Uncensored Therapy

Transference is just attraction we legalized

Duration: ~15 min

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I find the standard lectures on transference to be some of the most dishonest parts of our professional training. I sat through four years of graduate school listening to professors talk about the clinical frame as if it were a sterile laboratory environment. They taught me that transference is a displacement of feelings from a primary caregiver onto the therapist. They described it as a repetition compulsion. They used these Greek and Latin roots to make the experience sound like a pathology or a mechanical error in human perception. I spent my early years in practice trying to see it that way. I tried to look at the clients who looked at me with adoration or fury and see only the ghosts of their parents. I told myself that the heat in the room was a projection. I believed that my job was to remain a blank screen. I thought that if I could just stay neutral enough, the client would eventually see that their feelings had nothing to do with me.

I realize now that this perspective is a useful lie. I call it a lie because it ignores the obvious reality of two people sitting in a room in close, repeated contact. I call it useful because it is the only thing that allows us to do this work without losing our minds or our licenses. I have been in practice for fifteen years. I have supervised dozens of younger therapists. I see the same pattern every time. A therapist comes into my office and tells me about a client who is making them uncomfortable. The therapist uses words like boundary testing or erotized transference. I listen to them use the clinical jargon to distance themselves from the fact that they are experiencing a human connection. I know that the therapist is often attracted to the client. I know that the client is often attracted to the therapist. I also know that we are the only profession that has developed a massive theoretical infrastructure to explain why that attraction is actually something else.

I believe that transference is just attraction that we have legalized through theory. I use the word legalized because the theory gives us a permit to experience the intensity without the consequences. I look at the history of our field and I see a long line of practitioners who were terrified by the intimacy of the consulting room. I think they realized very early that if you sit with a person and listen to their darkest secrets, you will fall for them. You will feel a pull that is stronger than the pull of a casual friendship or a romantic encounter. You will feel a level of seen and heard that is rare in the world. The founders of our field had to find a way to contain that energy. They had to find a way to name it so it would not destroy the professional structure. They invented the concept of transference to act as a container. I view the theory as a piece of technology. I use it to manage the voltage of the relationship.

I remember a client I worked with for ten months. I will call her a high level executive because she was. I will say she was sharp and perceptive. I found her company delightful. I looked forward to our Tuesday sessions. I noticed that I would dress a little more carefully on Tuesdays. I noticed that I would check the clock to see how much time we had left because I did not want the session to end. I felt a distinct physical response when she walked into the office. I could have told my supervisor that I was experiencing countertransference. I could have said that she reminded me of a woman from my past. I could have used the clinical language to turn my attraction into a diagnostic data point. I chose to acknowledge to myself that I simply liked her. I found her attractive. I enjoyed her intellect. I also knew that if I acted on that attraction, I would be a predator and she would be a victim of a professional betrayal.

I used the concept of transference to save myself from that outcome. I told myself that her attraction to me was a result of the safety I provided. I told myself that she loved the role I played in her life. I used the theory to deconstruct the chemistry. I took the raw material of our connection and I put it through the clinical filter. I turned the heat into light. I used the intensity of our bond to help her understand why she sought out unavailable men. I used the fact that she wanted my approval to help her understand her relationship with her father. I did all the things a good strategic therapist does. I used the relationship as use for change. I did not pretend the attraction was not there. I just gave it a different name so I could use it.

I see many therapists who use the theory as a way of not examining the experience. I talk to colleagues who seem to believe that their clients are not actually seeing them. They believe that the client is only seeing a projection. I think that is a form of narcissism. I think it is an insult to the intelligence of the client. I know that my clients see me. They see my flaws. They see my strengths. They see the way I lean forward when I am interested and the way I look at my notepad when I am bored. I believe that the attraction they feel is often a response to the person I am. I believe the attraction I feel is a response to the person they are. If I hide behind the theory and tell myself that it is all just transference, I miss the most important part of the work. I miss the genuine human encounter.

I find that the clinical scaffolding is necessary precisely because the experience is so intense. I do not think we could do this work without it. I view the professional code of ethics as a set of guardrails on a very dangerous mountain road. I need the guardrails because the view is distracting. I need the theory of transference to act as an insurance policy for my ego. I use it to tell myself that I am not that special. I use it to remind myself that the client would likely feel this way about any competent therapist who listened to them with the same level of focus. I use the theory to humble myself. I also use it to maintain the power dynamic. I know that by labeling the client’s feelings as transference, I am maintaining a position of authority. I am saying that I understand their feelings better than they do. I am saying that their desire is a symptom while my clinical detachment is a fact.

I believe a therapist who understands both functions of the theory is better equipped than one who just follows the manual. I want to know that I am using a tool. I do not want to be a tool of the theory. I think about the continuing education units I have taken over the years. I think about the books on my shelf. I see a lot of writing about the therapeutic alliance. I see a lot of talk about holding space. I do not see much talk about the fact that this job is an intimate exchange of energy between two bodies in a room. I think we are afraid to talk about the bodies. I think we are afraid to talk about the fact that the office is a place where people fall in love and fall in hate every hour. I call it transference because that is the name that lets me keep the lights on.

I have supervised therapists who are terrified of the attraction. They feel it and they panic. They think they have done something wrong. They think the client is broken. I tell them that the attraction is the engine. I tell them that if there is no attraction, there is no work. I do not mean sexual attraction, though it can be that. I mean the draw of one person to another. I mean the magnetism of a shared secret. I tell my supervisees that they should be worried when they don’t feel anything. I tell them that if the room is cold, they are just two people talking about the weather. I want them to feel the heat. I also want them to have the clinical language to describe that heat without being consumed by it.

I look at the way we talk about cognitive behavioral therapy or dialectical behavior therapy. I see an attempt to turn the human relationship into a series of protocols and worksheets. I think this is a reaction to the fear of the intensity. I think it is an attempt to remove the person from the process. I find that when I use those models, I am often trying to protect myself from the messy reality of the connection. I am trying to turn the client into a set of symptoms to be managed. I am trying to turn myself into a technician. I find that the work is less effective when I do that. I find that the change happens in the moments when the theory fails and the human relationship takes over.

I use the concept of transference as a strategic tool. I do not think of it as a truth. I think of it as a way of managing the narrative. I know that if I can help a client see their attraction to me as a piece of their history, I can help them gain mastery over that history. I am providing them with a framework for understanding their own desires. I am giving them a way to feel things without being destroyed by those feelings. I am also protecting myself. I am making sure that I do not mistake the client’s need for me as a reflection of my own greatness. I am using the legalization of attraction to keep the work focused on the client’s life instead of my own ego.

I find that the most honest moments in my practice are the ones where I admit to myself that the theory is a mask. I look at the person across from me and I acknowledge the reality of what is happening. I feel the weight of their gaze. I feel the pull of their story. I recognize the attraction. I name it as transference in my head so I can stay in my chair. I do not act on it. I do not let it cloud my judgment. I use the mask to do the work. I think that is the definition of a senior therapist. I do not need the theory to be true. I just need it to be useful. I am not looking for a script. I am looking for a way to stay in the room without catching fire. I use the language of transference to build a fireplace. I want the fire. I need the heat. I just want to make sure it stays where I put it.