Countertransference manifestations to chronically vs. acutely ill patients: the effects of therapists’ death anxiety and health behaviors

Süsen, Yankı
The aim of the present dissertation is to determine the effects of both patients’ medical conditions and therapists’ death anxiety and health behaviors on affective, cognitive, and behavioral countertransference manifestations. A total of 100 par-ticipants having previously offered psychotherapy service and having conducted at least 10 therapy sessions up till the present study were included. After death anxiety and health behaviors levels of the participants were assessed via an online questionnaire set, participants watched and responded to three types of miniature videos displaying a warm-up patient, a patient with an acute illness, and a patient with a chronic illness. In this way, the affective arousal, cognitive distortion, and behavioral avoidance of the therapists as countertransference reactions to the pa-tients in miniature videos were assessed. A 2(death anxiety) x 2(health behaviors) x 2(medical condition of the videotaped patients) mixed factorial analysis of vari-ance (ANOVA) was used to examine the effects of death anxiety (high vs. low), health behaviors (high vs. low), and the medical conditions of the videotaped pa-tients (chronic vs. acute illness conditions) on each dependent variable (i.e., affec-tive arousal, cognitive distortion, and behavioral avoidance dimensions of counter-transference). Findings suggested that the main effects of both patients’ medical conditions and therapists’ death anxiety and health behaviors on countertransference manifesta-tions were not significant. As expected, the interaction effect of therapists’ death anxiety and patients’ medical condition on affective arousal was significant. More specifically, therapists with high death anxiety reported greater affective arousal at chronic illness video condition as compared to therapists with low death anxiety. Except this finding, other interaction terms (i.e., patients’ medical condition and therapists’ death anxiety; patients’ medical condition and therapists’ health behav-iors; patients’ medical conditions, therapists’ death anxiety and health behaviors) were not significant in predicting the dependent variables. The importance, contri-butions, and limitations of the present study, as well as recommendations for fu-ture research were discussed.


A comprehensive model for obsessive-compulsive disorder symptoms: a cross-cultural investigation of cognitive and other vulnerability factors
Yorulmaz, Orçun; Gençöz, Tülin; Department of Psychology (2007)
The current coginitive models of the Obsessive-Compulsive Disorder (OCD) symptoms focuses on the different cognitive factors. Like other nonspecific and noncognitive variables, these factors may also function as vulnerability factors. However, they have been mostly studied separately and majority of the findings in the literature come from the Western samples. Accordingly, the studies examining these factors together and the impact of the culture in these studies are sparse in number. The present study sugg...
Roles of perceived control and coping strategies on depressive and anxiety symptoms of Turkish adolescents
Ogul, M; Gençöz, Tülin (SAGE Publications, 2003-12-01)
This study aimed to test the importance of the match between control appraisals and coping responses as relating to the psychological symptoms of anxiety and depression in adolescents. Besides this match, by means of a survey study the main effects of control appraisals and coping strategies were tested via hierarchical regression analyses, which were run for anxiety and depression symptoms separately. Participants were 396 students (204 girls, 192 boys) whose ages were 11 to 18 years. After controlling for...
The effects of brief psychoeducation program on the perceived expressed emotion levels of the outpatient schizophrenic patients and expressed emotion levels and burn out levels of their key relatives
Yüksel, Muazzez Merve; Karancı, Ayşe Nuray; Department of Psychology (2008)
The main aim of this study is to investigate the effects of a brief psycho-educational intervention for the key relatives of schizophrenic patients, on perceived expressed emotion of patients, and the expressed emotion and burn out of their key relatives. Seventy five schizophrenic patients and their key relatives were included in the study. They were assigned into three groups randomly. The key relatives in the first experimental group were given a one-day psychoeducational workshop and written material pa...
Effects of Illness Representation, Perceived Quality of Information Provided by the Health-Care Professional, and Perceived Social Support on Depressive Symptoms of the Caregivers of Children with Leukemia
Bozo Özen, Özlem; Ates, Gizem; Etel, Evren (Springer Science and Business Media LLC, 2010-03-01)
The present study examined the effects of illness representation, perceived quality of information provided by the health-care professional, and perceived social support on the depressive symptoms of the caregivers of children with leukemia. The sample was composed of 71 caregivers of children with leukemia living in Turkey. The obtained data were analyzed by path analysis. The results show that caregivers of children with leukemia experience higher levels of depressive symptoms when they have negative illn...
The mediating role of metacognition on the relationship among depression/anxiety/negative impact of life experiences and smoking dependence
Yarış, Seval; Bozo Özen, Özlem; Department of Psychology (2010)
The aim of the present study was to investigate the role of metacognition as a mediator of the relationship between smoking dependence and depression/anxiety/ negative impact of life experiences. A sample of 202 adult smokers completed the following questionnaires: Beck Depression Inventory (BDI), Beck Anxiety Inventory (BAI), Life Experiences Survey (LES), Meta-Cognitions Questionnaire-30 (MCQ-30), and Fagerström Test of Nicotine Dependence (FTND). The path analyses were used to test a mediation model in w...
Citation Formats
Y. Süsen, “Countertransference manifestations to chronically vs. acutely ill patients: the effects of therapists’ death anxiety and health behaviors,” Ph.D. - Doctoral Program, Middle East Technical University, 2017.