Explore transference, countertransference & energy hygiene rooted in mutual respect, truth-telling & care. Learn to transform these energies into wisdom and right action for yourself and your clients ...

Stepping Up, Coming Back November 06, 2026 12:00 PM - 1:15 PM (Pacific), $25.00 Explore transference, countertransference & energy hygiene r

Explore transference, countertransference & energy hygiene rooted in mutual respect, truth-telling & care. Learn to transform these energies into wisdom and right action for yourself and your clients ...

In broad terms, countertransference describes the emotional, cognitive and behavioural responses a therapist has when working with a client.

Explore transference, countertransference & energy hygiene rooted in mutual respect, truth telling & care. Learn to transform these energies into wisdom and right action for yourself and your clients ...

In this episode of the podcast, Dr. David Puder sits down with Dr. Karen Maroda, a renowned psychoanalyst, assistant professor of psychiatry at the Medical College of Wisconsin, and author of influential books including The Power of Countertransference and The Analyst’s Vulnerability. Together they explore a powerful clinical insight: disengagement precedes enactment. Learn how therapists’ unprocessed countertransference (irritation, boredom, guilt, anger, or helplessness) often leads to emotional withdrawal before erupting into destructive enactments that can rupture the therapeutic relationship. Dr. Maroda shares candid examples from her own practice, including a personal enactment she later processed with her patient, and demonstrates practical strategies for catching disengagement early, using constructive self-disclosure, and maintaining emotional presence. The conversation features a live role-play, deep discussion of parentification in therapists’ histories, setting healthy boundaries, managing guilt and shame, and turning potential pitfalls into opportunities for deeper connection. Link to Blog: https://www.psychiatrypodcast.com/psychiatry-psychotherapy-podcast/episode-270-disengagement-precedes-enactment-mastering-countertransference-with-dr-karen-maroda By listening to this episode, you can earn 1.25 Psychiatry CME Credits: https://www.psychiatrypodcast.com/cme-program

00:00 Introduction 01:42 Working with Shame 12:02 Negative Transference, Fragility, and Therapist Countertransference 19:13 Therapist Personality Styles: Strengths, Vulnerabilities, and Countertransference 33:15 Working with Dissociation and Dissociative Patients 38:04 Intense Projective Identification and Countertransference Experiences 46:35 Love, Trust, and the Therapeutic Relationship 53:02 Protecting the Therapeutic Frame: Boundaries, Stalking, and Self-Protection 59:24 Personality Combinations, Autism vs. Schizoid, and Interactive Dynamics 01:09:00 Authenticity, Self-Disclosure, and Becoming a Better Therapist 01:22:28 Gender Care 01:31:54 Frequency of Sessions 01:37:47 Working with Children/Adolescents In this in-depth interview, Dr. David Puder welcomes renowned psychoanalyst and author Dr. Nancy McWilliams to discuss essential clinical topics from her seminal books Psychoanalytic Diagnosis and Psychoanalytic Psychotherapy. Dr. McWilliams shares practical wisdom on working with shame in therapy by emphasizing self-acceptance over mere self-knowledge, along with powerful insights into transference, countertransference, and projective identification. The conversation explores how different therapist personality styles influence clinical work, strengths, and vulnerabilities. Additional highlights include building love and trust in the therapeutic relationship, protecting the therapeutic frame, setting early boundaries, and real-world guidance on handling stalking and boundary violations.  Link to Blog: https://www.psychiatrypodcast.com/psychiatry-psychotherapy-podcast/episode-273-nancy-mcwilliams-on-shame-transference-personality-disorders-amp-becoming-a-better-therapist By listening to this episode, you can earn 1.5 Psychiatry CME Credits: https://www.psychiatrypodcast.com/cme-program

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