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What is unusual in a blind supervision is the fact that both therapist and patient, as well as the quality of the session, are unknown. Bearing this in mind, I will focus on two aspects, not necessarily in this order: 1) the material which is being presented, and its meaning in the here-and-now; and 2) the therapist's countertransference.
lust before the session, the therapist notes ‘I became aware that there was something of an insatiable child within this powerful father …’. The session then starts. The first associations are in fact an insatiable demand upon the therapist, who understands the ‘accusations’ and starts wondering if he is asking too much. I would not question the patient on this point, because he is not interested in it; he is interested, I think, in sorting out his internal reality first.
The patient is expressing depressive (and persecutory) anxieties, linked in this moment with the interval between sessions (or the weekend) ‘he left the last session feeling dismayed, and he has been feeling the same ever since’.
The interpretation could start from the self-reproaches and include the description of the therapist as a bad object, something on the line of ‘… in my absence have been present in your mind as a reproaching, tormenting voice’.