Beginning and Never Endings: Supervision and Consultation in Clinical Practice

September 22, 2018, 9:00 AM - 4:30 PM

Most mental health professionals learned how to supervise by emulating their best supervisors and avoiding identification with those they regarded as not so helpful. In this workshop, entitled Beginning and Never Endings: Supervision and Consultation in Clinical Practice, analysts and other mental health professionals will gather for a stimulating daylong workshop to share various points of view on supervision and on being supervised. Experts will make formal presentations that will seek to capture contemporary thinking on this linchpin of clinical education and there will be sufficient time for faculty and participant interaction.  Among the provocative and challenging topics will be:

• The disparity between what really happens in an analytic hour and what is reported to the supervisor.

• Skewing the clinical material to what one thinks the supervisor wants to hear

• The need for an in vivo supervisor

• The lack of clarity in the border between supervision and treatment

• How the evaluative role of the supervisor may discourage open sharing of struggles by the supervisee

• The different models of supervision in use today.

The Department of Psychoanalytic Education (DPE) of the American Psychoanalytic Association is pleased to join with the New Center for Psychoanalysis to offer this inaugural Regional Workshop on Psychoanalytic Education. In its efforts to promote excellence in psychoanalytic education, the DPE sponsors a workshop on important and/or controversial issues in psychoanalytic education annually in different regions of the United States. It hopes that these workshops will enable psychoanalytic educators and students as well as all mental health professionals interested in applying psychoanalytic ideas to deepen their knowledge and skills through exposure to experts in the field.

Continuing Education credits: 6 CE/CME 

Target Audience: This conference will be informative for clinicians at every level of development and will be of particular interest to institute faculty and candidates 

Location: New Center for Psychoanalysis: 2014 Sawtelle Blvd, Los Angeles, CA 90025

                Telephone: (310) 478-6541, Email:, Website: 


Glen Gabbard, M.D. (Houston, TX)

Howard Bacal, M.D. (Los Angeles, CA)

Richard Tuch, M.D. (Los Angeles, CA)

Michele Gomes, Psy.D. (Los Angeles, CA)

Eliane Hary, Ph.D. (Beverly Hills, CA)

Kyana Barakett, Psy.D. (Los Angeles, CA)



The Supervisor and the Supervised: Learning Together


8:30 a.m. – 9:00 a.m.

Registration and Continental Breakfast


9:00 a.m. – 9:10 a.m.

Greetings and Introduction

Alan Sugarman, Ph.D. and Sharon Blum, Ph.D.


9:10 a.m. – 11:10 a.m.

Opening Plenary: Supervising and Being Supervised

Dr. Glen Gabbard will speak about the two-person psychology of supervision in keeping with a contemporary relational perspective. Some of the issues he will touch on include the disparity between what really happens in an analytic hour and what is reported to the supervisor; skewing the clinical material to what one thinks the supervisor wants to hear; the trainee’s need to take care of the supervisor; the lack of clarity in the border between supervision and treatment; how the evaluative role of the supervisor affects the discourse; and the difference between consultation and supervision.

After attending this session participants should be able to:

  1. Describe how the evaluative nature of supervision influences what the supervisee brings up.
  2. Explain how consultation and supervision differ.


11:10 a.m. - 11:20 a.m.

Coffee Break


11:20 a.m. - 12:50 a.m.

Interview of Dr. Howard Bacal by Dr. Richard Tuch

The interview will connect the audience to Dr. Bacal’s experience being supervised by Winnicott and other historical luminaries in our field and to understand how Dr. Bacal’s ideas of supervision have developed over many decades.

After attending this session participants should be able to:

  1. Discuss how Winnicott’s dyad model shaped Dr. Bacal’s more relational approach.
  2. Describe how a relational model facilitates the supervisees learning.


12:45 – 2:00 p.m.

Lunch Break


2:00 p.m. - 2:45 p.m.

When the Supervisor Calls the Shots

Dr. Richard Tuch will discuss that while supervisors are uniquely positioned to comment on the dynamics of a case under discussion, and may be able to explicate the implicit reasoning behind the supervisee's clinical approach to treatment, supervisors may not be well positioned to speak authoritatively about how the treatment under discussion should be conducted.  Dr. Tuch presents evidence suggesting which supervisory styles are favored by supervisees, which leads him to conclude that supervisors who routinely correct a supervisee's interventions by noting "If I were you I would have done x,y,z...." or who make a habit of suggesting specific interventions for the supervisee to implement may do the supervisee a disservice since a less directive supervisory approach seems more facilitating of a supervisee's professional development.

After attending this session participants should be able to:

  1. Demonstrate what a supervisor can offer supervisees in the way of feedback about the case being presented.
  2. Summarize the perils of supervisors believing that they know just how a case under consideration should be handled.


2:45 p.m. - 3:15 p.m.

Panel: Experiencing Supervision from Both Sides
Moderator, Dr. Sharon Blum will interview Dr. Michele Gomes, new analyst and director of the Wright institute where she supervises many of the trainees; Dr. Eliane Hary, former director of the Valley Community Clinic and current clinical associate at PCC; and Dr. Kyana Barakett, who is a graduating post doc at the Wright Institute, about the intricacies and insights on supervision from both sides of the experience.

