Contemporary Psychoanalysis: To Cite This Article: Peter Lawner Ph.D. (1989) Counteridentification, Therapeutic
Contemporary Psychoanalysis: To Cite This Article: Peter Lawner Ph.D. (1989) Counteridentification, Therapeutic
Contemporary Psychoanalysis: To Cite This Article: Peter Lawner Ph.D. (1989) Counteridentification, Therapeutic
Contemporary Psychoanalysis
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Counteridentification,
Therapeutic Impasse, and
Supervisory Process
Peter Lawner Ph.D.
Published online: 28 Oct 2013.
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PETER LAWNER, Ph.D.
Counteridentifícation, Therapeutic
Impasse, and Supervisory Process*
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592
0010-7530/89 »2.00 + .05
Copyright © 1989 W. A. W. Insütute
20 W. 74th Street, New York, NY 10023
All rights of reproduction in any form reserved.
Contemporary Psychoanalysis, Vol. 25, No. 4 (1989)
COUNTERIDENTIFICATION AND THERAPEUTIC IMPASSE
Psychoanalytic Supervision
T h e r e is a history of a decisive d i v e r g e n c e with r e g a r d to t h e
p r o p e r m o d e of f u n c t i o n i n g of t h e supervisory situation, traceable
t o d i s a g r e e m e n t s b e t w e e n a p p r o a c h e s which, d u r i n g t h e 1930's,
c a m e to b e k n o w n as t h e " V i e n n a m o d e l " a n d t h e " B u d a p e s t
m o d e l " ( D o e h r m a n , 1976; Caligor, 1981). T h e " V i e n n a " a p p r o a c h
e s p o u s e d a view of s u p e r v i s i o n as a n i n t e l l e c t u a l l y m e d i a t e d
l e a r n i n g process. T h e " B u d a p e s t " perspective, in contrast, r e p r e
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' It is of interest to note the parallel between this antithesis of prescriptive view
points regarding psychoanalytic supervision and an analogous disagreement which
has long characterized the field as to the nature of, and proper analytic attitude
with regard to countertransference (Kernberg, 1965). The more conservative point
of view (Reich, 1951, 1960) asserts the desirability (and of course the possibility) of
the analyst minimizing his countertransference reactions, while the latter (Hei-
mann, 1950; Little, 1951) emphasizes the therapeutic value of the recognition of its
inevitable influential presence and of efforts to capitalize upon its informative po
tential. Referring to the second of these perspectives LaPlanche and Pontalis (1973,
p. 93) write: "This approach is based on the tenet that resonance 'from unconscious
to unconscious' constitutes the only authentically psychoanalytic form of communi
cation" (see Epstein and Feiner, 1979).
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PETER LAWNER, Ph.D.
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COUNTERIDENTIFICATION AND THERAPEUTIC IMPASSE
2 I anticipate here an issue upon which I shall later elaborate, to wit: not only is the
supervisee's behavior in supervision defensive, and defensive in a manner corre
sponding to that which his patient has been expressing toward him (thus illustrating
the parallel process phenomenon), but it is also defensive in a related manner to
that which he in turn has been evincing in relation to his patient. I shall stress the
counteridentificatory nature of this latter kind of therapist defensiveness.
595
PETER LAWNER, Ph.D.
t h e r a p i s t ' s d o m i n a n t m o d e s of r e s p o n d i n g to t h e m a t t e r — a n d
c o n s e q u e n t b y p a s s i n g o f t h e s u p e r v i s e e — S e a r l e s yokes his dis
covery of the parallel process to a n a r r o w p a t i e n t focus. While his
d y n a m i c a p p r o a c h c o m p e n s a t e s for t h e poverty of t h e exclusively
didactic e m p h a s i s traditionally associated with such a p a t i e n t focus
in supervision, h e nevertheless sacrifices m u c h of t h e efficacy I
find attainable if t h e a p p r e c i a d o n of parallel process is a c c o m p a
nied by a therapist focus within psychoanalytic supervision.
