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.     

All Supervision is Multicultural: A Review of Literature on the Need for Multicultural Supervision in Counseling

This paper discusses several aspects of multicultural supervision, reviews current research literature on cross cultural supervision, which would explain why it is important to be competent in multicultural supervision. The paper also describes the roles of the supervisor and supervision techniques that facilitate multicultural supervision. A Case example is provided for a better conceptualization of the techniques involved in multicultural supervision. The paper also addresses areas that need more research and literature within the field of cross-cultural supervision.     

The effects of clinical supervision on supervisees and patients in cognitive behavioral therapy: a systematic review

Clinical supervision is a central part of psychotherapist training but the empirical support for specific supervision theories or features is unclear. The aims of this study were to systematically review the empirical research literature regarding the effects of clinical supervision on therapists’ competences and clinical outcomes within Cognitive Behavior Therapy (CBT). A comprehensive database search resulted in 4103 identified publications. Of these, 133 were scrutinized and in the end 5 studies were included in the review for data synthesis. The five studies were heterogeneous in scope and quality and only one provided firm empirical support for the positive effects of clinical supervision on therapists’ competence. The remaining four studies suffered from methodological weaknesses, but provided some preliminary support that clinical supervision may be beneficiary for novice therapists. No study could show benefits from supervision for patients. The research literature suggests that clinical supervision may have some potential effects on novice therapists’ competence compared to no supervision but the effects on clinical outcomes are still unclear. While bug-in-the-eye live supervision may be more effective than standard delayed supervision, the effects of specific supervision models or features are also unclear. There is a continued need for high-quality empirical studies on the effects of clinical supervision in psychotherapy.     

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.     

Toward the science‐informed practice of clinical supervision: The Australian context

Although supervision of clinical practice is mandatory for trainee psychologists, surprisingly little is known about the key ingredients of effective supervision and the relationship between supervision and patient outcomes. The purpose of this paper was to review current regulations that shape supervision in Australia and explore the links between these regulations and the components of effective supervision. Although recent developments including supervisor training and other quality control programs are an indication of progress, there are several empirical and conceptual issues in the supervision literature that require resolution. The second part of this paper identifies the gaps in the supervision literature and suggests steps to advance the development of a mature science of clinical supervision. The main areas requiring attention include the identification of the mechanisms by which supervision produces change in supervisees and their patients, the refinement of measurement methods and instrumentation, and the need to pursue collaborative research that maximises the generalisability of research findings.     

Intermodal Expressive Arts in Group Supervision

Group supervision is an integral part of developing counseling skills and case conceptualization. Group supervision can also be used as a supervision intervention to facilitate the development of supervisory skills when group members are supervising counselors and the focus of the group is on supervision of supervision. As with any group, group supervision members can often become stagnated when group trust and cohesiveness have not been well developed, thus hindering the group supervision process. The authors describe how an intermodal expressive arts technique was employed to develop trust and cohesiveness in a supervision group that was experiencing ineffective group dynamics.     

Clinical supervision in cognitive behavior therapy improves therapists’ competence: a single-case experimental pilot study

ABSTRACT

Clinical supervision is a cornerstone in psychotherapists’ training but there are few empirical evaluations on the effects of supervision on therapists’ competencies. The aim of this study was therefore to evaluate the effects of standardized supervision on rater-assessed competency in Cognitive Behavior Therapy (CBT). Six therapists with basic training in CBT were provided with protocol-based clinical supervision in CBT in a single-case experimental multiple baseline design. The supervision focused on specific CBT competencies and used experiential learning methods such as role-play. Each therapist recorded weekly treatment sessions during phases without and with supervision. The therapists’ CBT competence was assessed by third-party raters using the Revised Cognitive Therapy Scale (CTS-R). Statistical analyses showed that the therapists’ CTS-R scores increased significantly during the phase with supervision with a mean item increase of M = 0.71 (range = 0.50–1.0) on the supervision focus areas. This is one of the first empirical studies that can confirm that supervision affect CBT competencies. The results also suggest that supervision can be manualized and that supervisees have a positive perception of more active training methods. Further studies are needed to replicate the results and to find ways to improve the impact of supervision.     

