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Patrick Casement has set out to write a book primarily on technique. However, it is never made quite clear whether the technique he is addressing is psychoanalytic or psychotherapeutic.
The first chapter draws on Matte-Blanco's ideas and models, and the notions of transference and countertransference are related to the concepts of sets, subsets, and symmetry. However, Matte-Blanco's ideas cannot be conveyed in such a short chapter without oversimplification, and this is indeed what occurs. Casement, in this chapter, also introduces the idea of an "internal supervisor," which then forms the major theme of the book. It refers to an internal figure which derives from the experience of supervision. It is an attempt to conceptualize the idea of having one's supervisor inside one, observing oneself reacting and responding to the patient. This is reminiscent of an idea of Bion, who often maintained that it requires at least two analysts to analyze one patient!
The second chapter describes the evolution of the internal supervisor, an important aspect of which is what Casement calls "trial