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Psychodynamic supervision for junior hospital doctors

University College Hospital, London WC1 6AU

Josephine O'Reilly, Registrar in Psychiatry

Maudsley Hospital, London SE5 8AZ

This paper describes a supervision group for senior house officers which focused on the psychodynamics of their working relationships with patients. The SHOs worked in a variety of hospital specialties as well as general practice. The description includes details of how such a group was set up and some of the practical difficulties in maintaining the SHOs' attendance. Brief details are given of the types of cases the SHOs were most eager to discuss, and the nature of the leading anxieties connected with the cases. The SHOs found this type of supervision supportive and enlightening as they developed and improved their clinical skills.