Você está na página 1de 10

This article was downloaded by: [C.

Edward Watkins]
On: 17 September 2012, At: 13:40
Publisher: Routledge
Informa Ltd Registered in England and Wales Registered Number: 1072954 Registered office: Mortimer
House, 37-41 Mortimer Street, London W1T 3JH, UK

International Forum of Psychoanalysis


Publication details, including instructions for authors and subscription information:
http://www.tandfonline.com/loi/spsy20

The competent psychoanalytic supervisor: Some


thoughts about supervision competences for
accountable practice and training
C. Edward Watkins Jr.

Version of record first published: 17 Sep 2012.

To cite this article: C. Edward Watkins Jr. (2012): The competent psychoanalytic supervisor: Some thoughts
about supervision competences for accountable practice and training, International Forum of Psychoanalysis,
DOI:10.1080/0803706X.2012.712219

To link to this article: http://dx.doi.org/10.1080/0803706X.2012.712219

PLEASE SCROLL DOWN FOR ARTICLE

Full terms and conditions of use: http://www.tandfonline.com/page/terms-and-conditions

This article may be used for research, teaching, and private study purposes. Any substantial or systematic
reproduction, redistribution, reselling, loan, sub-licensing, systematic supply, or distribution in any form to
anyone is expressly forbidden.

The publisher does not give any warranty express or implied or make any representation that the contents
will be complete or accurate or up to date. The accuracy of any instructions, formulae, and drug doses
should be independently verified with primary sources. The publisher shall not be liable for any loss, actions,
claims, proceedings, demand, or costs or damages whatsoever or howsoever caused arising directly or
indirectly in connection with or arising out of the use of this material.
International Forum of Psychoanalysis
2012; 19, iFirst article

The competent psychoanalytic supervisor: Some thoughts about


supervision competences for accountable practice and training

C. EDWARD WATKINS, Jr.*

Abstract
What are the competences required to satisfactorily practice effective or good enough psychoanalytic supervision? In this
paper, I would like to consider that question. Over the past approximate 15-year period, increasing attention has been
directed toward more specifically identifying and defining the components of competent psychoanalytic practice. But any
parallel attention toward identifying and defining the components of competent psychoanalytic supervision practice has, in
comparison, been sorely limited if not virtually absent. If we are to best practice competent psychoanalytic supervision and
best train future psychoanalytic supervisors for competent practice, effort needs to be made to concretely delineate the
Downloaded by [C. Edward Watkins] at 13:40 17 September 2012

competences that are requisite for such practice. In what follows, I present and adapt six broad-based families of
internationally relevant supervision competence areas for use in psychoanalytic supervision: (1) knowledge about/
understanding of psychoanalytic supervision models, methods, and intervention; (2) knowledge about/skill in attending
to matters of ethical, legal, and professional concern; (3) knowledge about/skill in managing psychoanalytic supervision
relationship processes; (4) knowledge about/skill in conducting psychoanalytic supervisory assessment and evaluation; (5)
knowledge about/skill in fostering attention to difference and diversity; and (6) openness to/utilization of a self-reflective,
self-assessment stance in psychoanalytic supervision. Although by no means an exhaustive list, 30 supervision competences
(five per family) are proposed as significant for guiding competent psychoanalytic supervision practice and supervisor
training, and a brief explanatory comment is offered in support of each broad-based family of competences.

Key words: psychoanalytic supervision, supervision competence, supervision competences, psychoanalytic supervisor,
psychoanalytic supervision practice, psychoanalytic supervision training

In the health and mental health professions, compe- & Swing, 2010; Miller, Scully, & Winstead, 2003;
tence has long been a central concept of crucial Psychology Board of Australia, 2011; Roe, 2002;
educational concern. The professional training pro- Snell & Frank, 2010; Swick, Hall, & Beresin, 2006;
cess typically involves years of varied conceptual and Tebes, Matlin, Migdole, Farkas, Money, & Shul-
practical learning experiences, all of which are aimed man, 2011).
at helping the trainee develop and enhance the Psychoanalysis has not been exempt from that
requisite competences needed to perform at an competency push and accountability concern. Per-
independent level. But in the last approximate haps more so than at any other time in the history of
generation of health and mental health education, psychoanalytic practice, there has been and con-
focus on training for competency has ratcheted up to tinues to be need to make the case for analytic
a whole new level of activity that seemingly has been treatment in all of its forms (Gunderson & Gabbard,
unprecedented in its scope, intensity, and specificity. 1999; Leichsenring, 2005; Watkins, 2012a). Simul-
That focus: (1) appears to have been largely guided taneous with that need, we have also been confronted
by efforts to make training and practice more with having to better make the case for analytic
accountable; and (2) has led to increasing attempts education. Concerns with developing a more com-
to set in place systems of competency definition and petency-based training approach have increasingly
assessment for educational guidance and utilization. been in evidence (e.g., Israelstam, 2011).
This push for competency definition and assessment In a seminal paper of educational and practical
has been evident across such disciplines as medicine, significance, Tuckett (2005) proposed that psycho-
psychiatry, psychology, and social work, and has analytic competence could be defined by means of
been international in its reach (Bang & Park, 2009; three specific capacities: (1) to create an external
Epstein & Hundert, 2002; Falender & Shafranske, and internal setting in which to sense the relevant
2012; Frank, Snell, ten Cate, Holmboe, Carraccio, data (affects and unconscious meanings); (2) to

