Supervision can be used to place the dyadic patient-therapist relationship in a new perspective by the creation of a more reality-tested, triadic relationship. This article deals in particular with the way in which facilitator or therapist interaction with seriously ill psychiatric patients is heavily influenced by dyadic processes related to early development. A third party is needed to free therapists from this dyadic/symbiotic bond, a party that can add an element of reality-testing. The `parallel process' is discussed as an important aid in the practice of supervision.
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