Abstract

To be alive and maintain an analytic stance amid transference–countertransference challenges, therapists need to experience both agency and safety. Their sense of safety increases when they connect with their internal analytic community’s representations and their sense of agency increases when they disengage from these representations. When therapists maintain the dialectical tension between these positions, they can choose a third position, to move between connecting and disengaging from the internal representations, in tune with the clinical context. Supervisors help their supervisees to contain this dialectical tension by manifesting their own sense of safety and agency when taking responsibility for their failures to understand the supervisees’ and the patients’ experiences. Furthermore, supervisors help foster the supervisees’ agency and safety separately. They help foster agency by finding autonomous and spontaneous solutions to clinical issues and help foster safety by drawing on the analytic community’s knowledge, to anchor the supervisees’ intuitive discoveries in a conceptual network, and clarify and stabilize the reality and boundaries in supervised therapies.

摘要

为了在移情-反移情挑战中保持活力并保持分析立场，治疗师需要体验代理和安全。当他们与内部分析社区的表征联系起来时，他们的安全感会增加，而当他们脱离这些表征时，他们的代理感会增加。当治疗师维持这些位置之间的辩证张力时，他们可以选择第三个位置，在连接和脱离内部表征之间移动，与临床环境保持一致。监督者在为自己未能理解被监督者和患者的经历承担责任时，通过表现出自己的安全感和能动性来帮助他们的被监督者控制这种辩证的张力。此外，监管者分别帮助培养被监管者的能动性和安全性。他们通过为临床问题找到自主和自发的解决方案来帮助培养机构，并通过利用分析界的知识来帮助培养安全性，将受监督者的直觉发现锚定在概念网络中，并澄清和稳定受监督治疗的现实和边界。