I think it's a combination of both, just like irl, but probably more opportunity for projection because of the sensitive topics than irl where we tend to be more withholding and/or armored for protection. I think my therapist is genuine and human in our sessions; but at the same time, I don't really know her. She might be kind and attentive during session, then go home and rip the cable company a new one (well, maybe that's a bad example...who doesn't lose it over Comcast?).

At any rate, something real does exist there. But also, some projection.