For this research, an integrative literature review of works published between 1993 and 2013 was conducted to explore the meaning of countertransference (CT) in the creative arts therapies and suggested means of CT management that incorporate at least one art form. Though results are limited, they suggest CT is generally understood as conscious and/or unconscious reactions to client material, can be manifested through emotional, cognitive, behavioural and somatic reactions during and after sessions, is perceived as useful if processed, and triggered by many factors such as similarities between client material and therapist’s past and present experiences. Discussion of results yielded a practical guide to creative methods for CT management as well as several recommendations for future research.