*Correspondence. C. Edward Watkins, Jr., Department of Psychology, University of North Texas, 1155 Union Circle, #311280, Psychology, UNT
76203-5017, Denton, TX, USA. Tel: 1 940 565 2671. Fax: 1 940 565 4682. E-mail: watkinsc@unt.edu

ISSN 0803-706X print/ISSN 1651-2324 online # 2012 The International Federation of Psychoanalytic Societies
http://dx.doi.org/10.1080/0803706X.2012.712219
2 C. E. Watkins

conceive what is sensed; and (3) to offer interpreta- developmental learning objectives for supervisory
tions based on these, as well as to sense and conceive evaluation; materials can also be accessed at http://
their effects (p. 37). He linked each capacity to a www.psychoanalysis.columbia.edu/sites/default/files/
particular psychoanalytic frame, respectively, the LearningobjectivesRev_0.pdf).
participant-observational, conceptual, and interven- As attention has increasingly been given over to
tional (or listening, conceptualizing, and interpret- clarifying and specifying psychoanalytic competence,
ing). Using Tucketts three frameworks for we have also begun to see our first glimmer of
competence conceptualization and assessment, the parallel attention being given over to clarifying and
European Psychoanalytical Federation (EPF) Work- specifying psychoanalytic supervision competence.
ing Party on Education (WPE) has even held several Some of the key questions to be asked have been:
work groups and forums over the last decade in what precisely is meant by psychoanalytic super-
Budapest, Berlin, and Helsinki to take up the matter vision competence?, what are its core components?,
of competence and its definition (Junkers, Tuckett, and what are the requisite competences that are
& Zachrisson, 2008). The three proposed frame- needed to effectively practice psychoanalytic super-
works have provided the container for much of the vision today? These are substantive questions to
EPF WPE discussion that has occurred, with the examine because: (1) while psychoanalytic treatment
belief being that they would help us approach more is a difficult, highly challenging system of practice to
Downloaded by [C. Edward Watkins] at 13:40 17 September 2012

specific definitions of what we mean by psycho- learn, it may well be that learning to become a
analytic competence, and help us to move away competent psychoanalytic supervisor is an even
from global judgments, toward more explicit criteria more difficult and highly challenging endeavor
and towards more transparent judgments (Junkers (Szecsody, 2008; Zachrisson, 2011); (2) to best
et al., 2008, p. 292). The EPF WPE mission is foster psychoanalytic competence in the treatment
ongoing. situation, it would seem mandatory to first have in
Complementing that effort, we have also had place psychoanalytic supervisors who themselves are
some useful contributions across the last approxi- competent in providing such training (Watkins,
mate 15-year period that have increasingly accentu- 2011); and (3) to put those competent supervisors
ated the critical importance of making criteria in place, we need foremost to have clearly articulated
explicit and judgments transparent for psychoanaly- and explicated what is meant by and involved in
tic education and supervision (Cabaniss, 2008; psychoanalytic supervisor competence and its
Cabaniss, Glick, & Roose, 2001; Cabaniss & Roose, practice (Watkins, 2012b).
1997; Cabaniss, Schein, Glick, & Roose, 2004; Building on Tucketts (2005) work, Szecsody
Rojas, Arbuckle, & Cabaniss, 2010). Guided by (2008) has proposed that the participant-observa-
the pioneering work of Cabaniss and her colleagues tional, conceptual, and interventional frames can
at the Columbia University Center for Psychoanaly- each be viably applied to the study of psychoanalytic
tic Training and Research, we have come to increas- supervision and supervision competence. As com-
ingly realize that: (1) Transparent assessment based plement to those three, he also added an evaluation
on objectives that are clear and public is . . . vital to frame (since supervision is by definition an evalua-
the learning process . . . [and] essential to teaching tive activity) that would be important to include.
[and supervision] (Cabannis, 2008, p. 269); and Building on Szecsodys (2008) work, Watkins
(2) instituting standardized criteria for clinical (2012b) recently identified a number of supervisor
competence is essential to the continued practice of competences that seemingly (1) would fit under each
psychoanalysis (Cabannis, 2008, p. 270). If we as of the four frameworks and (2) could be used to
educators hope to be able to more accurately and guide the practice of psychoanalytic supervision and
reliably evaluate psychoanalytic candidates and their the training of supervisors. But beyond those two
competence, clarity, precision, specificity, and trans- efforts, any specific attention to delineating psycho-
parency in psychoanalytic education have emerged analytic supervisor competences has been absent.
as sine qua non. Lacking those elements, ambiguity, We lack for substantive focus on the competence of
anxiety, self-concealment, nondisclosure, and com- the psychoanalytic supervisor.
promised learning appear to be the outcomes that Almost 20 years ago, Szecsody (1994) stated that
await candidates (cf. Berman, 2004; Brodbeck, the need for training supervisors for competence was
2008; Garza-Guerrero, 2004; Kernberg, 1996, being increasingly recognized within the psycho-
2007, 2011; Reeder, 2004; Wallerstein, 2011). But analytic community, but, unfortunately, recognized
as this body of survey research has convincingly and need does not always readily translate into educa-
compellingly shown, it need not be that way, and the tional reality. As recently as six years ago, he
remedy can actually be rather straightforward. (See lamented that there are only a few institutes that
Appendix A in Cabannis, 2008, for a list of have organized training for supervisors (Szecsody,
Psychoanalytic Supervisor Competences 3