After attending this session participants should be able to:

  1. Compare the roles and values of supervisees and supervisors regarding treatment interventions.


3:15 p.m. - 4:30 p.m.

All Faculty Panel: The Supervisory Matrix: A Multidimensional View

This interactive session will bring together the participants and panelists to explore issues and dilemmas that can occur in supervision and consultation, from the points of view of supervisees, supervisors and members of consultation groups. From these different points of view all will discuss concerns that include; ethical issues that can arise during supervision; countertransference dilemmas and their impact on supervision and consultation; supervision enactments; and working through difficult interactions. Through this collaboration the panel and the attendees will be able to formulate a range of best practices for the effective use of supervision and consultation in clinical practice that will result in enhanced patient care.

After attending this session participants should be able to:

  1. Identify various ethical issues, and potential countertransference dilemmas that might impact supervision and consultation.
  2. Develop strategies to keep supervision or consultation on track after difficult interactions.


4:30 p.m.........................Wine and cheese reception


Brief Biographies of the Presenters in alphabetical order:

Howard A. Bacal, M.D. is a psychiatrist, psychoanalyst, author, teacher, and original contributor to the field with a breadth of experience that extends over 50 years. During his training in adult and child psychoanalysis at the London Institute of Psychoanalysis, he was personally supervised by Michael Balint, Donald Winnicott, Marion Milner, and Wilfred Bion. Dr. Bacal also worked with Heinz Kohut in Chicago for several years while Kohut was evolving his psychology of the self. At the Tavistock Clinic, London, he participated in a psychotherapy outcome research project with D. H. Malan, collaborated with Michael and Enid Balint in their training program for general practitioners. Against the backdrop of these influences, Howard Bacal developed specificity theory, his own process-based approach to psychoanalytic treatment and supervision.  Specificity theory holds that each analyst-patient dyad and each supervisory dyad constitutes a unique, reciprocal system. It highlights the importance of co-created fit in the specificity of emergent process between the particular participants, with regard to the therapist’s capacity to respond to the patient’s therapeutic needs, and the supervisor’s capacity to respond analogously to her supervisee. Dr. Bacal presents specificity theory in his third book, The Power of Specificity in Psychotherapy: When Therapy Works – And When it Doesn’t. Jason Aronson: Lanham, MD, 2011.  Dr. Bacal is a training and supervising analyst at The New Center for Psychoanalysis and The Institute of Contemporary Psychoanalysis.  He is in private practice  in Los Angeles. 

Kyana Barakett, Psy.D. received her doctoral degree from Argosy University and recently completed her post doctoral fellowship at The Wright Institute Los Angeles, receiving her certificate in psychoanalytic psychotherapy. She is currently a psychological assistant in West Los Angeles, working with adults to help them live a more authentic, integrated life. She is passionate about a multidimensional approach to wellness and mental health. Dr. Barakett practices in an LGBTQ+ affirmative manner and with constant regard for social justice issues.

Glen Gabbard,M.D. is Clinical Professor of Psychiatry at Baylor College of Medicine in Houston, and Training and Supervising Analyst in the Center for Psychoanalytic Studies in Houston. He is also in private practice in Houston.  Dr. Gabbard has authored or edited 28 books, including Psychodynamic Psychiatry in Clinical Practice: 5th edition, an all-time best seller at American Psychiatric Publishing, Long-Term Psychodynamic Psychotherapy: a Basic Text: 3rd edition, Gabbard’s Treatments of Psychiatric Disorders, Textbook of Psychoanalysis, Love and Hate in the Analytic Setting, Psychiatry and the Cinema, and The Psychology of The Sopranos. His most recent book is Narcissism and Its Discontents: Diagnostic Dilemmas and Treatment Strategies with Narcissistic Patients, co-authored with Dr. Holly Crisp.  He has also published over 350 scientific papers and book chapters. Previous positions include Brown Foundation Chair of Psychoanalysis and Professor of Psychiatry at Baylor College of Medicine from 2001-2011 and Director of the Menninger Hospital in Topeka, Kansas from 1989-1994. He also served as Director of the Topeka Institute for Psychoanalysis from 1996-2001. He has received many honors and awards, including the American Psychiatric Association/NIMH Vestermark Award for Psychiatric Education in 2010 and the prestigious Mary Sigourney Award in 2000 for outstanding contributions to psychoanalysis. He was Joint Editor-in-Chief of the International Journal of Psychoanalysis from 2001-2007, the first non-British analyst to hold that position, and served as President of the American College of Psychiatrists from 2006-2007. Dr. Gabbard’s textbooks have been translated into Italian, French, German, Portuguese, Korean, Japanese, Danish, Chinese, Greek, Romanian, and Spanish. He lectures throughout Europe, South America, and Australia, as well as the United States and Canada.

