Psychotherapists’ Experiences of Working with Somatic Phenomena in the Therapeutic Setting When Treating Clients with Gender-Related Body Dysphoria

Abstract

This study explored psychotherapists’ experiences of somatic phenomena, in relation to their own bodies, when treating clients with significant gender-related body dysphoria within the treatment setting. It also examined their experiences and deeper understandings of somatic transference and countertransference within the analytic frame when working with this particular client profile. The various resistance mechanisms deployed by such clients were also explored as well as the ways in which psychotherapists may be resistant to working more closely with their own somatic countertransference. A qualitative approach to research was in order to generate meaning and understanding through rich material. An interpretivist paradigm was employed whose ontology examines the perceptions and experiences of therapists who have treated clients with significant gender-related body dysphoria. Therapists’ experiences of somatic countertransference phenomena were varied and inconsistent. More than half of the therapists reported the experiencing of sensations including nausea, headaches, restriction of the chest and experiences of drowsiness. Some therapists could not recall any experiences of somatic countertransference and demonstrated a tendency to minimize, deny or disavow somatic phenomena.