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Osservazione

“Your eyes are beautiful”, first session of an observation

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Abstract

This is the report of a first observation session, punctuated by comments coming from the supervision work and concluded by a series of more global considerations, which allow to inscribe what was said within a family and physiological evolutionary path.In this text is constantly present the passage between what the family actually puts in place during the session, the contemporary emotional state of the observer, who participates in what happens and questions herself, without yet formulating explanations and, finally, the real elaborations, coming from the supervision sessions that allow to pass from an observation without judgment to an interpretation of Read more

PsichiatriaGruppo

A supervising experience within an institution

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Abstract

A experience of supervision in a former asylum, transformed about a decade ago into an R.S.D., a residence for the disabled integrating basic assistance and sanitary care. The search for a unified interpretation of the institutional field, its great founders and its implicit rules, as a path to reduce the anxiety and the subsequent block on the vital energy needed in order to change. This energy had been a long time catalyzed by defensive mechanisms indispensable to those who work within the guidelines of the ‘relationship of helping’ in the residential context.

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RembrandtPsicodramma

Psychodramatic play as an inductor of rêverie

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Abstract

The aim of this article is to mark the particularity of the supervision in a psychodrama setting, underlining the importance to promote into the psychotherapist the ability of “construction” that develops and takes forces from reverie. The play is presented as a instrument of fragmentation of the precedent representations of the inner and external world that for each one can coincide with their dominant ghost, making possible that in a visual and sonorous more consistent at a perceptive level, space, it is promoted that ability of reverie that founds the fundamental construction of Read more

sogno e gruppo

“Istitution’s dream” in the groups of supervision

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Abstract

We would like to take advantage of this meeting on dreams and the group to propose reflections relating to a particular working context with which we have been dealing in the last few years. We are referring to the supervisions carried out as external consultants in the mental health structures with groups of operators of the services. In fact “group supervision” has become a stable practice in many psychiatric services, starting off from the pilot experiments carried out by some of us in the early 1980s. Previous meetings of occasional consultation had occurred in certain groups, however in our opinion without taking their place in the working set-up and Read more

PieroSogno

Supervision of institutional groups: myths and dreams

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Abstract

Just as the vertice of the dreamer is not the same as the one the dreamer finds himself in when he wakes up, and the vertice of the artist is not that of the interpreter of the work of art, in the same way the vertice of associations is not the same as the vertice of the psychoanalyst carrying out interpretations and the vertice of the creator of the myth is not the same as the one of the person who attempts to reformulate it, contributing to the transformations that occur in the course of institutional supervision. Viewed in this light, institutional myths become elements for the understanding of the basic functioning of the service. And if a non-rigid myth presents itself in the course of supervision, this helps professionals and the group to treat their patients. However, the discovery of a rigid myth can also sometimes give the supervisor an opportunity to make it interpretable, thereby offering it up to the understanding of the group, in an attempt to unblock it Read more

MagritteContenitore

Psychoanalytic supervision and consultancy: promoting containment and support in institutions

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Abstract

In conjunction with personal analysis and theory/technique seminars, clinical supervision represents one of the three pillars of psychoanalytic training. Since several years, however, ‘supervision’ is also a term which describes consulting for staff groups in health and social institutions, a practice standing at the crossroad between training and consultancy, offered to teams more and more heterogeneous and involved in an often confused  network of  related services. The Authors developed their hypotheses by reflecting about their work as consultants/supervisors providing staff support systems within various institutions. The first part of the paper focuses on similarities and differences between individual and institutional supervision, with particular attention to clinical supervision, experiential team building, organizational development, and the issues involved in the relationship, overlapping and conflict among training, support and administrative functions. The second part examines the notion of  institutional container, word which has become a magical passepartout in healthcare organizations. The AA explore the functions implied by such notion in the light of: Winnicott’s concept of ‘holding’; Pichon-Rivière and Bleger’s concepts of ‘deposit’ and ‘context’; Bion’s theory of container/contained; Abadi’s paper on paradigmatic shift from the boundary to the network. The last part discusses how the so called ‘managed care’ has indeed created new institutional scenarios. The AA look at the analysis of Read more