Practice‐based supervision research: A network of researchers using a common toolkit

Aim: Given that various systematic reviews of supervision literature have revealed how little is known about supervision, that studies are not usually routed in practice, and that a multitude of diverse measures are used, the primary aim of this project was to support and encourage practitioner research related to supervision using a prescribed common set of instruments. Method: Funded by the British Association for Counselling and Psychotherapy (BACP), a Supervision Research Practice Network (SuPReNet) was established. A toolkit (a series of measures) that could be used routinely by practitioners was selected following the assembly of available measures of supervision and an assessment of them. Findings: The appraisal, conducted by the three authors, yielded five core measures, free for anyone to use, and accessible through the SuPReNet website. The measures are being piloted through a practice research network at a university counselling and psychotherapy research clinic where supervision data are being collected through a special module of CORE Net. Discussion: The potential yield from this initiative for practitioners, researchers, and the developing evidence‐base is discussed and a model proposed for the next generation of research on supervision.     

Practitioners’ perspectives on the use of clinical supervision in their therapeutic engagement with asylum seekers and refugee clients

The present study is the first study undertaken in Australia that seeks to explore practitioners’ perspectives on the use of clinical supervision in their therapeutic engagement with asylum seekers and refugees. We used thematic analysis to analyse extracts of interviews that were conducted with nine professionals who worked therapeutically with asylum seekers and refugees and had experience of participating in individual and peer supervision. The findings of the study suggest that supervision encouraged practitioners to develop multicultural awareness and explore therapeutic ways of working that are compatible with their clients’ frame. In addition, supervision provided the context in which practitioners explored the impact of the asylum legislative framework on their clinical work and reflected upon their feelings of powerlessness and political impotence. Implications for practice that derive from supervisory needs of practitioners who work with asylum seekers and refugees are explored.     

Informing supervision practice through research: A narrative inquiry

Intention: This study focused on questions of whether and how clients benefit from supervision. As practitioner research, the study was intended to shape the researchers’ own supervision practice. Method: The qualitative approach was based on interviews with a small number of experienced practitioners about their supervision experiences. The findings are presented in the form of reflexive stories, told by each researcher. Findings: In these stories the researchers tell how engagement with experienced practitioners’ accounts of their past supervision shaped the hopes and intentions the researchers hold for their future supervision. Implications forpractice: The stories suggest there are therapeutic benefits in an ethic of transparency that provides for practices that overtly carry stories in both directions between counselling and supervision.     

The notion of professional identity among practitioners working with asylum seekers. A discursive analysis of practitioners’ experience of clinical supervision and working context in work with asylum seekers

The present study analyses interviews that were conducted with eight professionals who have provided therapeutic work to asylum seekers. It explores practitioners’ perspective on the impact of clinical supervision on their work as well as the impact of their working organisational context on the way they experience their professional identity. The findings of the study suggest that the experience of working with this population produces a notion of professional identity that offers a more politicised engagement with clinical work. This politicised notion of professional identity is reflected in the practitioners’ perspective on the use of clinical supervision as well as in the manner in which they position themselves within their organisational context.     

Acceptability and Feasibility of Peer Assisted Supervision and Support for Intervention Practitioners: A Q-methodology Evaluation

Evidence-based interventions often include quality improvement methods to support fidelity and improve client outcomes. Clinical supervision is promoted as an effective way of developing practitioner confidence and competence in delivery; however, supervision is often inconsistent and embedded in hierarchical line management structures that may limit the opportunity for reflective learning. The Peer Assisted Supervision and Support (PASS) supervision model uses peer relationships to promote the self-regulatory capacity of practitioners to improve intervention delivery. The aim of the present study was to assess the acceptability and feasibility of PASS amongst parenting intervention practitioners. A Q-methodology approach was used to generate data and 30 practitioners volunteered to participate in the study. Data were analyzed and interpreted using standard Q-methodology procedures and by-person factor analysis yielded three factors. There was consensus that PASS was acceptable. Participants shared the view that PASS facilitated an environment of support where negative aspects of interpersonal relationships that might develop in supervision were not evident. Two factors represented the viewpoint that PASS was also a feasible model of supervision. However, the third factor was comprised of practitioners who reported that PASS could be time consuming and difficult to fit into existing work demands. There were differences across the three factors in the extent to which practitioners considered PASS impacted on their intervention delivery. The findings highlight the importance of organizational mechanisms that support practitioner engagement in supervision.     

