ABSTRACT

This chapter discusses the function of clinical supervision when difficult and distressing sessions are openly and honestly brought for discussion. Drawing on Ogden’s ideas about ‘dreaming up the patient’ in supervision, and Parson’s thoughts about the supervisory relationship, two examples of this process in action are given, the first about the transformation of despair to hope in the consulting room, and the second about the transformation of despair to hope in the professional network. These transformational moments in supervision can become potential turning points in the therapy and containing environment.