PEER CONSULTATION GROUPS
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I work as a moderator in clinical supervision groups using the “Weaving Thoughts” method, a unique approach to discussing psychoanalytic case material in a peer setting.

Sharing clinical ideas, especially in an international context, is an important and highly productive experience in contemporary psychoanalysis. The goal is to create a shared space for reflection—an associative “fabric” to which each participant contributes their own thoughts, ideas, and hypotheses. Relying less on secondary processes and more on free association, this type of group work resembles dream-thinking and more closely reflects psychoanalytic functioning. Within the group, a psychoanalyst presents material from their work with a patient, who becomes “the patient of the group.” Through this process, the presenter gains new perspectives on the case, while participants deepen their own clinical practice by contributing to and experiencing the work together.

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I lead groups in Italy (Bologna, Vittorio Veneto, and Venice) and have moderated or participated in groups in New York, Boston, and Chicago.

Methodology

The Weaving Thoughts method begins with a case presentation, followed by participants’ comments and free associations. The group is led by a moderator who creates space for participants to speak and helps weave a network of thoughts that can deepen understanding of the clinician-patient relationship. The method was initially inspired by Bion’s concept of “thoughts in search of a thinker” and his 1961 work Experiences in Groups. Its purpose is to foster an atmosphere of teamwork in which thoughts can wander freely, while helping participants avoid premature assumptions that could limit the openness of the group process.

While Weaving Thoughts follows a defined set of principles, I have found it essential to adapt the methodology to the needs, pace, and context of each group. This flexibility allows each group to develop its own rhythm and learn to navigate and moderate emotions as they arise.

Interested in bringing a Weaving Thoughts group to your organization or scheduling a session?