Dr. Michele Gomes is a psychologist and psychoanalyst who splits her time between her two passions: working with a diverse group of adults and couples in her private practice and leading Wright Institute Los Angeles, a psychoanalytic non-profit community clinic and training institution. She spent five years as WILA’s Clinical Director and in 2016 stepped into the role of Executive Director. Her unique educational background in Psychoanalysis, Multicultural Community Psychology, Women’s Studies, and Computer Programming reflects the range of interests and skills she brings to her work. Prior to her clinical work, Michele spent several years at the UCLA School of Public Health assisting with the conduct of epidemiological research related to the intersections between sociocultural variables and mental health. She is a proud graduate of the New Center for Psychoanalysis where she teaches, sits on the Board of Directors, and is active on many committees including being a founding member of the Committee on Diversities and Sociocultural Issues. Michele is committed to a non-profit way of life and hopes, through WILA and NCP, to expand the reach and role of psychoanalysis in the community. Her professional interests include teaching, program development, and training socially conscious mental health clinicians.

Dr. Eliane Hary received her Bachelor of Arts (magna cum laude) and Masters of Arts (summa cum laude) from the University of Bar-Ilan, Israel after four years of military service as a lieutenant in the Israeli Defense Force. Following her immigration to the U.S in 1979, she worked at UCLA as a clinical research assistant for two years and then received her Ph.D. in 1989 from the California School of Professional Psychology.  She received her MFT license in 1989 and her Clinical Psychology License in 1992. Dr. Hary served as the Director of Counseling Department in Valley Community Clinic in North Hollywood for 27 years. During the years she had taught and supervised and is currently conducting a group supervision for Valley Community Counseling Clinic.  She is the recipient of Mental Health Advocacy award in 2016 and of a County of Los Angeles commendation in recognition of dedicated service to the affairs of the community. Dr Hary is a member at the Psychoanalytic Center of California and maintains a private practice in Beverly Hills, treating adults and couples in English, Hebrew, and French.  

Richard Tuch, MD, is Clinical Professor of Psychiatry, UCLA David Geffen School of Medicine, training and supervising analyst at both, The Psychoanalytic Center for California and the New Center for Psychoanalysis, where he also was the Dean of Training. Dr. Tuch received the Karl A. Menninger Memorial Award for Psychoanalytic Writing (1995) and Edith Sabshin Teaching Award (2008) presented by the American Psychoanalytic Association, where he is currently the chair of the Scholarship section of the Department of Psychoanalytic Education.  He has authored and/or co-authored four books and many of his papers appear in the four leading psychoanalytic journals. Dr. Tuch is Executive Editor of the Edinburgh International Encyclopedia of Psychoanalysis, and in January 2019, he becomes a Board member of JAPA.   He is also producer of an educational film entitled: Freud: The Man, The Method and The Psychoanalytic Movement.

Moderator: Sharon Zalusky Blum PhD is a senior faculty member at the New Center for Psychoanalysis in Los Angeles. She is an adjunct supervising analyst at the International Institute for Psychoanalytic Training in Chevy Chase, MD. She has served as a North American Editor of the International Journal of Psychoanalysis (IJP) and served two terms as North American Representative to the International Psychoanalytic Association (IPA).  Since 1995 she has been an active participant at the American Psychoanalytic Association (APsaA) where she is currently a member of the program committee. She has published many articles on the impact of technology on the psychoanalytic and psychotherapeutic process. She maintains a private practice in Brentwood, CA.

Host/Planner: Alan Sugarman, Ph.D. is the Head of APsaA’s Department of Psychoanalytic Education. He is a Training and Supervising Psychoanalyst and Child and Adolescent Supervising Psychoanalyst at the San Diego Psychoanalytic Center. He is also a Clinical Professor of Psychiatry, University of California, San Diego.


IMPORTANT DISCLOSURE INFORMATION FOR ALL LEARNERS: None of the planners and presenters of ths CME/CE program have any relevant financial relationships to disclose. 

PHYSICIANS: This activity has been planned and implemented in accordance with the accreditation requirements and policies of the Accreditation Council for Continuing Medical Education (ACCME) through the joint providership of the American Psychoanalytic Association and the New Center for Psychoanalysis. The American Psychoanalytic Association is accredited by the ACCME to provide continuing medical education for physicians. 

The American Psychoanalytic Association designates this Live Activity for the maximum of 6 AMA PRA Category 1 Credit(s)™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.  

PSYCHOLOGISTS: The New Center for Psychoanalysis is approved by the American Psychological Association to sponsor continuing education for psychologists. New Center for Psychoanalysis maintains responsibility for this program and its content. Full attendance is required for psychologists to receive credit; partial credit may not be awarded based on APA guidelines. For the psychologists’ records, certificates of attendance are provided at the completion of the course.  


The New Center for Psychoanalysis is a continuing education provider that has been approved by the American Psychological Association, a California Board of Behavioral Sciences recognized approval agency. 

REGISTERED NURSES: The New Center for Psychoanalysis is an accredited provider approved by the California Board of Registered Nursing (Provider #CEP1112). Registered Nurses may claim only the actual number of hours spent in the educational activity for credit.