Baudry 1993
Baudry 1993
Baudry 1993
Francis D. Baudry
To cite this article: Francis D. Baudry (1993) The Personal Dimension and Management of the
Supervisory Situation with a Special Note on the Parallel Process, The Psychoanalytic Quarterly,
62:4, 588-614, DOI: 10.1080/21674086.1993.11927395
monly encountered; yet this should not go too far because of the
possibility of interfering with the analysis by setting up too grat
ifying a counterpart. In some instances the supervisee will al
lude to certain crises or external traumata in his or her outside
life (losses, miscarriages, and the like). These events cannot be
entirely ignored, particularly if they have some obvious impact
on the supervisee's capacities or relate to the work with the
patient in a more direct fashion. In one instance, one of my
supervisees suffered a miscarriage. This affected her work for a
few weeks, especially with a pregnant patient she was following
at the time. In addition, her attention span was diminished be
cause of her increased self-preoccupation and mourning. My
recognition and acknowledgment of her plight was helpful to
her.
In contrast to the approach I am developing, what might be
described as a more "analytic" stance, in which the supervisor
says very little in order not to "contaminate" the field, has the
opposite, paradoxical effect, namely facilitating the supervisee's
self-doubts, criticisms, and other regressive manifestations. This
is analogous to the patient's reactions to the analyst's silence
during an hour. I recall an early experience with one of my
supervisors who clearly made some attempt to model the super
vision on an analytic hour: he would simply open the session
with a grunt and look up expectantly. This had the unintended
effect of raising my level of anxiety several notches!
The supervisor provides, within the framework of supervi
sion, an auxiliary observing ego and also a benign analytic su
perego. The above considerations govern my approach to the
beginning of supervision, which I will now describe.
she thinks are his or her weak and strong points. This allows me
to evaluate the supervisee's interests and capacity for self
observation. It also sets up specific goals that can later be eval
uated jointly, and discourages a passive stance in the candidate,
which is unfortunately all too common.
3. In some cases I may occasionally say something about the
problem of evaluation with the aim of decreasing what I will
term the "superego factor." I indicate that there are very few
situations in which there are clear-cut right or wrong answers,
and I will say that I am more interested in finding out how the
supervisee arrived at where he or she is than in whether he or
she is right or wrong. I also try to foster an interest in stray
thoughts. At the beginning of supervision, I will allow the su
pervisee to select the method of reporting, and suggest, in any
case, that notes be brought so they can be referred to occasion
ally when it seems indicated.
Dynamics of Superoision
Arlow (1963) was one of the first to mention the parallel pro
cess in connection with the supervisory situation, although
Searles in 1955 made brief mention of it. The first extensive
study was done by Doehrman (1976). Sachs and Shapiro (1976)
emphasized its occurrence in inexperienced therapists who have
anxieties similar to those of their patients. Both members of the
dyad attempt to meet impossible demands, and they share over
lapping vulnerabilities. I would extend the occurrence of the
parallel process to experienced therapists as well, who have dif
ferent narcissistic vulnerabilities and similar if not greater fears
of exposure. Both Dewald (1987) and Schlesinger (in Waller
stein, 1981) commented openly on the stress of reporting on
their supervisory work to a group of peers. Sachs and Shapiro
(1976) raised the question of whether the parallel process is
indicative of countertransference or of pathology. It is certainly
evidence of conflict and displacement, which may lead to ther
apeutic difficulties.
It is important to differentiate those transitory identifications
with the patient that are a necessary accompaniment to empathy
from those identifications based on shared anxieties or defen
sive needs which impair the therapist's awareness of what is
happening between him or her and the patient. The resulting
enactments of these identifications are not in themselves pro
ductive of insight, although they have an important communi
cative value, which, if exploited with sensitivity by the supervi-
608 FRANCIS D. BAUDRY
sor, may lead to valuable insight. I agree with Sachs and Shapiro
( 1976) that the solution is appropriate clarification of the pro
cess in a supportive setting. I share their belief that "other teach
ing approaches, which ignore the therapist's emotional re
sponses, have to rely on processing data about the patient on
theoretical grounds. Here, the student is placed in the position
of having to agree or disagree with the more informed view of
the instructor whose authority stems from his superior ability.
The validity of this teaching method rests on an assumption that
the student can be objective in his approach to differences of
opinion, that he can be open-minded, and that he can view
dispassionately interpretations about the therapy which are at
variance with his own. Our experience has demonstrated that
this proposition is no more tenable in the conference than in
psychotherapy" (p. 413). The most recent article on the topic
(Gediman and Wolkenfeld, 1980), based in part on the work of
a supervisory group led by the author in collaboration with
William Grossman, stressed three common similarities between
psychoanalysis and supervision that are responsible for some
aspects of the parallel process: both are helping processes, both
require involvement of the self, and both rely heavily for effec
tiveness on multiple identifications.