2008, p. 381). Szecsody is certainly not alone in his Defining psychoanalytic supervision
lamentation (e.g., Pegeron, 2008). We appear to competence and competences
have need for efforts that more substantively address
Competence defined
psychoanalytic supervisor competence/competences
and how those might be better concretized educa- Adapting Epstein and Hunderts (2002) definition of
tionally and practically. competence in medicine, I would like to define
In this paper, I would like to build on and add to psychoanalytic supervisor competence as: The super-
Watkins (2012b) recent effort in which he proposed visors habitual and judicious use of communica-
a set of competences for each of the four psycho- tion, [psychoanalytic] knowledge . . . technical [and
analytical frameworks. Drawing from the interna- supervision] skills, clinical [and educational] reason-
tional supervision literature, I wish to put forth here ing, emotions, values, and reflection in daily [super-
a different way of thinking about and organizing vision] practice for the benefit of . . . [supervisees,
psychoanalytic supervisor competences. My pur- patients,] and the community being served
pose, then, is not to replace the four-frameworks (p. 226). Supervisor competence, more than the
organization but, rather, to complement it. Based on mere possession of knowledge or skill, requires action
the study of psychotherapy supervision practice and public verification of what is achieved by that
throughout various corners of our world, from action (Rodolfa, Bent, Eisman, Nelson, Rehm, &
Downloaded by [C. Edward Watkins] at 13:40 17 September 2012

Sweden to Slovenia, Lithuania to London, Bali to Ritchie, 2005); it necessitates consistent demonstra-
Brazil, six broad-based competence areas have been tion over time. A molar term, psychoanalytic super-
identified as being of potential supervisory signifi- visor competence refers to the overall functioning of
cance across countries and cultures (Watkins, in the supervisor  which can be adjudged to range from
press). Those six broad-based, internationally- generally high to low in its quality. Although by no
relevant supervision competence areas are: means perfect, this simple definitional adaptation of
Epstein and Hundert provides a way of defining
1. knowledge about/understanding of supervision psychoanalytic supervisor competence that can at
models, methods, and intervention; least serve as a seemingly meaningful point of
2. knowledge about/skill in attending to matters of orientation for further examination.
ethical, legal, and professional concern;
3. knowledge about/skill in managing supervision
relationship processes; Competency defined
4. knowledge about/skill in conducting supervisory I would like to define the more molecular, specific
assessment and evaluation; term, that of psychoanalytic supervisor competency,
5. knowledge about/skill in fostering attention to as the necessary combination of supervisor skills/
difference and diversity; abilities, knowledge, and values required to perform
6. openness to/utilization of a self-reflective, self- a specific psychoanalytic supervisory task (e.g., form
assessment stance in supervision. a relationship bond). In the competency movement
today, skills/abilities (able performance), knowledge
In what follows, these six areas will be specifically (know-how), and values (e.g., respect for others)
adapted here for the psychoanalytic supervision have come to be regarded across varied disciplines as
experience. This adapted configuration provides an essential ingredients for competency delineation.
organizational net that can be potentially used to: (1) Building on and extrapolating from that foundation,
structure families of psychoanalytic supervisor com- any psychoanalytic supervisory competency, then,
petences for training and practice purposes; and would be viewed as a combination or bundling of those
(2) frame supervision competency discussions three ingredients or components. Within this
worldwide. This complementary organizational net conceptualization, psychoanalytic supervisor compe-
allows for certain key supervision competency issues tences would be considered to result from the
(e.g., ethical considerations, matters of difference interactions of: (1) the traits and characteristics of
and diversity), through being grouped together, to be the supervisor (e.g., empathic sensitivity, passion for
more specifically highlighted and given more sub- supervision); (2) the skills/abilities, knowledge, and
stantial attentional focus. values that are developed or reinforced through
To best set the stage and provide orientation for varied learning experiences (e.g., supervision work-
my competence discussion, I would like to first shops or seminars); and (3) integrative learning
provide some definition of the following: psycho- experiences that maximize the use and potential of
analytic supervision competence and psychoanalytic those three components (e.g., supervised supervi-
supervision competences. How might we begin to sion). To paraphrase Junkers et al. (2008, p. 299),
define those terms? Personality (character) and talent are in the
4 C. E. Watkins

beginning of the psychoanalytic [supervisors] edu- (1) being a supervisee (although highly beneficial) is
cation; the rest is training and development. not in and of itself sufficient to qualify one to
supervise; (2) being trained as an analytic treatment
provider does not de facto translate into being a
Six families of core psychoanalytic supervision
competent psychoanalytic supervisor; and (3) psy-
competences
choanalytic supervision is a special skill that, in order
The six families of core supervision competences, to be best developed and honed, appears to benefit
adapted for the psychoanalytic supervision situation, immensely from supervision training (cf. Dewald,
are identified and briefly described below. Although 1997; Pegeron, 2008; Sarnat, 2012; Rodenhauser,
by no means exhaustive, specific, representative 1997; Szecsody, 2008; Wallerstein, 1981). Just as
competences within each family are also identified. analysts need to be trained to analyze, supervisors
need to be trained to supervise. The five compe-
tences in Area I give voice to the distinctive and
Competency Area I
specialized nature of psychoanalytic supervision,
Knowledge about/understanding of psychoanalytic super- reflecting its particular definition, supervisor func-
vision models, methods, and intervention  the focus is tions and interventions, supervision models, and
on: theories and models of psychoanalytic super- relational foundation (see Berman, 1997; DeBell,
Downloaded by [C. Edward Watkins] at 13:40 17 September 2012

