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Abstract
The special circumstances and problems of supervision of residents in Psychiatry undergoing training in individual psychoanalytic psychotherapy for adult patients in a General Hospital are presented under three headings: (1) the setting, i.e. the clinical structure in which supervision takes place and the patients are available in a General Hospital, (2) the trainees and their training programme, and (3) the interactions between supervisor and trainee. Among the issues taken up for discussion are: omnipotent fantasies of the trainee and/or his patient regarding the Hospital's 'potential for a cure'; problems during a teaching supervision in the supervisor-trainee relationship when the latter is not in personal therapy; projection of responsibilities to the supervisor as if the supervisor personified the Hospital, or oral needs of dependence; identification of the trainee with a former inpatient and supportive tendencies; difficulties in dropping 'quick' hospital drug-treatment methods; the supervisor's narcissistic problems; relatives' interventions with the 'hospital doctor'.