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"I made him HIT me!" Strategies for Battered Women
Battered Women continuing education counselor CEUs

Section 24
Countertransference: The Therapist's Struggle

CEU Question 24 | CEU Answer Booklet | Table of Contents | Domestic Violence
Social Worker CEUs, Counselor CEUs, Psychologist CEs, MFT CEUs

Battered women are slow to take action, and most never leave their potentially murderous mates. It is easy for workers to feel frustrated with the grim realities they must face when treating these women. When working with the batterer, workers form relationships with and must develop positive feelings about people who are violent. When working with the couple, workers are directly confronted with a violent family system where someone is aggressed upon and someone is the aggressor. In short, the worker faces a woman who has been injured physically and psychologically, and a man who has brutalized her.

Upon contact, the therapist is immediately assaulted by the horror of this reality. Barbara Mathias comments, “Therapists struggle with both their revulsion and their denial, a feeling that this just couldn’t be real.” But it is all too real, and the therapist treating battering cases needs to cope with and be effective in the work. Countertransference responses do not get enough attention. Unless therapists are acutely aware of the feelings evoked as a result of working with battering, these feelings left unattended can result in mistakes in treatment that can seriously hamper the work.

Countertransference “is the totality of the therapist’s experience in relation to a particular client, conscious and unconscious, feelings and associations, thoughts and fantasies; it includes the therapist’s feelings about the client as well as the therapist’s feelings about him or herself.” Any aspect of the therapeutic relationship can and inevitably does evoke countertransferential feelings, but the treatment of battering is particularly fertile ground for the growth of countertransference. It is easy for the therapist to develop feelings about the abused partner and the batterer even before treatment begins; indeed, the terms themselves—battering, batterer, abuse, beaten, victim—can elicit a cadre of feelings. Some of the feelings these words conjure up are: abhorrence, avoidance, anger, fear, sympathy, empathy, the desire to rescue, and control.

Of the choices available—the abused woman, the batterer, the couple—practitioners may be more comfortable working with the battered woman individually. She appears helpless and dependent, and they are the victim. Working with the batterer, with or without his partner, is less popular. They are the violent partners, and they have committed a crime.

Although countertransference must always be wrestled with in this work, it feels potent and overwhelming with battering cases. This problem has been noted: “Working with family violence puts the therapist under special pressures. . . Those who work with violent families have to find some way to avoid being overwhelmed.” Battered women tug at our feelings of the need to rescue.

Jody entered my office looking like a scared doe. She was petite and thin, with enormous frightened dark brown eyes. Although she hung her head down so that her curly brown hair hid most of her face, I could still see the bandage above her eyebrow and the purplish bruises around her eye.

Practitioner Response
This description can evoke many responses in practitioners. They may identify with helplessness and powerlessness, which every human being has experienced. They may feel anger at her assailant or at her for being abused. They can feel empathy, which can foster dependency and perhaps revulsion. The batterer can evoke fear and intimidation of his aggressive tendencies, anger and hatred for his bullying and unfair display of physical force, or a secret admiration for his ability to control. What is triggered in each practitioner is totally individual, but the feelings inevitably arise.

One way of coping with uncomfortable feelings is to distance from them. When the feelings aroused by clients are discordant with therapists’ professional self-image, avoidance is a reasonable outcome. In teaching a course on the treatment of battering, I asked the class to tell me what feelings were aroused by some case examples. The students resisted, responding intellectually, giving me interpretations, developing treatment plans, and so forth. When I insisted on an expression of their feelings, they conveyed anger at the batterer but noted they are not supposed to feel that way as professionals.

The feelings engendered by battering cases can result in a therapist’s avoidance of feelings and lack of involvement, which can be manifested by not offering services to these clients and a lack of exploration of the presence of violence because they do not want to know. I believe what they do not want to know is what the feelings are that may get conjured up, some of which are possibly alien. Moreover, working with couples compounds countertransferential feelings.
- Breaking Destructive Patterns. Geller, Janet A. The Free Press: New York. 1992.
The article above contains foundational information. Articles below contain optional updates.

Personal Reflection Exercise #10
The preceding section was about countertransference and the therapist’s needs and struggles when working with abusive situations. Write three case study examples regarding how you might use the content of this section in your practice.

Online Continuing Education QUESTION 24
Battered women may create stress for the therapist because of the therapist’s need to do what? Record the letter of the correct answer the CEU Answer Booklet.

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CEU Answer Booklet for this course | Domestic Violence
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Table of Contents

The article above contains foundational information. Articles below contain optional updates.
New Law Makes It Easier To Seek Murder Charges For Domestic Violence - July 11, 2017
A domestic violence bill named for a woman who was shot and killed by her boyfriend is now law. Gov. Roy Cooper signed the measure known as Britny's Law on Tuesday.
Bill Would Make It Easier To Seek First-Degree Murder Charges For Domestic Violence - April 11, 2017
A bill in the State Senate rules committee would help families of domestic violence homicide victims seek first degree murder charges.
Human Trafficking In North Carolina - August 11, 2016
North Carolina is among the top 10 states with the highest number of reported human trafficking cases , according to the National Human Trafficking Resource Center . Experts say the number of major interstates that cross through the state, the large agricultural population, and the state’s strategic location along the East Coast contribute to the issue. Host Frank Stasio talks with legal experts, victim services advocates, and a law enforcement officer about human trafficking in the state. Victim-services advocates Karen Arias of Western North Carolina Human Trafficking Rapid Response Team and Mamie Adams , coordinator of Working to End Sex Trafficking in North Carolina, discuss the experiences and challenges faced by trafficking survivors in the state. Major Richard Hoffman of the Raleigh Police Department talks about the role of law enforcement in investigating and stopping human trafficking, and his work on trafficking cases. And Caitlin Ryland from Legal Aid of North Carolina talks
‘The State Of Things’ Producer Picks: A Look Back At 2015 With Anita Rao - December 22, 2015
The year is coming to an end, and “The State of Things” staff is taking a moment to reflect on some of the year’s most memorable conversations. Producer Anita Rao’s favorite segments include a conversation commemorating Yusor Abu-Salha , one of the three Muslim students shot and killed in Chapel Hill in February. Rao also chose a piece that explores body image, fat shaming, and the social history of women’s bodies . She also picked a segment that shares the stories of three Latina women who work as house cleaners in Durham , and one that looks at how domestic violence impacted one couple’s life and relationship . She ends the hour talking about a conversation with Avett Brothers’ Cellist Joe Kwon . Host Frank Stasio talks with Producer Anita Rao about her favorite conversations of the year.
Marine Turned Entrepreneur Uses Technology To Reduce Violence - November 30, 2015
This is a rebroadcast of a program that aired earlier this year . CJ Scarlet is an entrepreneur who believes that technology can curb violence. She founded the company 10 for Humanity that aims to use emerging technology to reduce acts of crime and violence by 10 percent in the next decade, starting with the Tiger Eye Sensor , a wearable personal security device that will record video footage and call the police when a wearer yells “help.” Scarlet’s personal and professional experiences have informed the design and implementation of this sensor. She survived multiple assaults in her adolescence and early adulthood and has worked with victims of crime and assault for two decades, as a victims advocate and as the director of victim’s issues at the North Carolina Attorney General’s Office . She is full of unexpected stories, ranging from her experience as a firefighter to her day-to-day life as a photojournalist for the Marine Corps. Host Frank Stasio talks to CJ Scarlet about her life,

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