Abstract
This paper addresses the difficulties in developing and maintaining the therapeutic alliance with a patient who regularly sought consultations with other therapists during the initial phase of treatment. Separation individuation theory illuminated her approach-avoidance behavior as enacted inside and outside the treatment room; a behavior reminiscent of the ambitendent toddler of the rapprochment subphase of development. Separation-individuation theory aided the therapist in the management of her countertransference, thus avoiding the undermining of the tentative treatment alliance.
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