Do counselling supervisors want or need to have their supervision supervised? An exploratory study

In response to a survey of counselling supervisors, 70 practitioners provided information about their practice as supervisors of counsellors and supervisors of supervisors. Questions were asked about the practice of supervision for supervision and attitudes towards the BAC Code of Ethics and Practice for Supervisors requirement that supervisors have access to supervision for their supervisory work. All but six of the respondents claimed to have supervision for supervision. In response to questions about the helpfulness, general importance, ethical importance and desirability of supervision for supervision, for which a bipolar visual analogue scale was provided, mean scores were all above 70%, indicating that there was considerable satisfaction with supervision for supervision requirements. Factor analysis revealed only one factor including all four questions. Questions were asked about contracts with supervision supervisors. A total of 55.7% used the same supervisor for their clinical work and supervision. In response to a question about issues raised in supervision, four categories accounted for the majority of comments: boundaries, competence of supervisees, training and ethics.     

The Dynamics of a Genetic Counseling Peer Supervision Group

Supervision is a practice that is utilized by a variety of practitioners to hone their counseling skills. Genetic counselors have embraced the supervision process, and some seek out supervision in a group setting with peers. Researchers have described the structure and content of genetic counseling peer supervision groups, and provided evidence for the benefits of seeking peer supervision. This study aimed to describe the interpersonal aspects of one genetic counseling peer supervision group, including personality traits and group dynamics, and how those factors influenced our experiences within the group. We also describe how the process of evaluating these factors impacted us individually and collectively. There was consensus that the group was a safe and trusting one, which was united by similar goals and mutual respect. Members reported gaining insights about how their own personality functioned within the group milieu, and also how the group setting impacted them. Based on our experiences, we recommend that other peer supervision groups consider similar self-evaluations on a periodic basis, both to enhance group functioning and to allow for increased self-awareness and professional growth.     

The Supervisory Alliance as Quintessential Integrative Variable

The concept of alliance in psychotherapy supervision is now a half century old. But over the course of its first 50 years, how has the supervisory alliance come to generally be viewed by supervision scholars and practitioners? and What is its specific place now within different visions of supervision? In this paper, I would like to consider those two questions by: (a) describing the two enduring perspectives on the supervisory alliance that have dominated and continue to dominate the supervisory scene; and (b) examining the ways in which the alliance appears to currently be conceptualized and implemented across several distinct views of supervision. Each view of supervision is also presented as containing and actuating its own message and meaning about the role of alliance in supervision, and those messages and meanings are accordingly identified. The supervisory alliance appears to now be widely regarded as being a transtheoretical common factor that binds by means of: (a) bond/rapport; (b) supervision goals; and (c) supervision tasks. Much like the therapeutic alliance in psychotherapy, the supervisory alliance has increasingly come to be seen as the very heart and soul of supervision itself and may indeed be the quintessential integrative variable in psychotherapy supervision.     

Psychoanalytic supervision in the new millennium: On pressing needs and impressing possibilities

Having now completed its first century, psychoanalytic supervision has been and continues to be regarded as the cornerstone of psychoanalytic education; it is the primary means by which (1) psychoanalytic ideology becomes translated into practical product, and (2) budding analytic practitioners develop and grow in their therapeutic skills and professional identity. The supreme significance of supervision in contributing to the “making” of the competent psychoanalytic practitioner now seems a widely accepted given, even axiomatic. But as its second century gets underway, what have we learned from psychoanalytic supervision's first 100 years? What are its most pressing needs and, in turn, impressing possibilities at this time? And what needs to most change if psychoanalytic supervision is to most profitably advance in the years and decades ahead? In this paper, I would like to consider those questions, giving focus to five needs that seem to most require attention now: (1) making the practice of psychoanalytic treatment an increasingly competency-based, concretized learning affair; (2) enhancing the efficacy of supervisors through competency-based practice and training in psychoanalytic supervision; (3) more effectively incorporating existing technology and emerging technological advances into supervision and using them to enhance the psychoanalytic learning process; (4) better attending to matters of difference and diversity, and striving to seamlessly integrate them into the conceptualization and conduct of the psychoanalytic supervision experience; and (5) vigorously researching the psychoanalytic supervision process and working to establish an evidence base for supervisory practice.     