vision; ways of conceptualizing supervision; 1981; Filho & Pires, 2010; Filho, Pires, Berlim,
understanding the supervision role and functions; Hartke, & Lewkowicz, 2007; Fleming & Benedek,
the ability to implement appropriate supervision 1964, 1966; Fosshage, 1997; Hyman, 2008; Ruben-
functions when needed; the ability to implement stein, 2007; Watkins, 2011; Zachrisson, 2011).
facilitative supervisory interventions; and utilization Becoming a competent supervisor requires becom-
of various methods that are apropos to the psycho- ing grounded in the conceptual foundations that
analytic supervision experience. undergird the totality of the psychoanalytic super-
vision endeavor itself. Area I is centered on acquiring
and demonstrating an awareness/understanding of
Representative competences
that conceptual grounding.
Supervisor demonstrates an awareness/understand-
ing of the:
Competency Area II
1. definition and purpose of the psychoanalytic
Knowledge about/skill in attending to matters of ethical,
supervisor role, its varied functions (e.g., to
legal, and professional concern  the focus is on: ethical
teach, consult), and when implementation of
matters of particular relevance to the psychoanalytic
those functions is most apropos;
supervision endeavor (e.g., boundary crossings,
2. supervision expectations and responsibilities for
boundary violations, maintaining confidentiality); a
both the psychoanalytic supervisor and super-
working knowledge of ethical standards and their
visee, and the importance of consistently at-
application to the supervision situation; an aware-
tending to those dimensions over the course of
ness of legalities that have potential supervision
the supervision endeavor;
implications; commitment to continuing education
3. core components of the psychoanalytic super-
in supervision; and commitment to lifelong learning
vision relationship (learning alliance, trans-
in psychoanalytic supervision.
ferencecountertransference configuration, and
real relationship) and the crucial significance of
each for maintaining relational integrity;
Representative competences
4. models of psychoanalytic supervision practice
and the ways in which those visions converge The supervisor demonstrates an awareness/under-
and diverge; standing of:
5. diverse psychoanalytic supervision interventions
(e.g., delivering feedback sensitively and con- 1. ethical principles as they relate to and guide
structively) and when to best implement them action in psychoanalytic supervision;
in practice. 2. ethical decision-making skills and their
appropriate application to the psychoanalytic
supervision situation;
Comment
3. ethical codes of conduct, laws, or statutes that
Over the course of the last century of supervision impact the practice of psychoanalytic super-
practice, we have come to increasingly see that: vision;
Psychoanalytic Supervisor Competences 5

4. professional boundaries, their significance for 3. implementing and modeling appropriate super-
and place in the psychoanalytic treatment and visory interventions that are informed by in-
supervision contexts, and how they maintain and dividual difference and cultural diversity
contribute to the integrity of both endeavors; considerations;
5. institutional policies that impact and have 4. sensitively and effectively addressing matters of
implications for the practice of psychoanalytic supervisee transference, countertransference,
supervision. and parallel process as they arise in treatment/
supervision situations;
5. discussing and establishing a supervision agree-
Comment ment with supervisees that is guided by an ethos
of mutuality, facilitation, and transparency.
Just as there are ethical, legal, and professional
matters that attend the treatment situation, it is no
different for psychoanalytic supervision. Area II Comment
recognizes that reality. Because supervisors are ulti-
mately responsible for the care of their supervisees A good enough supervision relationship lies at the
patients, a whole extra layer of concern and complex- heart of any effective psychoanalytic supervision
experience, and Area III accentuates that relational
Downloaded by [C. Edward Watkins] at 13:40 17 September 2012

ity is added to the supervision experience for that


reason. Although not much has been written on the foundation. Almost 60 years ago, Fleming and
ethics of psychoanalytic supervision, there are few Benedek (1964, 1966) masterfully communicated
aspects of . . . [supervision] that are without ethical the supreme importance of supervisors striving to
implications (Hyman, 2008, p. 107). In conjunction develop and establish a meaningful learning alliance
with potentially affecting legal and professional with their supervisees. Fleming and Benedeks clinical
issues, the competences in Area II give voice to that wisdom on the supervision alliance seemingly remains
ethical importance. Becoming a competent super- every bit as true today and appears to now be widely
visor requires becoming grounded in the ethical and accepted and embraced as supervision sine qua non
professional foundations that underlie the practice of (see Dewald, 1987; Frawley-ODea & Sarnat, 2001;
psychoanalytic supervision. Area II is centered on Gill, 2001; Jacobs, David, & Meyer, 1995; Levy,
acquiring and demonstrating awareness and under- 2007; Sarnat, 2012; Teitelbaum, 1990; Ungar & de
standing of that ethical/professional grounding. Ahumada, 2001; Wallerstein, 1981; Watkins, 2011;
Zachrisson, 2011). In Area III, the significance of
attending to and being able to competently address
Competency Area III transference, countertransference, and parallel pro-
cess phenomena during supervision is also recog-
Knowledge about/skill in managing psychoanalytic nized. Becoming a competent supervisor requires
supervision relationship processes  the focus is on: becoming grounded in the relational foundations
establishing supervision alliance; attending to build- that underlie the practice of psychoanalytic super-
ing and maintaining supervisorsupervisee bond; vision. Area III is centered on acquiring and demon-
utilization of the supervision contract; establishing strating knowledge about and skill in that relational
mutually agreed-upon goals for supervision; being grounding.
sensitive to relational factors and their impact across
the psychoanalytic supervision and therapy dyads;
providing a safe space and safe place for the super- Competency Area IV
visee to learn and grow; and being sensitive to the Knowledge about/skill in conducting psychoanalytic
supervisees developmental needs and planning supervisory assessment and evaluation  the focus is
supervision accordingly. on: assessment of the supervisees skills and abilities;
examination of supervisee progress across supervi-
sion sessions; examination of supervision outcome for
Representative competences the supervisee; conducting useful needs assessment
The supervisor demonstrates knowledge about/skill in: to guide psychoanalytic supervision practice; being
able to provide constructive supervision feedback;
1. forming and establishing a good enough and conducting ongoing supervisor self-evaluation.
supervisory alliance and maintaining it for the
duration of the supervision relationship;
Representative competences
2. consistently creating a space for thinking and
reflection where empathy, respect, and trust The supervisor demonstrates knowledge about/skill
preponderate; in:
6 C. E. Watkins

