Psychology In Seattle Podcast

Negative Therapeutic Reaction (2013 Rerun)

Mar 24, 2026
A lively dive into the Freudian idea of patients worsening during therapy and why treatment can sometimes fail. The conversation traces the origin of the negative therapeutic reaction and its clinical implications. Brief intro and closing segments frame the discussion.
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ANECDOTE

Host Sets Expectations For A Personal Overview

  • Kirk Honda frames the episode as a personal exploration of the negative therapeutic reaction rather than an exhaustive scholarly review.
  • He clarifies he is a psychodynamic therapist and professor, not a Freudian scholar, to set expectations.
INSIGHT

Psychoanalysis Is Wide And Nuanced

  • Psychoanalytic topics are vast and have many divergent expansions over 110 years, making concise summaries difficult.
  • Kirk Honda admits limits to his Freudian scholarship while identifying the complexity and variety of authors in the field.
INSIGHT

Why Therapy Failures Go Undiscussed

  • Treatment failure and symptom worsening are common but rarely discussed in psychotherapy due to clinicians' self-serving biases.
  • Kirk Honda suggests therapists more easily blame others than confront failures, contributing to silence around negative outcomes.
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