Losing a training analyst for ethical violations: a candidate's perspective.
The author presents her experience as the analysand of a training analyst who was investigated and expelled for ethical violations with another patient, including sexual-boundary violations, during her analytic training. While boundary violations by training analysts are not uncommon, the particular trauma experienced by 'bystanders' such as candidates and supervisees is not discussed in the literature, nor the response of institutes to the educational problems that are generated. The author illustrates the complications for candidates that arise from the dual roles of training analyst as educator and analyst when he or she faces investigation or censure, including isolation and secrecy, which promote various splits in the candidate, analytic dyad and group, as well as loyalty conflicts. The discussion covers three phases of the author's experience as a candidate-analysand, namely the period encompassing the institute's ethics investigation, the announcement of findings to her and to the institute as a group, and the ensuing individual and group dynamics generated by her analyst's expulsion from the institute and revocation of his medical license. Theoretical perspectives are utilized to understand the group regression, including contamination and contagion fears, which occurred in the wake of the training analyst's expulsion, and the impact of these processes on the candidate, including the pressure to function as a 'container' for projections of the group. Implications and recommendations for candidates and institutes are made for dealing helpfully with trainees who are affected by the process of dealing with a training analyst's ethical violations. Short-term and longer-term outcomes of the experience are considered.
Wallace
Elizabeth M
EM
3rd Floor, 520 - 13 Ave. SW, Calgary, AB - T2R 0X7, Canada. emw.md@telus.net
D032781:Codes of Ethics; D003219:Confidentiality; D004309:Double Bind Interaction; D006126:Group Processes; D006801:Humans; D007397:Internship, Nonmedical / Q000941:ethics*; D010817:Physician-Patient Relations; D011575:Psychoanalytic Therapy / Q000193:education / Q000941:ethics*; D012725:Sexual Behavior; D012944:Social Support