1. conducting an educational assessment for each supervision, and incorporating those learnings into
supervisee, whereby individual learning needs the psychoanalytic supervision experience.
are determined and supervision can ideally be
tailored to best meet those identified supervisee
needs; Representative competences
2. developing evaluation procedures that are fair, The supervisor demonstrates an awareness/under-
transparent, and explicit in purpose and execu- standing of:
tion;
3. providing periodic evaluations of supervisee 1. ones own diversity and self as a cultural being;
performance, where at minimum a formative 2. others diversity and their lives as cultural
(mid-point) and summative (endpoint) review beings;
is given for each half year of supervision; 3. the interaction between self and others as
4. formulating meaningful feedback (charting shaped by individual and cultural diversity;
progress, identifying strengths, and pointing
out challenges for continued development) The supervisor demonstrates knowledge about/
based on a study of supervision sessions and skill in:
observations of clinical growth over time;
Downloaded by [C. Edward Watkins] at 13:40 17 September 2012

5. delivering clear, concise, focussed feedback in a 4. how to apply diversity understanding to the
respectful and non-threatening manner. psychoanalytic treatment and supervision situa-
tions, being consistently able to accordingly
model that understanding conceptually and
Comment interventively;
The supervision process  an eminently educational 5. how to help supervisees formulate and apply a
endeavor  is built upon an informed assessment of multicultural or diversity-sensitive case concep-
the supervisees learning style and learning needs. tualization to their treatment endeavors.
The supervisor engages in continuous educational
diagnosis (Schlesinger, 1981, p. 37). We wish to Comment
know: how does any particular supervisee best
learn?, and what are the particular learning needs As a system of thought and practice, psychoanalysis
that are most pressing in helping any supervisee best has been criticized for being slow to incorporate and
advance? In Area IV, emphasis is placed on super- integrate difference and diversity variables (e.g.,
visors striving to tailor supervision to fit what the gender, culture, and ethnicity) into its vision of
supervisee most needs (one size does not fit all), humankind (Altman, 2010). But across the last
being open, honest, and clear about evaluation generation of psychoanalytically oriented activity,
procedures, and being able to sensitively and effec- efforts have been increasingly made to remedy that
tively communicate feedback about the supervisees lack of diversity attention (e.g., Altman, 2010;
performance. Becoming a competent supervisor Chodorow, 1994; Drescher, 1998; Harris, 2005;
requires becoming grounded in the assessment/ Leary, 1995, 2012; Magee & Miller, 1997; Perry,
evaluation foundations that underlie the practice of 2011; Reis & Grossmark, 2009; Rodriguez, Caban-
psychoanalytic supervision. Area IV is centered on nis, Arbuckle, & Oquendo, 2008). In that regard,
acquiring and demonstrating knowledge about and psychoanalytic supervision has been no exception.
skill in that evaluational grounding. Rubensteins (2007) edited book (part of the Inter-
national Psychoanalytical Associations Psychoana-
lytic Ideas and Applications Series) is a good, recent
Competency Area V example of that, in which all 10 expert analysts who
were interviewed were asked (among other ques-
Knowledge about/skill in fostering attention to difference tions) about supervising candidates across cultures
and diversity  the focus is on: individual and and languages. We have come to evermore see that, if
developmental differences (e.g., cognitive complex- people are to be best understood, it is imperative that
ity) in psychoanalytic treatment/supervision; under- we strive to understand the place of difference and
standing the potential impact of variables such as diversity variables in the representational worlds of
culture, ethnicity, gender, and sexual orientation on the participants and the resulting intersubjective
the treatment/supervision processes; openness/sensi- context (Safer, 1990, p. 113); that applies not
tivity to considering ones own cultural and gender only to helping supervisees appreciate the impact
biases; and continuing to learn about the possible of diversity variables on patients lives, but also to
effects of difference/diversity factors in treatment/ helping supervisors appreciate the impact of diversity
Psychoanalytic Supervisor Competences 7

variables in their own lives as well as the lives of their ment, a lifelong endeavor that requires incandescent
supervisees. Becoming a competent supervisor re- passion for, abiding interest in, and unwavering
quires becoming grounded in the difference and dedication to the supervision enterprise itself. In
diversity foundations that underlie the practice of Area VI, along with continuing professional devel-
psychoanalytic supervision. Area V is centered on opment, emphasis is also given to the recognized
acquiring and demonstrating an awareness and importance of and need to focus on supervisor
understanding of that difference and diversity self-care, countertransference and reverse parallel
grounding. process manifestations, self-evaluation, and solicit-
ing the supervisees evaluations of supervisory per-
formance. Becoming a competent supervisor
Competency Area VI requires becoming grounded in the self-reflective,
Openness to/utilization of a self-reflective, self-assessment self-assessment foundations that underlie the prac-
stance in psychoanalytic supervision  the focus is on: tice of psychoanalytic supervision. Area VI is cen-
reflective self-examination; ongoing scrutiny of ones tered on acquiring and demonstrating the need for
own supervision behaviors, skills, and abilities; and and commitment to that self-reflective, self-assess-
continuing psychoanalytic supervision education ment grounding.
and self-enhancement efforts.
Downloaded by [C. Edward Watkins] at 13:40 17 September 2012