Supervision in aamft accredited programs: Supervisee perceptions and preferences

Abstract

To assess supervisees' perceptions of supervision in AAMFT accredited programs, 72 supervisees from 14 degree programs responded to a questionnaire asking them to describe the supervision they were receiving and what they preferred. The majority reported perceiving their supervision as a mixed didactic-experiential style. Subjects were also asked to describe their perceived actual and preferred supervision on six dimensions. The findings showed that from supervisees' point of view, the quality of supervision in accredited programs is good, that some supervisees do not receive once per week supervision, and that the majority did not receive the style of supervision they preferred.     

Applied Sport Psychology Supervision Experience: A Qualitative Analysis

We examined the supervision experience of graduate trainees in applied sport psychology. Semistructured interviews conducted with sport psychology trainees were analyzed through the use of consensual qualitative research methodology. Three domains emerged from the analysis: programmatic factors, supervision process, and supervision content. The results provide insights (e.g., desired supervisor qualities) into the aspects of supervision that trainees feel address their needs, as well as instances in which the supervision experience could be improved. The findings may have implications (e.g., areas of potential growth for sport psychology supervision) for future research directions on supervision in applied sport psychology and could offer potential areas of consideration for current supervisors.     

When educational supervision meets clinical supervision: what can we learn from the discrepancies?

The authors question the taken-for-granted notion of supervision. Their concerns arose out of an attempt to introduce 'clinical' supervision into academia as a way of addressing an increasing number of the ethical issues which confront lecturers. They recognise that knowledge can impact adversely on students and that lecturers at times find themselves compromised. They settled on supervision as an organisational space in the domain of power in which to address the distress they observed. However, through their different experiences of supervision, they soon found themselves talking past each other. When clinical supervision meets educational supervision, several anomalies are brought to the fore. The authors draw on Foucault's notion of discourse, and of knowledge as power, in order to foreground these and conclude by cautioning against an uncritical acceptance of supervision as an ethical practice. They believe there is a benefit in bringing together the two discourses of clinical and educational supervision for further discussion.     

Rethinking supervision of ministry

This article addresses the need for ongoing supervision in ministry and explores reasons for the avoidance of supervision. More specifically, twentieth century ideas regarding epistemology and Freud's "discovery" of the unconscious reveal important limitations in the commonly held model of supervision and at the same time provide reasons for the benefits of supervision. Further, this article proposes that individual unconscious motivations and religious institutional structures contribute to the avoidance of ongoing supervision in ministry.     

医疗监管的自律与他律

自律和他律理论对加强和完善我国医疗行业监管具有重要的理论价值。自律和他律在医疗行业监管领域中的具体表现为,卫生行政部门的监督管理与医疗机构的自我约束和医疗行业的自律监管。指出我国医疗行业监管中存在的主要问题并提出健全医疗行业监管机制的思路。     

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.     

Reflections on the Experience of Counseling Supervision by a Team of Genetic Counselors from the UK

Despite it being generally acknowledged that counseling supervision is a vital part of the work for experienced genetic counselors and not just students, not all practising genetic counselors in the United Kingdom and Eire have access to this yet. This case study documents the supervision experience of our team of genetic counselors from Cambridge in the U.K. We document our retrospective thoughts on working practice before supervision was available in our department. We also give an overview of the individual and collective views of having one-to-one supervision only and then one year later, the impact of adding group supervision. Our ‘supervision journey’ is recorded using a practitioner-centred approach with a mixed method of data collection. Two focus group discussions and two written questionnaires were used, at different time points to gather attitudes. This paper captures experiences as our practice of supervision has evolved. This work is relevant to practising genetic counselors around the world who either do not yet have access to supervision, are planning its implementation or else are adding different types of supervision to their practice.     