The Gap Between Science and Practice: How Therapists Make Their Clinical Decisions

Recent surveys have found that many patients are not receiving empirically supported treatments and that therapists may not update their knowledge of research. Studies have found that therapists prefer to use their clinical experience rather than research findings to improve their practice, although cognitive behavioral (CB) practitioners have been found to use research more frequently than therapists of other theoretical orientations. The organization in which therapists work has been shown to impact attitudes toward working practices, but studies have not examined whether workplace requirements to use research affect therapists’ practice. Studies to date have mainly been conducted in North America. These findings may not be generalizable to the United Kingdom where there is a National Health Service (NHS), which requires the use of empirically supported treatments. The first part of this study aimed to investigate which factors were influential in therapists’ choice of theoretical orientation and to see whether CB practitioners differed from other therapists in the factors that influenced their choice of theoretical orientation. The second part tested whether therapists’ theoretical orientation or their workplace influenced the frequency with which they used research in their clinical decision-making. The final part investigated whether being a CB practitioner or working in the NHS was associated with having a favorable attitude toward research. An online survey was sent to 4,144 psychological therapists in England; 736 therapists responded (18.5%). Therapists reported that research had little influence over their choice of theoretical orientation and clinical decision-making compared to other factors, specifically clinical experience and supervision. CB practitioners and NHS therapists, regardless of their orientation, were significantly more likely to use research than other therapists and were more likely to have a positive attitude toward research.     

Re-thinking the relationship between theory and practice: Practitioners as map-readers, map-makers—or jazz players?

Theory is a major element in professional knowledge. Doubts about its value reported by practitioners raise questions at a critical juncture in the careers field about the relevance of prevailing theories and how they are approached. The topic of the relationship between theory and practice is a sensitive one in the debate on competencies and an illuminating one in that on post-modernism. As recent studies demonstrate, problems in integrating theory and practice arise in training and may persist, but experienced practitioners achieve 'fusion' between them and become 'practical theorists'. Practice is improvisatory, and is refined by frameworks provided by theory, critical thinking and 'reflective practice'. However, theories are often tardy or irrelevant, and practitioners also need to be able to carry out their own research, including action research. This has implications for initial and in-service training, supervision and policy, and for the relationships between researchers, theorists and practitioners.     

Where do counsellors in private practice receive their support? A pilot study

Background: Previous research suggests that independent practitioners should ensure that they attend to self-care, and the requirement for self-care is written into ethical practice requirements. Aims: To explore whether or how counsellors in private practice received support, and if so from where. Method: A survey questionnaire containing 29 questions was sent to 525 recipients. Results: 31 questionnaires were completed. The results from these questionnaires indicated that support was primarily received through supervision. Discussion: The support needs of private practitioners are discussed in the context of a very low response rate. The researcher considers factors that might have led to this response rate, as well as reflecting on the study design.     

辱虐管理的成因

辱虐管理会对组织和员工造成一系列消极影响, 因此探究辱虐管理的成因对于减少和预防辱虐管理十分必要和重要。现有研究认为辱虐管理与主管的个人特征有关, 或是主管自我损耗或社会学习的结果, 也与受害者的特征有关。在回顾现有研究的基础上, 基于情感事件理论提出了新的研究框架, 并指出未来研究应关注主管对辱虐管理的态度、组织内关于辱虐管理的规范以及主管自我控制资源的恢复在辱虐管理产生过程中的作用。     

Strengthening doctoral supervision in a Doctor of Psychology (DPsych) Specialisation in Child and Adolescent Psychology

Supervision differs in PhD and DPsych contexts. PhD supervision focuses on students' pursuit of a career in academia, with the emphasis on research. In a DPsych framework, the focus of supervision is to assist students, who are experienced practitioners in a professional field, to complete a structured course and a research component. The aim of the article is to reflect on the application of supervision principles, models, metaphors and supervisory styles within a DPsych context. This article presents a case illustration of supervision in a DPsych programme (with specialisation in child and adolescence, or DPsych Child) presented at the University of the Free State in South Africa. Supervision focuses on developing the DPsych students' doctoral identity so that they, as scientist-practitioners, could contribute ultimately to the professional context of child psychology and apply theoretical knowledge to complex challenges. The article proposes that research on supervision processes and practices within a DPsych Child context could complement explorations into the value of the implementation of the scientist-practitioner model and thus augment quality assurance of the DPsych programme.     