Toward greater accountability in


Representative competences psychoanalytic supervisor training
The supervisor demonstrates a recognized need for/ and supervision practice
is committed to: Although psychoanalytic supervisors have always
been concerned about competent analytic and
1. ongoing self-reflection about and self-study of supervision practice, the current competency move-
their own practice and its impact on the ment  affecting such disciplines as medicine,
psychoanalytic supervision experience; psychiatry, education, psychology, and social
2. examining supervisor countertransference and work  is now focussed more than ever before on
reverse parallel process phenomena and their the delineation and specification of training out-
understanding and management throughout the comes and on demonstrating that those desired
supervisory process; outcomes have indeed been achieved across different
3. ongoing self-evaluation of their supervision levels of training. In answer to the question, why
practice; bother with competences in supervision?, Falender
4. soliciting and using supervisee evaluation data/ and Shafranske (2012, p. 129) have stated the reason
opinions about the supervisor to inform their for doing so in compelling, convincing fashion:
practice efforts;
5. consistently attending to and monitoring their so whats new? What is new is the position that it is no
own self-care, and taking appropriate action to longer acceptable to simply assume that competence has
insure that personal well-being is fostered. been attained. This critique challenges the implicit
assumption that competence is necessarily or automati-
cally achieved during the usual course of doctoral
Comment education and clinical training, and requires the explicit
Being and becoming a competent psychoanalytic demonstration of competence. Such a shift involves an
supervisor is not a product of a one-time event, such increased emphasis on evidence-based modes of assess-
ment and places significant demands for accountability
as attending a single seminar about learning to
at all levels of training, i.e., on the institution, the
supervise. Rather, it is a product of multiple supervisor and the supervisee, to ensure that professional
events  participating in training seminars/discussion capability has been attained and demonstrated . . . efforts
groups about supervision, having been a supervisee, to address todays standards require steps to be taken to
serving as a supervisor to analytic candidates, on- better identify the knowledge, skills and values that are
going reading about psychoanalytic supervision, and assembled to form competencies as well as the means to
continuing, unremitting efforts to stay informed and reliably evaluate their development.
remain current about all matters supervisory. Area
VI, with its vigorous embrace of self-reflection and Our current competency push, then, is oriented
self-examination, recognizes that need for continu- increasingly toward showing that the competences in
ing professional development with regard to super- question have been achieved. But to be able to start
vision. Being and becoming a competent any sort of assessment of psychoanalytic supervision/
psychoanalytic supervisor is foremost a full commit- supervisor competences and their demonstration, we
8 C. E. Watkins

must first begin to identify the core supervision Falender, C.A., & Shafranske, E. (2012). The importance of
competency-based clinical supervision in the twenty-first
competences that define good enough psycho-
century: Why bother? Journal of Contemporary Psychotherapy,
analytic supervision practice. The complementary 42, 12937.
competency framework presented here is an attempt Filho, G.V., & Pires, A.C.J. (2010). Benign and disruptive
to contribute to that beginning competency disturbances in the supervisory field. International Journal
definition dialog. Just as it is imperative that the of Psychoanalysis, 91, 895913.
Filho, G.V., Pires, A.C.J., Berlim, G.I., Hartke, R., & Lewkowicz,
components of competent psychoanalytic practice S. (2007). The supervisory field and projective identifica-
be more specifically identified (Israelstam, 2011; tion. International Journal of Psychoanalysis, 88, 6819.
Junkers et al., 2008; Tuckett, 2005), it is equally Fleming, J., & Benedek, T.F. (1964). Supervision. A method of
imperative that the components of competent psy- teaching psychoanalysis. Psychoanalytic Quarterly, 33, 7196.
Fleming, J., & Benedek, T.F. (1966). Psychoanalytic supervision: A
choanalytic supervision practice be more specifically
method of clinical teaching. New York: Grune & Stratton.
identified as well (Watkins, 2012b). Only by doing Fosshage, J.L. (1997). Towards a model of psychoanalytic super-
that first will we then be better positioned: (1) to vision from a self-psychological/intersubjective perspective. In
evaluate the actual practice of competence (or lack M.H. Rock (ed.), Psychodynamic supervision (pp. 312335).
thereof) in psychoanalytic supervision; and (2) to Northvale, NJ: Aronson.
Frank, F.R., Snell, L.S., ten Cate, O., Holmboe, E.S., Carraccio,
train supervisors for competency across Areas I C., & Swing, S.R. (2010). Competency-based medical
Downloaded by [C. Edward Watkins] at 13:40 17 September 2012

through VI. education: Theory to practice. Medical Teacher, 32, 63845.