Counteridentifícation
I believe attention to counteridentification within supervision
provides a b r i d g e b e t w e e n t h e "therapist" a n d "parallel p r o c e s s "
foci.
A l t h o u g h F r e u d (1910a) f o r m u l a t e d t h e c o n c e p t of c o u n t e r -
t r a n s f e r e n c e early, h e paid little a t t e n t i o n to this vital process. Its
significance r e m a i n e d o b s c u r e for s o m e time. Describing it as u n
d e s i r a b l e a n d " b a d , " h e n c e r e q u i r i n g excision, t h e o t h e r c h i e f
characteristics F r e u d n o t e d w e r e t h a t it was: transferential, reac
tive to t h e patient's p r i o r t r a n s f e r e n c e , defensive, a n d ultimately
c o u n t e r t h e r a p e u t i c . A n d this view has t e n d e d to b e m a i n t a i n e d by
those r e p r e s e n t i n g t h e classical psychoanalytic t r a d i t i o n .
By contrast, c o m m e n c i n g in t h e early 1950's a c o n c e p t i o n of
c o u n t e r t r a n s f e r e n c e has b u r g e o n e d which views it in a less r e
s t r i c t e d way t h a n h a v e t h e " c l a s s i c i s t s . " T h i s m o r e r e c e n t l y
e m e r g i n g "totalistic" version of it, as it has b e e n called ( K e r n b e r g ,
1965), diverges in every o n e of t h e above-cited respects f r o m t h e
classical version. Accordingly it is n o t entirely, n o r e v e n of neces
sity primarily, transferential; n o t instigated by t h e a d v e n t of t h e
analysand's p r i o r t r a n s f e r e n c e ; n o t necessarily defensive; a n d p o
tentially n o t c o u n t e r t h e r a p e u t i c . R a t h e r , it is responsive to crucial
aspects of t h e c o r r e c d y , if subliminally, a p p r e h e n d e d realities o f
b o t h participants a n d contains a rich lode of therapeutically useful
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COUNTERIDENTIFICATION AND THERAPEUTIC IMPASSE
i n f o r m a t i o n as to t h e d y n a m i c essentials of t h e analytic i n t e r a c t i o n
(see Epstein a n d Feiner, 1979). T h e classical view of c o u n t e r t r a n s
ference in short, for several d e c a d e s now, has b e e n c h a l l e n g e d by
this optimistic "totalistic" alternative.
I believe, however, t h a t b o t h views h a v e failed to c o n s i d e r suffi
ciently t h e issue of t h e defensiveness of c o u n t e r t r a n s f e r e n c e , a
characteristic which is essential to my f o r m u l a t i o n of c o u n t e r i d e n -
tification. T h e classical view n e v e r seriously a d d r e s s e s , in its o w n
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COUNTERIDENTIFICATION AND THERAPEUTIC IMPASSE
s u c c e e d e d by t h e r e - e x p e r i e n c e of h i m as a s e p a r a t e individual, b u t
n o w with a n i m a g e of h i m e n r i c h e d by t h e p r e c e d i n g sensing of
this aspect of his i n n e r world. T o w a r d t h e o t h e r pole o c c u r t h o s e
counteridentificatory processes in which t h e therapist's identifica
tion with his p a d e n t is p r o l o n g e d , a n d p r e d o m i n a n d y aligned with
defensive-resistant processes in h i m . Viewed this way, c o u n t e r -
identification which is severe a n d unresolvable rests u p o n e x t r e m e
quantitative (i.e., t e m p o r a l l y e x t e n d e d ) a n d qualitative (identifica
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Expressions of Counteridentification in
Psychoanalytic Supervision
Searles (1955) did n o t e t h a t t h e supervisee t e n d s unconsciously
to enact p r o b l e m a t i c issues a n d a t t i t u d e s with his s u p e r v i s o r which
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c o u n t e r i d e n t i f i c a d o n r a t h e r t h a n to c o u n t e r t r a n s f e r e n c e , b e i n g
with g r e a t frequency o n e in which n o t only d o e s t h e supervisee
replicatively enact with his supervisor t h e unconscious defensive
process s h o w n by his patient; h e has i n d e e d b e e n e n a c t i n g this
s a m e defensive process with his patient, by so m i r r o r i n g h i m , con
stituting t h e t h e r a p e u t i c impasse.
