Mary, a patient in the psychiatric unit, had a very rejecting and abusive father and a difficult childhood, but from age 10 on was raised by a very warm and supportive grandmother who recently passed away. Mary frequently comments on how hard her nurse, Jane, works and on how other staff do not seem to care as much about their patients as Jane does. Jane finds herself agreeing with Mary and appreciating her insightfulness, recalling to herself that except for her former head nurse, other staff do not seem to appreciate how hard she works and seem to take her for granted. Jane enjoys the time she spends with Mary and seeks out opportunities to interact with her. What phenomenon is occurring here, and which response by Jane would most benefit her and the patient?
1. Mary is experiencing transference; Jane should help Mary to understand that she is
emphasizing in Jane those qualities which were missing in her father.
2. Jane is idealizing Mary, seeing in her strengths and abilities which Mary does not really
possess; Jane should temporarily distance herself somewhat from Mary.
3. Mary is overidentifying with Jane, seeing similarities that do not in reality exist; Jane
should label and explore this phenomenon in her interactions with Mary.
4. Jane is experiencing countertransference in response to Mary's meeting Jane's needs for
greater appreciation; Jane should seek clinical supervision to explore these dynamics.
Answer: 4. Jane is experiencing countertransference in response to Mary's meeting Jane's needs for greater appreciation; Jane should seek clinical supervision to explore these dynamics.
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