Psychoanalysis is an approach to internal conflict. It is distinct from other approaches (behavioral, cognitive, psychopharmacological, etc.), although there can be overlaps. Because it is more about questions than answers, more about curiosity than remedies, more about relationships than self-help, more about imagining and “understanding” than “knowing,” and more about freedom to think than prescriptions for thinking, psychoanalysis is often misperceived. While psychoanalysts have often been silent, I think that interpersonal interaction is its life blood. Often psychoanalysis entails meeting several times weekly (as many as three or four times) over an extended period (sometimes years). It takes time because the process depends upon a trusting relationship, and requires working through layers of defenses in order to foster greater joie de vivre and greater inner freedom to think and feel.

Psychoanalytic psychotherapy is also an approach to internal conflict, but can be more limited in scope, although this is not always the case. Psychoanalytic psychotherapy can be shorter in duration, and more directly affected by life-circumstances. Sometimes a tragedy (a divorce, the death of a parent or child, the loss of a job, an illness, etc.) can produce episodic unhappiness which requires relief. Therefore, under these circumstances the exploration of internal conflict can be more limited to what directly affects the particular episode.

Psychoanalytic supervision consists of supervision for both psychoanalytic cases and psychotherapy cases, since the essence of my supervisory process is nourished by the spirit of psychoanalysis. However, I emphasize kindness and tact together with pragmatism in my psychoanalytic supervision for all cases and particularly for the most difficult cases (e.g., psychosis, borderline, bi-polar, etc.).

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