Three Associating: Adventures in Relational Psychoanalytic Supervision

In this episode, Rachael is conflicted about performance artist Petra's wish for Rachael to watch a video of Petra engaging in human suspension. 

Rachael has an immediate countertransference feeling that she doesn’t want to be “implicated". Rachael does not understand this feeling as she is aware of the mastery involved in this activity and also Petra's pride in her ability. However, Petra also speaks of her engagement in this practice as a means of regulating her affect.

Rachael comes to understand that her reaction to Petra’s request was connected to wanting not to judge Petra’s engagement in human suspension and also wanting not to turn a blind eye to the trauma that could be "implicated” in Petra’s activity. Thus, Rachael comes to understand her own reaction as pointing to the need to integrate both the positives and the problems involved in Petra’s chosen mode of mastery and self soothing and to engage with both traumatophilia and traumatophobia (Saketopoulou, 2023).

In this session, Andrew is confused by why Amber, an anorexic adolescent woman, is so silent in session when she chats easily with other team members. Andrew is sidetracked both by his anxiety about his position in the team and his anxiety that he is getting it wrong. 

In supervision, Andrew comes to understand that his different treatment by Amber may signal something positive including  Amber's emerging desires for male attention. He explores how safety for both him and Amber may lie in introducing material that can cut across the intensity of the therapeutic couple while, paradoxically and at the same time, detaching himself from his persecutory anxieties about the team which interfere with his focus on Amber.

In this episode, Andrew finds himself conflicted. His talented young patient reflects a contemporary set of values and ideas that Andrew wishes to honour, but he has a nagging sense that Jaxx is running ahead of himself. He is caught between admiring Jaxx’s resilience and wondering about the cost. But Andrew is not sure if his worry reflects a more conservative world view in himself or real potential danger for Jaxx.

In the session Andrew recognises that he needs to move to a both/and position, validating Jaxx's achievements while holding his vulnerabilities and being less cautious about moving closer.

In this episode, Rachael⁠ revisits the complex feelings that child sexual abuse evoke in both patient and therapist. Rachael discovers that her wish for magic powers has not disappeared and has reappeared in a different form. Beyond this, Rachael contacts both the magic and the terror of the therapeutic journey itself and the loneliness this sometimes produces in the therapist.

Both Gill and Rachael conclude that while trauma itself is to be regretted, the person that we emerge as in the wake of trauma is to be embraced as a crucial and valuable aspect of our autobiography.

In this episode, Andrew surprises himself by the degree to which his patient has led him into dissociating from his own inner subjectivity and into merging with the patient's agenda. This agenda, in turn, reflects the patient's merged state with his partner so that “two become one”.

Andrew is able to use supervision to take up a third position and to take a perspective which frees him to use his own thoughts, thereby helping the patient shape his own subjectivity independently of his partner.