Self-esteem is a concept which is central to our understanding of a person's sense of well-being. Impairments to self-esteem due to the effects of past experience coupled with the impact of present circumstances often precipitate the entry into psychotherapy. The psychotherapy situation itself can be a potent source of self-esteem for both patient and therapist because it involves the two major factors that energize self-esteem needs: engagement in an important activity and involvement in an intimate relationship. This paper suggests that whether or not they are the focus of the therapy, self-esteem needs can be exacerbated due to the context of the situation and the fit between patient and therapist, as well as the transference and countertransference.
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