Frawley-ODea, M.G., & Sarnat, J.E. (2001). The supervisory
relationship: A contemporary psychodynamic approach. New
References York: Guilford Press.
Altman, N. (2010). The analyst in the inner city: Race, class, and Garza-Guerrero, C. (2004). Reorganisational and educational
culture through a psychoanalytic lens (2nd ed.). New York: demands of psychoanalytic training today: Our long and
Taylor & Francis. marasmic night of one century. International Journal of
Bang, K., & Park, J. (2009). Korean supervisors experiences in Psychoanalysis, 85, 326.
clinical supervision. Counseling Psychologist, 37, 104275. Gill, S. (ed.). (2001). The supervisory alliance: Facilitating the
Berman, E. (1997). Psychoanalytic supervision at the crossroads psychotherapists learning experience. Northvale, NJ: Aronson.
of a relational matrix. In M. H. Rock (ed.), Psychodynamic Gunderson, J.G., & Gabbard, G. (1999). Making the case for
supervision: Perspectives of the supervisor and supervisee psychoanalytic therapies in the current psychiatric environ-
(pp. 167188). Northvale, NJ: Aronson. ment. Journal of the American Psychoanalytic Association, 47,
Berman, E. (2004). Impossible training: A relational view of psycho- 679704.
analytic education. Hillsdale, NJ: Analytic Press. Harris, A. (2005). Gender as soft assembly. Mahwah, NJ: Analytic
Brodbeck, H. (2008). Anxiety in psychoanalytic training from the Press.
candidates point-of-view. Psychoanalytic Inquiry, 28, Hyman, M. (2008). Psychoanalytic supervision. In A.K. Hess,
32943. K.D. Hess, & T.H. Hess, (eds.), Psychotherapy supervision:
Cabannis, D.L. (2008). Becoming a school: Developing learning Theory, research, and practice (2nd ed., pp. 97113). Hobo-
objectives for psychoanalytic education. Psychoanalytic ken, NJ: Wiley.
Inquiry, 28, 26277. Israelstam, K. (2011). The interactive category schema of
Cabannis, D.L., & Roose, S. (1997). The control case: A unique candidate competence: An Australian experience.
analytic situation. Journal of the American Psychoanalytic International Journal of Psychoanalysis, 92, 1289313.
Association, 45, 18999. Jacobs, D., David, P., & Meyer, D.J. (1995). The supervisory
Cabaniss, D.L., Glick, R., & Roose, S. (2001). The Columbia encounter: A guide for teachers of psychodynamic psychotherapy
Supervision Project: Data from the dyad. Journal of the and analysis. New Haven, CT: Yale University Press.
American Psychoanalytic Association, 49, 23567. Junkers, G., Tuckett, D., & Zachrisson, A. (2008). To be or not to
Cabaniss, D.L., Schein, J., Glick, R., & Roose, S. (2004). be a psychoanalyst * How do we know a candidate is ready
Progression in analytic institutes: A multicenter study. to qualify? Difficulties and controversies in evaluating
International Journal of Psychoanalysis, 84, 7794. psychoanalytic competence. Psychoanalytic Inquiry, 28,
Chodorow, N. (1994). Femininities, masculinities, and sexualities: 288308.
Freud and beyond. Lexington: University of Kentucky Press. Kernberg, O. (1996). Thirty methods to destroy the creativity of
DeBell, D. (1981). Supervisory styles and positions. In R.S. candidates. International Journal of Psychoanalysis, 77,
Wallerstein (ed.), Becoming a psychoanalyst: A study of 103140.
psychoanalytic supervision (pp. 3960). New York: Interna- Kernberg, O. (2007). The coming changes in psychoanalytic
tional Universities Press. education: Part II. International Journal of Psychoanalysis, 88,
Dewald, P.A. (1987). Learning process in psychoanalytic supervision: 183202.
Complexities and challenges. Madison, CT: International Kernberg, O. (2011). Psychoanalysis and the university: A
Universities Press.
difficult relationship. International Journal of Psychoanalysis,
Dewald, P.A. (1997). The process of supervision in psycho-
92, 60922.
analysis. In C.E. Watkins, Jr. (ed.), Handbook of psychother-
Leary, K. (1995). Interpreting in the dark: Race and ethnicity
apy supervision (pp. 3143). New York: Wiley.
in psychoanalytic psychotherapy. Psychoanalytic Psychology,
Drescher, J. (1998). Psychoanalytic therapy and the gay man.
12, 12740.
Hillsdale, NJ: Analytic Press.
Leary, K. (2012). Race as an adaptive challenge: Working with
Epstein, R.M., & Hundert, E.M. (2002). Defining and assessing
diversity in the clinical consulting room. Psychoanalytic
professional competence. Journal of the American Medical
Psychology, 29, 27991.
Association, 287, 22635.
Psychoanalytic Supervisor Competences 9
Leichsenring, F. (2005). Are psychodynamic and psychoanalytic Swick, S., Hall, S., & Beresin, E. (2006). Assessing ACGME
therapies effective? A review of empirical data. International competencies in psychiatry training programs. Academic
Journal of Psychoanalysis, 86, 84168. Psychiatry, 30, 33051.
Levy, J. (2007). Commentary. In L.E. Rubenstein (ed.), Talking Szecsody, I. (1994). Supervision: A complex tool for psycho-
about supervision: 10 questions, 10 analysts 100 answers analytic learning. Scandanavian Psychoanalytic Review, 17,
(pp. 107120). London: International Psychoanalytical 11929.
Association. Szecsody, I. (2008). Does anything go in psychoanalytic super-
Magee, M., & Miller, D. (1997). Lesbian lives: Psychoanalytic vision? Psychoanalytic Inquiry, 28, 37386.
narratives old and new. Hillsdale, NJ: Analytic Press. Tebes, J.K., Matlin, S.L., Migdole, S.J., Farkas, M.S., Money,
Miller, S.I., Scully, J.H., Jr., & Winstead, D.K. (2003). The R.W., & Shulman, L. (2011). Providing competency training
evolution of core competencies in psychiatry. Academic to clinical supervisors through an interactional supervision
Psychiatry, 27, 12830. approach. Research on Social Work Practice, 21, 1909.
Pegeron, J. (2008). A course on the supervisory process for Teitelbaum, S.H. (1990). Supertransference: The role of the
candidates . . . and supervisors: An attempt to address incon- supervisors blind spots. Psychoanalytic Psychology, 7,
sistencies in psychoanalytic education and fundamental 24358.
paradox of psychoanalytic training. Psychoanalytic Inquiry, Tuckett, D. (2005). Does anything go? Towards a framework for
28, 34460. the more transparent. International Journal of Psychoanalysis,
Perry, J.C. (2011). When race and culture matter in psychody- 86, 3149.
namic child therapy: Considerations on theory, process, and Ungar, V.R., & de Ahumada, L.B. (2001). Supervision: A
technique. Psychoanalysis, Culture, and Society, 16, 17995. container-contained approach. International Journal of
Downloaded by [C. Edward Watkins] at 13:40 17 September 2012

