The supervisory alliance: Comparison of measures and implications for a supervision toolkit

Background Clinical supervision lies at the core of the professional development of clinicians providing services within a range of service settings. The supervisory alliance is regarded as the most important construct in effective supervision which underlies the importance of metrics to assess this construct. Aims materials and Method A cross‐sectional self‐report questionnaire design was used to examine clinical supervision constructs. The study used two scales measuring the supervisory alliance (SRQ and SWAI‐T), a scale measuring supervision satisfaction (SSQ) and a scale measuring disclosure (TDS). The questionnaires were administered to 127 clinical psychology trainees who were undertaking a practicum placement. Results Both scales measuring the alliance were positively correlated with satisfaction with supervision and disclosure, with similar sizes of correlation for each alliance scale. There was also a large, positive correlation between the two scales of measuring the alliance. Discussion Both scales were designed for use in supervision and are related to supervision outcome measures in the expected directions. Conclusion The SRQ has some distinct advantages over the SWAI‐T that lend the SRQ to be potentially more useful in clinical and research settings.     

咨询会谈中的人际互补及其与工作同盟、咨询效果的关系

Leary的人际理论将人际互动行为划分为"情感"和"控制"两个维度,互动双方在情感维度的一致性和控制维度的互补性统称为人际互补。为探究心理咨询过程中人际互补的发展趋势及其与工作同盟、咨询效果的关系,采用电脑操纵杆方法,编制《咨询会谈人际互补行为评分手册》,对16个个案的48个心理咨询会谈录像进行评估。结果表明:有经验的咨询师在咨询前期的情感轴一致性高于中期和后期,在咨询后期的控制轴互补性高于前期和中期,新手咨询师的情感轴一致性和控制轴互补性均无阶段性差异;咨询中期的情感轴一致性负向预测工作同盟和会谈深度;情感轴一致性呈高-低-高发展趋势的个案咨询效果更好。结论:心理咨询的人际互补三阶段模型得到一定程度的支持,其作用机制有待进一步验证。     

The Relationship Between Counseling Trainee Perfectionism and the Working Alliance With Supervisor and Client

The relationships between perfectionism, counseling self‐efficacy, and the supervisory and client working alliance were investigated among 143 counseling trainees and 46 supervisor–trainee dyads. Maladaptive perfectionism was negatively correlated with the supervisory alliance and working alliance. Counseling self‐efficacy moderated the relationship between adaptive perfectionism and the supervisory alliance (perspective of the counseling trainee) and maladaptive perfectionism and the supervisory alliance (perspective of the supervisor). The authors conclude that supervisors should consider perfectionism and counseling self‐efficacy as important factors in supervision.     

Attachment theory within clinical supervision: application of the conceptual to the empirical

Attachment theory, which has demonstrated application in caregiver-child, romantic, and psychotherapeutic relationships, also appears to be supervision relevant. But bad blood between attachment theory and psychoanalysis may well have hampered considering the relevance of attachment theory for psychoanalytic supervision. This project sought to investigate the application of attachment theory to the supervision situation, with the potential implications of our findings for psychoanalytic supervision being considered. Attachment styles, leader–follower dynamics, and attachment-based expectations were explored as predictors of supervisor-trainee working alliance using a prospective, longitudinal study design. Findings revealed the importance of measuring supervision-specific attachment, the particularly problematic nature of supervisee avoidant attachment, and the potential contribution of a leader–follower framework for understanding supervisory attachment. These attachment concepts may well be useful in, and additive for, psychoanalytic supervision practice.     

Benign and disruptive disturbances of the supervisory field1

Inspired by Baranger, Baranger and Mom’s notion of psychoanalytic bastion, we describe an unconscious collusion between analytic supervisors and supervisees. This collusion’s purpose is to avoid the anxiety inherent in the psychoanalytic field and that enters unprocessed into the supervisory field. The supervisor/supervisee dyad’s emotional experience can be fleeting, with moderate intensity, but can slow down the process. This can happen sometimes in any supervisory situation. Or it can become permanent and with greater intensity and bring the entire process to a standstill and to a disruption of the supervisory field. We call the first situation a ‘benign disturbance of the supervisory field’, the second a ‘disruptive disturbance of the supervisory field’. We illustrate both disturbances using supervisory material. Our purpose is to show how to detect these disturbances, understand them, and manage them.     

