Chapter 10.Use of Supervision
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Excerpt
Long-term psychodynamic psychotherapy occurs in a dyad but is learned in a triad of patient-therapist-supervisor. The patient unloads painful feelings and shameful memories onto the therapist and expects the therapist to contain them. The trainee therapist, in turn, unloads the same material on the supervisor, with the same expectation that the supervisor can handle what is difficult for the therapist to manage. For beginning trainees, supervisors are role models with whom the trainee identifies. During the course of supervision, trainees are likely to internalize the supervisor to the extent that they sometimes feel as if they are “playing” supervisor when they are doing therapy with their patients. Indeed, trainees eventually bring the supervisor into their offices with them as an internal representation that guides them through difficult moments in therapy.
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