“…all supervision must integrate…culture”
(Tummala-Narra, 2004, p. 304).
Abstract
Although recognized as highly crucial to supervision practice (e.g., Tummala-Narra, 2004), culture has been addressed minimally in the psychoanalytic supervision literature. Calls to remedy that limitation have been made and making culture matter has been identified as a most pressing need for psychoanalytic supervision. But how then do we as supervisors go about doing that? How might we better position culture in, and make culture central to, our psychoanalytic supervisory conceptualization and conduct? We subsequently take up those questions, expanding upon our earlier proposals about cultural humility and the Cultural Third (Watkins and Hook, 2016) by (a) proposing a tripartite multicultural perspective (i.e., cultural humility-cultural comfort-cultural opportunities) as supervision sine qua non; (b) using recognition theory as a way to better understand that very process of Third creation and elaboration; and (c) providing a rupture/repair case example that shows efforts to create and build the Cultural Third in supervision. The Cultural Third is conceptualized as a product of doers-doing with so as to culturally learn together through “not knowing”.
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References
Akhtar, S. (2018). Humility. American Journal of Psychoanalysis, 78, 1–27.
Benjamin, J. (1988). The bonds of love. New York, NY: Pantheon Books.
Benjamin, J. (2004). Beyond doer and done to: An intersubjective view of thirdness. The Psychoanalytic Quarterly, 73, 5–46.
Benjamin, J. (2006). Two–way streets: Recognition of difference and the intersubjective third. Differences: A Journal of Feminist Cultural Studies, 17, 115–146.
Benjamin, J. (2009a). A relational psychoanalysis perspective on the necessity of acknowledging failure in order to restore the facilitating and containing features of the intersubjective relationship (the shared third). International Journal of Psychoanalysis, 90, 441–450.
Benjamin, J. (2009b). Response. International Journal of Psychoanalysis, 90, 457–462.
Benjamin, J. (2018). Beyond doer and done to: Recognition theory, intersubjectivity, and the third. New York, NY: Routledge.
Brown, C. (2010). Perspectives on difference in psychoanalytic supervision. Attachment: New Directions in Psychotherapy and Relational Psychoanalysis, 4, 275–287.
Brown, L. J. & Miller, M. (2002). The triadic intersubjective matrix in supervision: The use of disclosure to work through painful affects. International Journal of Psychoanalysis, 83, 811–823.
Carlsson, J., Norberg, J., Sandell, R. & Schubert, J. (2011). Searching for recognition: The professional development of psychodynamic psychotherapists during training and the first few years after it. Psychotherapy Research, 21, 141–153.
Crociani-Windland, L. (2013). Towards a psycho-social pedagogy as a relational practice and perspective. Organisational and Social Dynamics, 13, 127–146.
Davis, K. (2008). Intersectionality as buzzword: A sociology of science perspective on what makes a feminist theory successful. Feminist Theory, 9, 67–86.
Davis, D. E., DeBlaere, C., Owen, J., Hook, J. N., Rivera, D. P., Choe, E., et al. (2018). The multicultural orientation framework: A narrative review. Psychotherapy, 55, 89–100.
Ellis, M. V. (2017). Narratives of harmful clinical supervision. The Clinical Supervisor, 36, 20–87.
Ellis, M. V., Berger, L., Hanus, A. E., Swords, B. A., Ayala, E. E. & Siembor, M. (2014). Inadequate and harmful clinical supervision: Testing a revised framework and assessing occurrence. The Counseling Psychologist, 42, 434–472.
Ellis, M. V., Creaner, M., Hutman, H. & Timulak, L. (2015). A comparative study of clinical supervision in the Republic of Ireland and the United States. Journal of Counseling Psychology, 62, 621–631.
Filho, G. V. & Pires, A. C. J. (2010). Benign and disruptive disturbances in the supervisory field. International Journal of Psychoanalysis, 91, 895–913.
Gelso, C. J. (2011). The real relationship in psychotherapy: The hidden foundation of change. Washington, DC: American Psychological Association.
Gerson, S. (2004). The relational unconscious: A core element of intersubjectivity, thirdness, and clinical process. The Psychoanalytic Quarterly, 73, 63–98.
Greenson, R. R. (1967). The technique and practice of psychoanalysis (Vol. 1). New York, NY: International Universities Press.
Greenson, R. R. (1968). The “real” relationship between patient and psychoanalyst. In M. Kanzer (Ed.), The unconscious today (pp. 213–232). New York, NY: International Universities Press.
