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Blind spots

Every clinician has a favorite interpretation. Occasionally it is even correct. Your Assistant takes a second pass at the case and surfaces plausible patterns, assumptions, and questions you may not have considered.

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Countertransference examples and how to spot your own

Review the recent work with this client and tell me what I may be overlooking. Look for patterns I have normalized, inconsistencies between what the client says and does, topics I keep moving away from, and assumptions in my formulation that deserve another look.

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Example

Blind spots

Alex · Tue 2:00 PM · Session 14

One pattern worth checking: You consistently frame the client's conflict as difficulty setting boundaries. Across recent sessions, there is also evidence that they are unsure what they want before the boundary question even arises.

Possible blind spot: The formulation may be emphasizing assertiveness before clarifying preference and values.

Fictional example · No real client data.

How it works

Reads from

Session transcripts

Progress notes

Treatment plan

Can do

Spot patterns

Flag issues

It starts with your actual sessions

The read is grounded in what happened with this client rather than a grab bag of countertransference vocabulary.

It challenges the first story

Get alternative hypotheses, overlooked dynamics, and questions that test your current formulation.

You decide what holds up

Keep what sharpens the work. Throw out what does not. Clinical judgment remains stubbornly human.

Your most popular FAQs

What is countertransference in therapy?

Countertransference is the therapist's own emotional reaction to a client, shaped by the therapist's history, values and current stress. It is not a failure; it is information. Left unexamined, it can steer interpretations, pacing and interventions in directions the client did not choose.

How can a therapist spot their own countertransference?

Common signs include unusually strong feelings toward a client, consistently favoring one interpretation, feeling urgency about a client's decisions, and sessions that drift toward the therapist's agenda. Supervision, personal therapy and reviewing session recordings are the standard ways to catch it.

What does the Blind spots job actually do?

It takes a second pass at a client's case using your actual sessions, then surfaces alternative hypotheses, overlooked dynamics and assumptions worth testing. The read is grounded in what happened with this client, not a generic countertransference checklist.

Can I disagree with what it surfaces?

You should. The output is a set of hypotheses to test, not a verdict. Push back in the same conversation, ask what evidence it is using, and keep only the ones that survive. The point is a second opinion you did not have to schedule.

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