Counselling in the Post Office: Facing up to the legal and ethical dilemmas

The legal and ethical dilemmas faced by counsellors working in organisations are outlined, together with the need for the counselling profession to set clear competency and supervision standards for practitioners.     

Introducing SYPRENE: An International Practice Research Network for Strategic and Systemic Therapists and Researchers

SYPRENE, a new international Systemic Practice Research Network (PRN), has been established to fill the gap in practice-based research on the effectiveness and efficiency of strategic therapies. This article presents the rationale for the creation of SYPRENE and describes data collection methods, and the encoding system implemented within this PRN. More developments are expected in the recruitment of practitioners, the types of data collected, findings, and the implementation of SYPRENE in supervision, trainings, and professional schools.     

Managing stress or enhancing wellbeing? Positive psychology's contributions to clinical supervision

One of the key functions of clinical supervision as practised by health professionals such as psychologists includes the restoration of wellbeing, but there are few guidelines in the supervision literature on how to go about this. Research into concepts from the field of positive psychology such as work engagement, sense of coherence, self‐efficacy, flow and resilience has begun to provide detailed understanding of workers' happiness, health and betterment. These findings provide possible directions for supervision interventions that go beyond traditional review of self‐care and stress‐management strategies and seek to extend the wellbeing of the supervisee. This article explores the application of positive psychology to enhance the wellbeing of practitioners such as psychologists, who often work in inherently difficult work environments such as the mental health field. Specifically, a narrative approach is proposed as one possible method and practical examples are offered to demonstrate how positive psychology may be applied in the practice of clinical supervision.     

Supervision and career counsellors: a little-explored practice with an uncertain future

While the supervision of counsellors has received much attention in the literature, there is a dearth of empirical and conceptual literature about the supervision of career counsellors. Career counselling has not to date followed other helping professions towards increased requirements for supervision or compulsory supervision. Recently there has been slight evidence of change and some advocacy of supervision for career counsellors in the literature. However, no previous studies related to supervision and career counsellors have been conducted. The Australian study reported here gathered information from members of a professional career counselling association about supervision through survey and focus group interviews. The findings revealed that supervision is not widely practised and that there are varying levels of understanding of and commitment to supervision.     

Creating a Space for Acknowledgment and Generativity in Reflective Group Supervision

Small group supervision is a powerful venue for generative conversations because of the multiplicity of perspectives available and the potential for an appreciative audience to a practitioner's work. At the same time, the well‐intentioned reflections by a few practitioners in a room can inadvertently duplicate normative discourses that circulate in the wider culture and the profession. This article explores the use of narrative practices for benefiting from the advantages of group supervision while mindful of the vulnerability that comes with sharing one's work among colleagues. The reflective group supervision processes described were modified from the work of Tom Andersen and Michael White to provide a venue that encourages the creative multiplicity of group conversation while discouraging unhelpful discourses which constrain generative conversation.     

中国心理健康服务从业者的职业压力现状及影响因素

本研究目的是考察心理健康从业者的压力现状及其影响因素。769名来自全国20个省份的心理健康从业者填写了研究者自编的有93个多项选择题和填空题的问卷,其中2个从本问卷中抽取的5点量表具有可接受的心理测量学指标。主因素分析表明,心理健康从业者的职业压力可分为三类:专业能力不足、缺乏单位支持、工作负担过重。回归分析表明:影响职业压力的非专业因素有:年龄,性别,教育水平,全职或兼职,场所是否专用,以及每周咨询的小时数。在专业因素中,督导和培训能显著地缓解心理健康从业者的职业压力。治疗中的困难情况会显著地引发心理健康从业者的职业压力。