ABSTRACT
There are times when the most important communication from a patient is unspoken. The process of a therapist's internal supervision can often help to identify this interactive dimension, so that it begins to make sense. Patients clearly demonstrate that the dynamics involved are by no means just theoretical, nor are they confined to analytic therapy. The forms of communication illustrated here are universal. Too often they are not recognized or they are seen as bewildering: the communication then remains unacknowledged or not understood.