Psychology Board of Australia (2011). Exposure draft: Guideline Psychoanalysis, 82, 7181.
for supervisors and supervisor training providers. Retrieved Wallerstein, R.S. (ed.). (1981). Becoming a psychoanalyst: A study
May 28, 2012 from http://www.psychologyboard.gov.au/ of psychoanalytic supervision. New York: International Uni-
news/current-consultations.aspx. versities Press.
Reeder, J. (2004). Hate and love in psychoanalytic institutions. New Wallerstein, R.S. (2011). Psychoanalysis in the university: The
York: Other Press. natural home for education and research. International
Reis, B., & Grossmark, R. (eds.). (2009). Heterosexual masculi- Journal of Psychoanalysis, 92, 62339.
nities: Contemporary perspectives from psychoanalytic gender Watkins, C.E., Jr. (2011). Is psychoanalytic education effective?
theory. New York: Routledge. A comment on Damsa et al. (2010). American Journal of
Rodenhauser, P. (1997). Psychotherapy supervision: Prerequisites Psychoanalysis, 71, 2902.
and problems in the process. In C.E. Watkins, Jr. (ed.), Watkins, C.E., Jr. (2012a). On psychoanalytic supervisor compe-
Handbook of psychotherapy supervision (pp. 527548). New tencies, the persistent paradox without parallel in psycho-
York: Wiley. analytic education, and dreaming of an evidence-based
Rodolfa, E., Bent, R., Eisman, E., Nelson, P., Rehm, L., & psychoanalytic supervision. Psychoanalytic Review, 99,
Ritchie, P. (2005). A cube model for competency develop- 475506.
ment: Implications for psychology educators and regulators. Watkins, C.E., Jr. (2012b). Race/ethnicity in short-term and
Professional Psychology: Research and Practice, 36, 34754. long-term psychodynamic psychotherapy treatment re-
Rodriguez, C.I., Cabannis, D.L., Arbuckle, M.R., & Oquendo, search: How white are the data? Psychoanalytic Psychology,
M.A. (2008). The role of culture in psychodynamic psy- 29, 292307.
chotherapy: Parallel process resulting from cultural simila- Watkins, C. E., Jr. (in press). On psychotherapy supervision
rising: Supervision competencies in international perspec-
rities between patient and therapist. American Journal of
tive. International Journal of Psychotherapy.
Psychiatry, 165, 14026.
Zachrisson, A. (2011). Dynamics of psychoanalytic supervision:
Roe, R.A. (2002). What makes a competent psychologist?
A heuristic model. International Journal of Psychoanalysis, 92,
European Psychologist, 7, 192202.
94361.
Rojas, A., Arbuckle, M., & Cabaniss, D. (2010). Dont leave
teaching to chance: Learning objectives for psychodynamic
psychotherapy supervision. Academic Psychiatry, 34, 469.
Rubenstein, L.E. (ed.). (2007). Talking about supervision. London: Author
Karnac.
Safer, J.M. (1990). Symposium: Gender issues in psychoanalytic C. Edward Watkins, Jr., is Professor of Psychology,
supervision introductory remarks. In R.C. Lane (ed.), Department of Psychology, University of North
Psychoanalytic approaches to supervision (p. 113). New York: Texas, Denton, TX, USA. His primary professional
Brunner/Mazel.
interests focus on psychoanalytic theory, practice,
Sarnat, J. (2012). Supervising psychoanalytic psychotherapy:
Present knowledge, pressing needs, future possibilities. and supervision. He teaches psychotherapy super-
Journal of Contemporary Psychotherapy, 42, 6574. vision and conducts supervision in the Psychology
Schlesinger, H.J. (1981). General principles of psychoanalytic clinic. He is editor of the Handbook of Psychotherapy
supervision. In R.S. Wallerstein (ed.), Becoming a psycho- Supervision and co-author (with C. H. Patterson) of
analyst: A study of psychoanalytic supervision (pp. 2938).
Theories of Psychotherapy, and is currently in the
New York: International Universities Press.
Snell, L.S., & Frank, J.R. (2010). Commentary: Competencies, process of co-editing (with Derek Milne) the
the tea bag model, and the end of time. Medical Teacher, 32, International Handbook of Clinical Supervision.
62930.

The author has requested enhancement of the downloaded file. All in-text references underlined in blue are linked to publications on ResearchGate.

Você também pode gostar