It t h e r e f o r e b e h o o v e s t h e supervisor to n o t e a n d e x p l o r e t h e
m a n n e r in which t h e s u p e r v i s e e h a s b e e n defensively a l i g n i n g
himself with t h e patient. T h e s u p e r v i s o r achieves this result by
w o r k i n g to free himself from indiscriminate reactivity to t h e p a r
allel-process-mediated "pull" t o w a r d s defensive interaction with
his supervisee. I n d o i n g so, h e g a t h e r s a n d proffers insight into
t h e n a t u r e of t h e supervisee's defensive dedifferentiation with r e
spect to his p a t i e n t a n d invitation t o c o r r e s p o n d i n g defensive in
teraction with t h e supervisor. H e illuminates t h e patient's similarly
s t r u c t u r e d unconscious defensive c o m m u n i c a t i o n s to t h e s u p e r
visee; a n d h e sponsors t h e r e i n s t a t e m e n t of a non-defensive, c o m -
m u n i c a d v e m o d e of relatedness with his supervisee. T h e s u p e r
visee t e n d s t o e x p e r i e n c e insight into himself i s o m o r p h i c t o this
i n t e r p e r s o n a l d e v e l o p m e n t with his supervisor, a n evolution typi
cally c o n c u r e n t with his e x p e r i e n c e of illumination r e g a r d i n g his
patient.
Clinical Examples
(1) Dr. I., w h o revealed in passing o n several occasions h a v i n g
felt u n c a r e d for a n d h a v i n g l o n g e d for c a r i n g a t t e n t i o n f r o m a key
figure in his family, r e p o r t e d his a p p r e h e n s i o n a b o u t t h e r e c e n t
•· There are those (see Caligor, 1981) who by contrast emphasize the typicalness of
the supervisor too being swept up in the process. Of course, such an immersion,
analogous to that of the therapist earlier discussed, especially if quantitatively and
qualitatively extreme, deprives the supervisor of the means to clarify the influences
impeding the therapeutic process.
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COUNTERIDENTIFICATION AND THERAPEUTIC IMPASSE
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PETER LAWNER, Ph.D.
(2) I n t h e t h i r d session of h e r p r e s e n t a t i o n to a s u p e r v i s i o n
g r o u p , D r . R. r e p o r t e d t h a t in t h e previous g r o u p m e e t i n g she h a d
felt as t h o u g h t h e g r o u p h a d b e e n characterizing h e r p a t i e n t as
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b e i n g " b a d , " a n d of h a v i n g e x p e r i e n c e d t h e u r g e to d e f e n d h e r .
D r . R. h a d initiated t h e supervisory p r e s e n t a t i o n of work with Miss
M., h e r p a d e n t of VA years, with t h e e x p l a n a t i o n that "while o u r
sessions a r e pleasant, t h e y ' r e o n t h e surface s o m e h o w , a n d feel as
t h o u g h t h e y ' r e not g o i n g a n y w h e r e . "
A m o n g t h e essentials of t h e history a n d c u r r e n t life situation of
Miss M., which D r . R. h a d earlier r e c o u n t e d , w e r e i n c l u d e d t h e
following: Miss M. h a d b e e n d e s e r t e d at a g e two by h e r m o t h e r ,
ostensibly because of a c h r o n i c disease necessitating brief hospital
ization. H e r m o t h e r h a d c o n s e q u e n t l y t u r n e d Miss M. a n d t h e
m o t h e r ' s y o u n g e r siblings (for w h o m she h a d also b e e n t h e c a r e
taker) over to t h e care of a family friend. Miss M. s u b s e q u e n d y h a d
b e e n sexually m o l e s t e d by h e r uncle (the m o t h e r ' s y o u n g e r
b r o t h e r ) while b o t h w e r e in t h e c a r e of t h e i r new g u a r d i a n s . I n
r e c e n t sessions, Miss M., now in h e r late adolescence, e m p h a s i z e d
t h e c u r r e n t o r d e a l of b e i n g accused by h e r s t e p f a t h e r o f b e i n g
" b a d " (e.g., sexually indiscriminate).
