead, I use this case as
a second illustration of the difficult dilemma faced by therapists in training
regarding the decision of whether or not to make a self-disclosure. Mr. B
was trying to establish a “bond” with me, but instead he found me “still,”
“unknown,” and “behind Lucite.” Summoning his courage, he reached out
to me and asked a question. I hesitated and then further delayed my
response behind “exploration.” My initial delay in answering his question
was, in part, related to my belief, at the time, in the ideal of the anonymous
therapeutic stance. However, because I did not have an interpretation to
make in response to Mr. B’s question, nonresponding necessarily took the
form of vague exploration which he understandably experienced as eva-
sive and rejecting. Also of importance was my countertransference reac-
tion. Mr. B’s “father hunger” was very intense—he had lost his own father
essentially at age 8. To complicate Mr. B’s predicament further, there was
his mother who was critical of masculine “willfulness” and who insisted
that he deny that his father (and presumably his desire for a father) existed.
He felt guilty and conflicted about desiring a connection with a father.
Although the intensity of his longing for connection was affectively pal-
5
Although a fuller account is beyond the scope of the present discussion, it is
important to point out that the content of my “honest” answer to Mr. B’s question was
a highly relevant factor in influencing the “temptations” surrounding my decision to
make a disclosure as well as his reaction to the disclosure. For example, if my “honest”
answer had been that I had been one of the rich kids at private school who had made
fun of “scholarship” kids like him, the impact of such a disclosure on this hour’s
process would obviously have been quite different.
450 DAVIS
pable, Mr. B’s criticism of this longing, as well as his guilt that he was
burdening me with it, left him feeling lost, confused, and especially vul-
nerable to feeling rejected.
In this vignette I am illustrating how my countertransference temp-
tation to deflect Mr. B’s longing caused me to collude with his conflicts
about his longings and initially avoid his question. I am again suggesting
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that this temptation was especially strong for me as a young and eager
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therapist. At some level I felt, in response to Mr. B’s yearning, “how can
I be the transferential father? I also can feel, at times, like a boy longing
for fathering.” As with Mr. A, it would have been preferable for me to
reflect on my countertransference impulse—in this case an impulse not to
make a self-disclosure in response to his direct question. If I had examined
why I was not answering his question, I might have noticed my counter-
transference discomfort with the intensity of his desire to connect with me.
At the very least I believe I would have noticed, from this reflection, that
I was keeping my distance from a patient who had already made it clear
that the central focus of the beginning of his treatment was his difficulty
connecting. If I had done this reflecting, perhaps I would have decided to
answer his question immediately, before further delay led him to feel more
rejected and ashamed. Or, I might even have been able to use my reflec-
tion to reorient myself to Mr. B and to my responsibility to analyze what
was transpiring between us. The question in the transference–
countertransference in this hour (as expressed in his association to the
transition to private school) seemed to be: How much of himself and his
feelings did he need to deny in order to make the transition into psycho-
therapy? And, how much shame would he have to endure in the process?
When I was able to move past my initial resistance and answer Mr. B’s
question, his brightened affect and his increased associations about the
problems of connection indicated that the self-disclosure had been a help-
ful response.
Discussion
That the psychoanalyst should remain anonymous to his or her patient was
once a given of psychoanalytic theory and technique. Contemporary ana-
lytic authors (e.g., Greenberg, 1995)—writing from within a two-person
model of psychoanalytic process—have compellingly argued that it is
impossible for any analyst to be anonymous. Renik (1995) and Singer
(1977) take this line of argument further and suggest that even trying to be
COUNTERTRANSFERENCE TEMPTATION AND SELF-DISCLOSURE 451
information about the patient and about what is occurring in the therapeu-
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References
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Aron, L. (1991). The patient’s experience of the analyst’s subjectivity. Psychoanalytic
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Atwood, G., & Stolorow, R. (1984). Structures of subjectivity. Hillsdale, NJ: Analytic
Press.
Cooper, S. H. (1998a). Analyst-subjectivity, analyst-disclosure, and the aims of psy-
This article is intended solely for the personal use of the individual user and is not to be disseminated broadly.
Jason Aronson.
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