Development and Validation of the Constructivist Supervisor Scale

The purpose of this research was to develop an instrument for assessing constructivist counselor supervision practices. In an exploratory mode, we also tested supervisee preferences regarding constructivist supervision. Items consistent with constructivist supervision were developed based on a thorough review of the literature and rated by experts in constructivist supervision. Counselors currently receiving supervision (n = 308, 81% female) responded to these items, indicating the extent to which their current or most recent supervisor adhered to these constructivist practices during supervision. Principal components analysis results revealed three main components of constructivist supervision practice: warm and nondirective relationship, past and present experiences, and acceptance of various styles. Preliminary evidence for internal consistency, test–retest reliability, and convergent and discriminant validity of the scale items are reported. Participants also indicated the degree to which they preferred their supervisors’ constructivist practices. The final version of the constructivist supervisor scale, consisting of 29 items, may be used in future research focused on supervision processes as well as in practice to assess the degree to which these core constructivist methods are used during supervision.     

Supervising Cognitive-Behavioral Psychotherapy: Pressing Needs,Impressing Possibilities

While accounts of the practice of cognitive behavioral therapy (CBT) supervision have been available over the past 15 years and have demonstrated consistency in terms of an overall model specifying the structure, process and content of supervision sessions, a number of gaps can be identified in the literature on the clinical supervision of CBT. Comprehensive consensus statements of the competencies underlying clinical supervision have been developed both in the United States (Falender et al., J Clin Psychol, 60, 771–785, 2004) and in the United Kingdom (Roth and Pilling, IAPT supervision competencies framework, University College London, 1992), but there has been a lack of attention to relevant theory and to procedural detail. As a consequence, the literature on CBT supervision has only recently begun to assimilate concepts from the wider supervision field (e.g. developmental models), and there is as yet no manual that would allow supervisors to make explicit determinations of competency. Furthermore, supervision in general continues to suffer both from the absence of compelling empirical support demonstrating its effectiveness in improving clinical outcomes, and there is a lack of explicitly-defined supervisory procedures that can be reliably observed and measured. Unfortunately, this combination of factors hampers the development of CBT supervision (e.g. it complicates efforts to provide a standardized framework for training in supervision). As an important starting point in ‘treating’ the underdeveloped state of CBT supervision, we outline a formulation of its current condition, then suggest some promising interventions.     

Cognitive Differences Between Experts and Novices: Implications for Group Supervision

The literature on counselor training and supervision has grown considerably in the past decade. Little of this literature has discussed group supervision. This article outlines the implications of cognitive psychology for group supervision and discusses the unique dimensions of the group modality for the supervision process and cognitive skill acquisition.     

The Role of Intersectionality in Marriage and Family Therapy Multicultural Supervision

This paper offers a framework for understanding intersectionality and its role within marriage and family therapy multicultural supervision. An explanation of intersectionality, social identity relationships, multicultural supervision foundations and the influence of power through supervision will be discussed. Further, this paper will describe foundational concepts in the multicultural supervisory dyad and challenges integrating intersectionality within marriage and family therapy supervision. Implications for clinical supervision and research directions are discussed through cross cultural models, a randomized control design and conversation analysis.     

Clinical Supervision and Logotherapy: Discovering Meaning in the Supervisory Relationship

Upon review of the clinical supervision literature, the case is made for implementation of logotherapeutic principles within the context of the supervisory relationship. Logotherapy is a meaning-centered approach that may enhance existing supervision styles and models, especially their tendency to de-emphasize the supervisor-supervisee relationship and the inner experiencing factor of what occurs during the process of supervision. The utility of incorporating elements of logotherapy in clinical supervision is presented within the context of supervisor roles (i.e., mentor, teacher, and evaluator), as well as the content and process of effective supervision (e.g., enhancing knowledge, skills, attitudes, and interpersonal ability of supervisees). The importance of supervisor and supervisee personally meaningful values to the supervision process is then discussed, followed by specific avenues for research. Recommendations for incorporating logotherapy into supervision are offered.