We're unable to sign you in at this time. Please try again in a few minutes.
We were able to sign you in, but your subscription(s) could not be found. Please try again in a few minutes.
There may be a problem with your account. Please contact the AMA Service Center to resolve this issue.
Contact the AMA Service Center:
Telephone: 1 (800) 262-2350 or 1 (312) 670-7827  *   Email: subscriptions@jamanetwork.com
Error Message ......
Article |

Loyalty Implications of the Transference Model in Psychotherapy

Ivan Boszormenyi-Nagy, MD
Arch Gen Psychiatry. 1972;27(3):374-380. doi:10.1001/archpsyc.1972.01750270078012.
Text Size: A A A
Published online


The main concern of this paper is: Can the psychodynamic theoretical framework be expanded and integrated with the family systems orientation or are they mutually exclusive? It is assumed that the essence of family therapy lies in the therapist's commitment to all members of the family as his patients, rather than in any technical or strategic arrangement for and during the sessions. A further major concern is with the question of how to define the conceptual framework of multiperson system levels of motivations. I believe that such framework relies on the hierarchy of obligations and loyalties in any family. Ethical entanglements of our lives are a key dynamics. Furthermore, I suggest that pathology and resistance to change are codetermined on the system levels of loyalty and unconsciously collusive obligations, eg, for retaining the "sick" role. More specifically, while transference and transferred "parentification" of the therapist are "technically" required for success, nonetheless they may lead to self-defeating mechanisms through implicit disloyalty to one's family of origin.


Sign in

Purchase Options

• Buy this article
• Subscribe to the journal
• Rent this article ?





Also Meets CME requirements for:
Browse CME for all U.S. States
Accreditation Information
The American Medical Association is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. The AMA designates this journal-based CME activity for a maximum of 1 AMA PRA Category 1 CreditTM per course. Physicians should claim only the credit commensurate with the extent of their participation in the activity. Physicians who complete the CME course and score at least 80% correct on the quiz are eligible for AMA PRA Category 1 CreditTM.
Note: You must get at least of the answers correct to pass this quiz.
Please click the checkbox indicating that you have read the full article in order to submit your answers.
Your answers have been saved for later.
You have not filled in all the answers to complete this quiz
The following questions were not answered:
Sorry, you have unsuccessfully completed this CME quiz with a score of
The following questions were not answered correctly:
Commitment to Change (optional):
Indicate what change(s) you will implement in your practice, if any, based on this CME course.
Your quiz results:
The filled radio buttons indicate your responses. The preferred responses are highlighted
For CME Course: A Proposed Model for Initial Assessment and Management of Acute Heart Failure Syndromes
Indicate what changes(s) you will implement in your practice, if any, based on this CME course.


Some tools below are only available to our subscribers or users with an online account.

0 Citations

Sign in

Purchase Options

• Buy this article
• Subscribe to the journal
• Rent this article ?

Related Content

Customize your page view by dragging & repositioning the boxes below.