T w o o t h e r o c c u r r e n c e s f r o m t h e s u p e r v i s o r y session d e s e r v e
m e n t i o n . Dr. R. r e m a r k e d t h a t as a c o n s e q u e n c e of t h e p r e v i o u s
g r o u p discussions she h a d p u t a stop to h e r habit of giving Miss M.
a p p r o x i m a t e l y five e x t r a m i n u t e s each session a n d h a d invited h e r
attention to it. S h e said t h a t Miss M. h a d evidenced n o interest in
this at all, n e i t h e r to t h e time given n o r t a k e n away. I n s t e a d , she
r e v e r t e d t h e focus of discussion to h e r uncle's c h i l d h o o d sexual
a b u s e of h e r . I n a d d i t i o n , o n e of t h e g r o u p m e m b e r s perceptively
o b s e r v e d t h a t w h e n r e p o r t i n g Miss M's s t a t e m e n t t h a t s h e was
"given" h e r uncle w h e n she was relocated to t h e g u a r d i a n ' s a b o d e .
D r . R. " m a d e it s o u n d like a gift, r a t h e r t h a n h e r m o t h e r ' s a b a n
d o n m e n t of b o t h of t h e m . "
I n o t e d to D r . R. t h a t t h e p e r s o n w h o e x p e r i e n c e s , yet also w a r d s
off, i n t e n s e guilt, t e n d s to feel d e s e r v i n g a n d t h e n fearful of p u n
i s h m e n t . T h i s s e e m e d to be t r u e of Miss M., w h o gave m u c h evi-
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C O U N T E R I D E N T I F I C A T I O N A N D T H E R A P E U T I C IMPASSE
(3) D r . T . b e g a n a s u p e r v i s o r y s e s s i o n by s a y i n g h e felt
"blocked," a p p a r e n d y r e f e r r i n g to his indecision as to which pa
t i e n t to discuss. H e settled o n M r . K., a late m i d d l e a g e d m a n
a b o u t w h o m h e h a d previously s p o k e n , whose o v e r r i d i n g c o m
plaint c o n c e r n e d a painful a n d h u m i l i a t i n g u r e t h r a l blockage f r o m
which h e h a d suffered for d e c a d e s , a n d t o w a r d t h e t r e a t m e n t of
w h o m D r . T . e x p r e s s e d a "lack of o r i e n t a t i o n . " A parallel process
e n a c t m e n t was suggested by t h e striking c o r r e s p o n d e n c e in t h e
t h e r a p e u t i c p a i r c o n c e r n i n g "blocking," a n d was s u p p o r t e d by t h e
r e s e m b l a n c e of t h e two participants' sense of b e i n g u n a b l e to direct
t h e f l o w — " u r i n a r y " (Mr. K.) a n d psychological (Dr. T . ) — a s well
as by D r . T's a b u n d a n t e m o t i o n a l blocking d u r i n g this supervisory
hour.
