ABSTRACT

Winnicott here discusses the work we as therapists do with the full range of patients, including psychotic and antisocial patients, but also personality-disordered patients or patients with psychotic anxieties. According to Winnicott, therapists must be able to recognize, own, and study the range of their emotional and countertransferential reactions to their patients. He simply adds: “These will include hate.” He discusses the source and significance of hateful feelings in therapy. In addition, and quite significantly, he places the range of reactions a therapist has to a patient at the center of what might be important to understand in the therapy. He says that these countertransferential reactions “will at times be the most important things in the analysis.”