PSYCHOANALYTIC SUPERVISION: THE SEQUENTIAL RESOLUTION OF CANDIDATE AND PATIENT RESISTANCES

By Valerie R. L. Frankfeldt

This project focuses on three issues:

¨ the disguised expression of infantile, murderous rage by a preoedipal patient

¨ a beginning analyst's countertransference resistances to experiencing and verbalizing appropriately the patient's hate and her own

¨ the resolution of resistances through supervision.

This patient typically generated particularly powerful negative reactions: both her ex-husband and her son had attempted suicide.

A Case Dynamics Schema (CDS) was created specifically for this project to organize and follow the sequential flow of the patient resistances, countertransference resistances, supervisory interventions and new patient behaviors signifying resistance resolution. The CDS also categorizes resistances along developmental lines, labeling and describing the processes as somatic, intrapsychic, verbalized, and acted upon.

The modern analytic supervisory approach is demonstrated in this study showing how the analyst's feelings were progressively identified, verbalized, accepted and worked through. As a consequence, the analyst grew substantially, learning to experience, process and use the induced countertransference feelings appropriately for maturational purposes. The patient's health, functioning in work, enjoyment of leisure time, and ability to relate to the analyst, family and friends, all improved dramatically.

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