Hanly, C. M. (2004). The third: A brief historical analysis of an idea. The Psychoanalytic Quarterly, 73, 267–290.
Harlem, A. (2009). Thinking through others: Cultural psychology and the psychoanalytic treatment of immigrants. Psychoanalysis, Culture & Society, 14, 273–288.
Hendricks, S. & Cartwright, D. J. (2018). A cross-sectional survey of South African psychology interns’ perceptions of negative supervision events. South African Journal of Psychology, 48, 86–98.
Hook, J. N., Davis, D., Owen, J. & DeBlaere, C. (2017). Cultural humility: Engaging diverse identities in therapy. Washington, DC: American Psychological Association.
Hook, J. N., Davis, D. E., Owen, J., Worthington, E. L. & Utsey, S. O. (2013). Cultural humility: Measuring openness to culturally diverse clients. Journal of Counseling Psychology, 60, 353–366.
Hook, J. N., Watkins, C. E., Jr., Davis, D. E., Owen, J., Van Tongeren, D. R. & Ramos, M. J. (2016). Cultural humility in psychotherapy supervision. American Journal of Psychotherapy, 70, 149–166.
Horney, K. (1950). Neurosis and human growth: The struggle toward self-realization. New York, NY: W.W. Norton.
King, K. M. & Jones, K. (2019). An autoethnography of broaching in supervision: Joining supervisee and supervisor perspectives on addressing identity, power, and difference. The Clinical Supervisor, 38, 17–37.
Leary, K. (1995). “Interpreting in the dark”: Race and ethnicity in psychoanalytic psychotherapy. Psychoanalytic Psychology, 12, 127–140.
Leary, K. (1997). Race, self-disclosure, and “forbidden talk”: Race and ethnicity in contemporary clinical practice. The Psychoanalytic Quarterly, 66, 163–189.
Milne, D. L. (2006). Developing clinical supervision research through reasoned analogies with therapy. Clinical Psychology & Psychotherapy, 13, 215–222.
Ogden, T. H. (1994). The analytic third: Working with intersubjective clinical facts. International Journal of Psychoanalysis, 75, 3–20.
Ogden, T. H. (2004). The analytic third: Implications for psychoanalytic theory and practice. The Psychoanalytic Quarterly, 73, 167–195.
Owen, J. (2013). Early career perspectives on psychotherapy research and practice: Psychotherapist effects, multicultural orientation, and couple interventions. Psychotherapy, 50, 496–502.
Owen, J., Drinane, J., Tao, K. W., Adelson, J. L., Hook, J. N., Davis, D., et al. (2017). Racial/ethnic disparities in client unilateral termination: The role of therapists’ cultural comfort. Psychotherapy Research, 27, 102–111.
Owen, J., Drinane, J. M., Tao, K. W., DasGupta, D. R., Zhang, Y. S. D. & Adelson, J. (2018). An experimental test of microaggression detection in psychotherapy: Therapist multicultural orientation. Professional Psychology: Research and Practice, 49, 9–21.
Owen, J., Drinane, J. M., Tao, K. W., Hook, J., Davis, D. E. & Kune, N. F. (2016). Client perceptions of therapists’ multicultural orientation: Cultural (missed) opportunities and cultural humility. Professional Psychology: Research and Practice, 47, 30–37.
Phillips, J. C., Parent, M. C., Dozier, V. C. & Jackson, P. L. (2017). Depth of discussion of multicultural identities in supervision and supervisory outcomes. Counselling Psychology Quarterly, 30, 188–210.
Pieterse, A. L. (2018). Attending to racial trauma in clinical supervision: Enhancing client and supervisee outcomes. The Clinical Supervisor, 37, 204–220.
Roskin, G. & Rabiner, C. J. (1976). Psychotherapists’ passivity—A major training problem. International Journal of Psychoanalytic Psychotherapy, 5, 319–331.
Slavin, J. (1998). Influence and vulnerability in psychoanalytic supervision and treatment. Psychoanalytic Psychology, 15, 230–244.
Toldson, I. A. & Utsey, S. (2008). Racial and cultural aspects of psychotherapy and supervision. In A. K. Hess, K. D. Hess, & T. H. Hess (Eds.), Psychotherapy supervision: Theory, research, and practice (2nd ed., pp. 537–559). Hoboken: Wiley.
Tummala-Narra, P. (2004). Dynamics of race and culture in the supervisory encounter. Psychoanalytic Psychology, 21, 300–311.
