ABSTRACT

This chapter highlights the importance of supervision in clinical work. It discusses a material from the case of a patient whose behaviour suggested a psychotic condition. There were, however, certain areas where he preserved parts of his ‘self, and the chapter refers to these as ‘encapsulated nodes’. The patient’s childhood was unusual in the extreme, rooted in events that read like a true adventure story. The chapter comments on certain items of significance that emerged from interviews with the parents and sessions with the child. It then moves on to some of the suggestions regarding technique made during supervision, since these led to important changes in the direction of treatment. Included are several of the patient’s drawings, which reveal a remarkable facility for plastic forms of expression.