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Countertransference Madness: Supervision, Trans∗, and the Sexual.

Nicolas Evzonas1

  • 1CRPMS (Research Center for Psychoanalysis, Medicine and Society), University of Paris, 8 rue Albert Einstein, F-75013 Paris, France.

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Supervisors

Keywords:
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Area of Science:

  • Psychoanalysis
  • Psychotherapy Supervision
  • Clinical Psychology

Background:

  • The supervisor-supervisee relationship is crucial for therapeutic development.
  • Internalization of supervisory dynamics can impact clinical practice.
  • Ferenczi's "confusion of tongues" offers a framework for understanding transference complexities.

Purpose of the Study:

  • To explore the dual potential of superego internalization in psychotherapy supervision.
  • To analyze a complex case of supervisor-supervisee transference breakdown.
  • To re-evaluate countertransference phenomena through an après-coup lens.

Main Methods:

  • Psychoanalytic case study methodology.
  • Application of Ferenczi's "confusion of tongues" paradigm.
  • Retrospective analysis of a supervisory experience and its therapeutic implications.

Main Results:

  • Superego internalization can lead to both ego expansion (introjection) and repression (intropression).
  • A supervisor-transference rupture manifested as a sadomasochistic dialectic and folie à deux.
  • The case illustrates the potential for repressed infantile sexuality and paradoxical scenarios to be reenacted in supervision.

Conclusions:

  • Psychotherapy supervision carries risks of "intropression" alongside beneficial "introjection."
  • Complex transference dynamics, including countertransference madness, require careful après-coup analysis.
  • Understanding these dynamics is vital for ethical and effective clinical supervision and training.