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Published Online:https://doi.org/10.1176/ajp.130.2.207

Treating violent patients can evoke countertransference reactions of fear and anger in therapists that may interfere with effective management. The authors present six case reports in which countertransference reactions deleteriously affected the treatment outcome. They stress the importance of the physician's being aware of his fear and of how this fear may distort, by projection, his view of the patient as being dangerous.

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