Tummala-Narra, P. (2016). Psychoanalytic theory and cultural competence in psychotherapy. Washington, DC: American Psychological Association.
Vargas, L. A., Porter, N. & Falender, C. A. (2008). Supervision, culture, and context. In C. A. Falender & E. P. Shafranske (Eds.), Casebook for clinical supervision: A competency-based approach (pp. 121–136). Washington, DC: American Psychological Association.
Watkins, C. E., Jr. (2011). Toward a tripartite vision of supervision for psychoanalysis and psychoanalytic psychotherapies: Alliance, transference—countertransference configuration, and real relationship. The Psychoanalytic Review, 98, 557–590.
Watkins, C. E., Jr. (2012). Moments of real relationship in psychoanalytic supervision. American Journal of Psychoanalysis, 72, 251–268.
Watkins, C. E., Jr. (2013). The contemporary practice of effective psychoanalytic supervision. Psychoanalytic Psychology, 30, 300–328.
Watkins, C. E., Jr. (2014). On psychoanalytic supervision as signature pedagogy. The Psychoanalytic Review, 101, 175–195.
Watkins, C. E., Jr. (2015). The learning alliance in psychoanalytic supervision: A fifty-year retrospective and prospective. Psychoanalytic Psychology, 32, 451–481.
Watkins, C. E., Jr. (2016a). Psychoanalytic supervision in the new millennium: On pressing needs and impressing possibilities. International Forum of Psychoanalysis, 25, 50–67.
Watkins, C. E., Jr. (2016b). Therapist development in clinical supervision: Applying insights from self-psychology. Invited Master Class presented at International Interdisciplinary Supervision Conference, Dublin City University, Dublin, Ireland.
Watkins, C. E., Jr. & Hook, J. N. (2016). On a culturally humble psychoanalytic supervision perspective: Creating the cultural third. Psychoanalytic Psychology, 33, 487–517.
Watkins, C. E., Jr., Reyna, S. H., Ramos, M. J. & Hook, J. N. (2015). Repairing the ruptured alliance in psychoanalytic supervision: Apology as a reparative intervention. Toronto, Canada: Paper presented at annual meeting of American Psychological Association.
Watson, P., Raju, P. & Soklaridis, S. (2017). Teaching not-knowing: Strategies for cultural competence in psychotherapy supervision. Academic Psychiatry, 41, 55–61.
Weiss, J., Sampson, H. & The Mount Zion Psychotherapy Research Group. (1986). The psychoanalytic process: Theory, clinical observations and empirical research. New York, NY: Guilford Press.
Yeatman, A. (2015). A two-person conception of freedom: The significance of Jessica Benjamin’s idea of intersubjectivity. Journal of Classical Sociology, 15, 3–23.
Yellin, J. (2014). Miles to go? Towards relational supervision. Attachment: New Directions in Psychotherapy and Relational Psychoanalysis, 8, 262–280.
Yi, K. Y. (1998). Transference and race: An intersubjective conceptualization. Psychoanalytic Psychology, 15, 245–261.
Yi, K. Y. (2014). Toward formulation of ethnic identity beyond the binary of White oppressor and racial other. Psychoanalytic Psychology, 31, 426–443.
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C. Edward Watkins, Jr. Ph.D. is Professor of Psychology at the University of North Texas.
Joshua N. Hook, Ph.D. is Associate Professor of Psychology at the University of North Texas.
Jesse Owen, Ph.D. is Professor in the Counseling Psychology Department at the University of Denver.
Cirleen DeBlaere, Ph.D. is Associate Professor and Program Coordinator of the Counseling Psychology Doctoral Program, Department of Counseling and Psychological Services, Georgia State University.
Don E. Davis, Ph.D. is Associate Professor, Department of Counseling and Psychological Services, Georgia State University.
Jennifer L. Callahan, Ph.D. is Professor and Director of Clinical Training for the clinical psychology program, Department of Psychology, University of North Texas.
Address correspondence to: Prof. C. Edward Watkins, Jr., Ph.D.; Dept. of Psychology, University of North Texas, Union Circle # 311280; Denton, TX 76203, USA. Email:watkinsc@unt.edu
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Watkins, C.E., Hook, J.N., Owen, J. et al. Creating and Elaborating the Cultural Third: A Doers-Doing with Perspective on Psychoanalytic Supervision. Am J Psychoanal 79, 352–374 (2019). https://doi.org/10.1057/s11231-019-09203-4
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DOI: https://doi.org/10.1057/s11231-019-09203-4