Here is a brief clinical illustration (taken from a supervisory
seminar) of how the parallel process can help uncover problems
in the treatment. I have been struck with the frequency with
which a presenter re-enacts with the group certain aspects of the
case which have given the presenter difficulty or which the pre
senter has not understood. These problems become apparent to
the group when discussing some aspect of the group process
with the presenter, and the problems require particularly tactful
handling in order to avoid narcissistic injury. The group in this
vignette was very cohesive, and there was considerable good will
among its members. On one occasion a member, a rather critical
person who was very sensitive to injuries to his self-esteem, pre
sented an impasse in the treatment of a young woman. What
THE SUPERVISORY SITUATION 609
them. The patient had been in treatment for almost a year and
had recently complained about his analyst to a senior person
within the organization.The supervisee had attempted to inter
pret this issue by showing the patient the similarity between his
complaints about him and the earlier relationship with his
mother. In describing the interaction, the supervisee told me
that the patient agreed only intellectually. This took the form of
"so what you are telling me is so-and-so." He felt that through
this statement the patient was simply rejecting and negating his
work, and he did not know how to pursue it further. I then
followed two lines of intervention. I could not be sure, from the
statement "So what you are telling me is so-and-so," that the
patient was simply rejecting his intervention. I felt that it also
implied the patient could not allow himself to be a passive re
cipient but had to put his stamp on the interpretations before
taking them in. I also felt that the patient was probably not
ready to take the step of examining his complaint of "bad vibes"
as a transference reaction but that more work had to be done in
the here and now about these "bad vibes"-such as determining
the patient's views about their origins and the difficulties they
created for him. (He was a student in the training program and
had previously expressed the fantasy of leaving.) As I completed
my interventions, the supervisee, who had listened intently,
said, "So what you are saying is . ..," and then he repeated my
interventions. I laughed, and we both immediately understood
the occurrence of a parallel process-a transient identification
with his patient's mode of defense which seemingly required
little further work. To clarify my hunch, I asked my supervisee
if he was telling me that he felt about my interventions the same
way that he reported the patient felt about his.This seemed to
lighten the atmosphere, and he then explained that he thought
my interventions implied some criticism of him; that if he had
explained himself properly, I would have agreed with him. In
terestingly enough, I had suggested to him previously that one
reason his patient had failed to respond to his interpretations of
THE SUPERVISORY SITUATION 611
"bad vibes" was that he felt his feelings were being negated and
explained away rather than acknowledged.
There are, however, many problems with the concept of the
parallel process. Like the term "character," the term "parallel
process" is purely descriptive and not explanatory. It has become
something of a fad, particularly among beginning therapists. In
the course of my supervisory seminar, many supervisors
proudly point out some phenomenon as an evidence of the
parallel process and stop there as though they had actually ex
plained some particular event. What is usually referred to is an
apparent similarity between some incident in the treatment and
its seeming re-enactment with the supervisor. The facts are,
unfortunately, much more complicated. The parallel process is
only a vague descriptive label applied to a multitude of phe
nomena, only a few of which would qualify as "true" parallel
processes. In my view what is required, in addition to the surface
similarity, is a dynamic and structural congruence between the
two situations. This is often difficult to demonstrate, because so
many of the crucial dynamics of the participants are unknown
or can be inferred only with great caution. Thus, in cases which
are in doubt I would refrain from commenting on what could be
an instance of the parallel process, except to inquire cautiously
about its context. Should the student have the same needs as the
patient, a type of mirroring may be encountered. This does not
necessarily qualify as an example of the parallel process. The
following vignette will illustrate this point.
A supervisee reported that in almost every session his patient
asked, in one form or another, for reassurance that she was
doing the right thing. This behavior was therefore a character
istic of this patient. The same supervisee also happened to be
quite insecure about his work, and in both verbal and nonverbal
ways he sought to be reassured about the correctness of his
interpretations and of his therapeutic stance. This occurred with
all the patients he presented to me and did not seem to be
specifically related to the dynamics of any particular patient.
612 FRANCIS D. BAUDRY
had needed to avoid his own. Subsequent hours with the patient
became much richer and stormier as a result, and confirmed the
correctness of this conclusion.
The supervisee later expressed gratitude at having been able
to share his concerns with me. Although in this instance the
results seemed positive, a question could be raised about wheth
er the problem with the patient could have been handled with
out touching on the supervisor/supervisee relationship. Could I
have said to this supervisee that he seemed reluctant to confront
the patient's separation anxiety? To this, I would reply that I
had pointed out to him the patient's difficulties without avail;
true, I had not worded the problem in terms of his reluctance,
but my preference was to deal with the problem where it seemed
active at the moment, namely, in his wish to avoid meeting with
me. This is in line with my earlier points. As to the question of
negative effects, I have not found any overt problems when I
have proceeded with appropriate tact and caution during the
confrontations mentioned above.
REFERENCES