Episode 3: Fostering Dependence And Nurturing Independence

Episode 3: Fostering Dependence And Nurturing Independence

In this episode, Rachael struggles with her own feelings about her therapy being cut across by a psychiatrist who seems to be opposed to long term therapy.


She feels activated especially as the patient has asked her to intervene and contact the psychiatrist.

In supervision, she engages with her frustration at the interference in her treatment and her therapeutic relationship and also her anger in relation to the zeitgeist that opposes in-depth therapy.

Rachael⁠ recognises that in her activation she gets pulled into focusing more on the zeitgeist and less on the patient and is hooked by the emergence of her own sibling rivalry .


These are not enacted with the patient but they interfere with Rachael⁠’s ability to think about the analytic meaning of the patient’s request. Through supervision, she is able to see that she is inadvertently being invited into a split and while activated is loosing the opportunity to explore the psychodynamic meaning of the patient’s request. Through this understanding she returns to her analytic position.

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Episoder(47)

Episode 7: "I Feel Unsafe" - Victimisation and Fragilisation

Episode 7: "I Feel Unsafe" - Victimisation and Fragilisation

In this episode, Rachael takes on a number of important questions including when is it appropriate to bypass defences by uniting with the patient’s perspective and when to try to get under the defence...

2 Aug 24min

Episode 6: Frustration and Envy - The Apparent Luxury of Collapse

Episode 6: Frustration and Envy - The Apparent Luxury of Collapse

In this episode, Andrew encounters a patient whose stated objective is to own her own competence and self assuredness and to be more like him. Andrew anticipates encountering a people pleaser and is s...

5 Jul 27min

Episode 5: I'm Glad My Mum Died, But It's A Shame I Didn't Get To Kill Her

Episode 5: I'm Glad My Mum Died, But It's A Shame I Didn't Get To Kill Her

In this episode, Rachael gets tangled up in her own anger and hostility towards her patient on behalf of the patient’s daughter. While trying to distance herself from the patient's enmeshment with the...

31 Mai 26min

Episode 4: Therapy Terminable And Interminable

Episode 4: Therapy Terminable And Interminable

In this episode, Andrew struggles with the question of therapy terminable and interminable. He faces an ethical dilemma as to whether continuing therapy with a particular patient who has made consider...

3 Mai 25min

Episode 2: The Impenetrable Couple - Therapist As Third Wheel

Episode 2: The Impenetrable Couple - Therapist As Third Wheel

In this episode, Andrew presents an unusual situation where a patient requires his partner to be present in his therapy not to work on couple dynamics, but as a benign observer. Andrew finds himself u...

1 Mar 21min

Episode 1: I Used ChatGPT And I Still Got Castrated

Episode 1: I Used ChatGPT And I Still Got Castrated

In this episode, Rachael struggles with her impulse to be castrating when she encounters what she experiences as an impenetrable patient, a Citadel.  She is irked by the patient constantly batting awa...

1 Feb 25min

Episode 8: Hot Shrink For A Hot Minute: Erotic Transference Part II

Episode 8: Hot Shrink For A Hot Minute: Erotic Transference Part II

In this episode, Rachael plumbs the mysteries of the erotic, both in the transference and the countertransference; mysterious because it occurs in liminal or transitional space as Winnicott would say....

7 Sep 202524min

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