ABSTRACT
Now I describe the institutional processes that must be navigated in order for the psychoanalyst to find analysands, first patients who might thereby function for training purposes and provide experience of what it is to listen to another person speak. I reflect on what happens in supervision of the practice. Psychotherapy is framed by the institutions in which it operates, and so the versions of Lacan I was working with in different places also had to be tailored to fit. If all the details must be changed, you can never believe what a psychoanalyst says about their patients, and my experience of talking about patients made me wonder if I was betraying more than confidentiality when I did so. Here in this chapter we must talk about truth.
