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The purpose of this study was to explore the emotional responses, or countertransference (CT) reactions, clinicians experience when working with patients with EDs, and to identify clinician, patient, and therapy variables associated with these responses.<\/jats:p><\/jats:sec><jats:sec><jats:title>Method:<\/jats:title><jats:p>One hundred twenty clinicians reported on multiple variables related to an adolescent female patient they were treating for an ED.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results:<\/jats:title><jats:p>Six patterns of reactions were identified: angry\/frustrated, warm\/competent, aggressive\/sexual, failing\/incompetent, bored\/angry at parents and overinvested\/worried feelings. The factors showed meaningful relationships across clinician demographics, patient characteristics, and treatment techniques.<\/jats:p><\/jats:sec><jats:sec><jats:title>Discussion:<\/jats:title><jats:p>Overall, clinician's reactions were most frequently associated with the clinician's gender, patient's level of functioning and improvement during treatment, and patient personality style. These issues have important implications for treatment, training and supervision. \u00a9 2009 by Wiley Periodicals, Inc. 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