D r . T . e l a b o r a t e d Mr. K's e x p e r i e n c e of a veritable Ufetime of
d o c t o r s b e i n g indecisive in t h e i r diagnosis of his ailment, b o t c h i n g
t h e i r surgical i n t e r v e n t i o n s with r e g a r d to it, n o t truly b e i n g con
c e r n e d a b o u t him, a n d claiming t h a t h e e x a g g e r a t e d his p a i n . H e
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COUNTERIDENTIFICATION AND THERAPEUTIC IMPASSE
t i o n . I p r o p o s e d t h a t t h e u r g e n c y of his s t r i v i n g to b e h e l p f u l
served to eclipse his p e r c e p t i o n of his patient's motive to r e n d e r
h i m o t h e r w i s e . T o this h e r e p l i e d : " Y e s , i n g e n e r a l t h a t ' s a
p r o b l e m of m i n e . " I suggested t h a t while facilely yielding a n d c o m
pliant ( a n d t h e substitute w o r d " c o m p l a i n t " insistendy i n t r u d e s it
self h e r e ) , by i g n o r i n g t h e specificity of t h e i n t e r p e r s o n a l c o n t e x t
u p o n which I h a d c o m m e n t e d a n d by reifying himself, h e was si-
l e n d y r e g i s t e r i n g a defiant p r o t e s t , as t h o u g h c o m m u n i c a d n g t o
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Conclusion
I m o d e l m y c o n c e p t i o n of counteridentification u p o n t h e p a r a
d i g m F r e u d (1912) sketched in t h e " T h e Dynamics of T r a n s f e r
e n c e , " to t h e effect t h a t t r a n s f e r e n c e s a r e a d v a n c e d for resistant
p u r p o s e s . I p r o p o s e that t h e t h e r a p i s t , in r e s p o n s e to a n obscurely
a p p r e h e n d e d relational t h r e a t , often unconsciously selects f r o m
his defensive characterological r e p e r t o i r e a defensive-resistant at
t i t u d e , behavior, etc. m a t c h i n g o n e which his p a t i e n t is forcefully
e x p r e s s i n g , so as to forestall t h e p r o s p e c t i v e e x p a n s i o n , d e e p
e n i n g , a n d u n f o l d i n g of t h e i r r e l a t i o n s h i p .
Secondly, I p r o p o s e that o n o n e h a n d , supervisees t e n d to
p r e s e n t for supervisory scrutiny w o r k with those patients w h o p r o
voke such a counteridentification process in t h e m as a n e x p r e s s i o n
of a progressive, self-exploratory striving. T h e y d o so, in o t h e r
w o r d s , o u t of a c o n c e r n t h a t they a r e e n g a g e d in a n inarticulated,
ego-syntonic defensive way, in flight f r o m a n e m e r g i n g c u r r e n t o f
r e l a t i o n s h i p with t h e i r p a t i e n t . H o w e v e r , I believe t h a t in p r e
s e n t i n g to t h e i r supervisors t h e s a m e defensive f r o n t t h a t they a r e
o n g o i n g l y p r e s e n t i n g to t h e i r p a t i e n t , they c o n c u r r e n d y e x p r e s s a
wish for a n d invitation to h i m to collude in t h e i r counteridentifica
tory avoidance.
Finally, I s h o u l d like to amplify t h e simple, yet p r o f o u n d obser
vation by R o b e r t Fleiss (1953), t h a t every c o u n t e r t r a n s f e r e n c e is
based u p o n a counteridentification. Fleiss' observation is c o n s o
n a n t with F r e u d ' s (1915) vital discovery t h a t one's l e a d i n g o r i e n t a
tion to o r e x p e r i e n c e of a r e l a t i o n s h i p o n a n o t h e r p l a n e of a w a r e
ness consists of its a p p a r e n t c o m p l e m e n t a r y , reciprocal, o r o p p o
site disposition. If t h e e x p e r i e n c e of c o u n t e r t r a n s f e r e n c e t h e n is
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PETER LAWNER, Ph.D.
u n d e r s t o o d as c o n s t i t u t e d of t h e n o n r e f lective e n a c t m e n t of a r e
ciprocal e m o t i o n a l s t a n c e to t h a t of o n e ' s p a t i e n t , c o r r e s p o n d i n g l y
I a s s u m e this p r o c e s s r e g u l a r l y to b e a c c o m p a n i e d by a d i s c l a i m e d
o v e r i d e n t i f i c a t i o n a n d c o i n c i d e n c e with t h e m o t i v a t i o n a l s t a n c e o f
t h e o t h e r to which it a p p e a r s so c o n s p i c u o u s l y r e c i p r o c a l . It is t h u s
t h a t c o u n t e r i d e n t i f i c a t i o n c a n b e f o u n d to b e e x p r e s s e d by t h e r a
pists as a m e a n s t o forestall t h e e v o l u t i o n o f t h e o f t e n t h r e a t e n i n g
r e l a t i o n a l psychoanalytic p r o c e s s .
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