Supervision as oversight: A new era in the history of psychoanalytic practice and training?

Abstract

Taking its cue from Ekstein's analysis of the history of supervision (1960), this article proposes that there is a new historical era emerging in Britain, a phase that could be characterised as the ‘regulatory phase’. It is argued that in the future the clinical supervisor of psychoanalytic work will be positioned as ‘overseer’, with the consequence that what might be overlooked/not seen in the new regulatory climate is the notion of a psychoanalytically informed practice as a practice of the questioning of knowledge and its effects. Further, it considers how the effect of the proposed regulatory framework for psy-practice in the UK elides the current distinction between ‘practitioner/analyst’ and ‘trainee/candidate’. Thus psychoanalytically informed practitioners are re-positioned as candidates for authorisation as state licensed psy-practitioners. A clinical example, based loosely on Freud's account of his analysis of the young female homosexual, draws attention to the specifics and problematics of the competencies for analytic work and its supervision proposed by the Health Professions Council, Skills for Health and research for University College London, which envisages a future role of supervisors as the overseers of standardised interventions.