Clinician experiences of homework in couples and family therapy: A survey of perceived impact on the working alliance

The process of engaging clients in homework assignments has been studied extensively in research settings, but rarely have the challenges in the implementation of the science been considered in couples and family therapy. A survey was conducted of 226 clinicians regarding (1) their experience of homework adherence (quantity and quality) with couple and family clients, and (2) their experience of the impact of homework non-completion (IHN) on the working alliance. Clinicians working with families reported less overall homework quantity and quality. However, across both couples and family clients, more negative IHN was reported among clinicians experiencing less homework quantity, both in terms of IHN bond (couple ρ = 0.71, p < 0.001; family ρ = 0.78, p < 0.001) and IHN agreement (couples ρ = 0.25, p < 0.001; ρ = 0.19, p = 0.006), and among clinicians with fewer years of clinical experience (r = 0.19, n = 136, p < 0.05). The present findings suggest that, in the context of couples and family therapy, there is a risk of perceived negative IHN on the working alliance. There would be merit to future investigations examining the processes of facilitating homework engagement within the context of a strong working alliance.     

Transference,relationship and the analyst as object: Findings from the North American Comparative Clinical Methods Working Party

Data from the North American Comparative Clinical Methods (CCM) Working Party a is used to 1) explore how psychoanalysts in North America conceive and address the transference and the relationship between analyst‐analysand and 2) to study what kinds of ‘objects’ psychoanalysts become, explicitly and implicitly, within psychoanalytic treatments. The North American CCM Working Party closely studied 17 clinical cases presented by North American psychoanalysts across the spectrum of analytic schools at their meetings. We found that the 17 analysts fell into three different groupings according to the internal consistency of their method and their approaches to transference, relationship and analyst‐as ‐object. We also found that analysts' individual work, while heavily influenced by their schools of thought, also involved unique interpretations of their particular paradigms.     

The working alliance and the transference/countertransference relationship: Their manifestation with racial/ethnic and sexual orientation minority clients and therapists

Theoretical propositions are offered about the interrelations of three key concepts in psychotherapy: specifically, the working alliance, on the one hand, and both transference and countertransference, on the other. The role these concepts play, including the interactions between them, is extended to the areas of race/ethnicity and sexual orientation. We examine working alliance, transference, and countertransference considerations for therapy dyads in which at least one of the participants is a member of a racial/ethnic or sexual orientation minority group. Our hope is that this theoretical examination will generate further research and theory development on working alliance, transference, and countertransference where cultural factors such as race/ethnicity and sexual orientation are implicated in the therapeutic relationship.     

The Potential of Animal-Assisted Therapy Within the Supervisory Alliance

Chandler identified eight generalized benefits of animal-assisted therapy (AAT) for a person’s growth. These beneficial areas include (a) motivation, (b) distress tolerance, (c) alternative form of nurturance, (d) physical soothing, (e) genuine acceptance, (f) interactional enjoyment, (g) increased trust, and (h) increased encouragement to overcome barriers. Homestead identified supervision ideals, skills, and barriers within the supervisory alliance. If supervision is negative, this experience may disrupt the supervision relationship, process, and requirements. If not properly addressed, potential harm may come to the supervisee, supervisor, and possibly the client’s welfare. This review will identify how these eight areas of AAT may benefit the supervisory alliance to ensure the best care for the supervisee, supervisor, and the client.     

Belief in gene technology: The influence of environmental attitudes and gender

In the past, different items for measuring acceptance of gene technology were used, making comparison of results from different opinion polls rather difficult. A scale consisting of five items for assessing belief in gene technology was developed. Analysis yielded that the items form a strong Mokken scale. Results indicated that environmental attitudes and gender predict acceptance of gene technology. Participants who value nature for its own sake had negative attitudes and participants valuing nature because of its usefulness and benefits to humans had positive attitudes toward gene technology. Participants were randomly selected students from a Swiss University (N = 891).     

Relationship Between the Supervisory Working Alliance and Outcomes: A Meta‐Analysis

This study investigated the relationships between the supervisory working alliance and supervision outcome variables using meta‐analysis. The authors reviewed 27 articles, dissertations, and theses published between 1990 and 2018. The authors used the MIX program to calculate the meta‐analyses. The results indicate that the supervisory working alliance is positively related to supervision outcome variables. Supervisees’ perceived relationship with the supervisor was positively related to the relationship with the client. This shows that the phenomenon of isomorphism is a repeated pattern in the relationships in supervision and counseling. The authors discuss the limitations and implications.     

Ethics in Supervision: Consideration of the Supervisory Alliance and Countertransference Management of Psychology Doctoral Students

Clinical supervision provides the foundation for cultivating ethical practice and professionalism for mental health trainees. Exploration and management of a supervisee’s personal reactivity or countertransference (CT) is a critical component of supervision and has clear ethical implications for clinical management and the development of clinical competence. This article discusses supervision practice and presents the results of a study that investigated the influence of supervisor–supervisee relationship on clinical and counseling doctoral students’ CT disclosures. Respondents completed the Working Alliance Inventory–Supervisee form and the Personal Reaction Disclosure Questionnaire, which assessed respondents’ comfort and likelihood of reporting CT reactions to hypothetical clinical interactions. Results of this analogue study demonstrated positive associations between supervisory alliance and reported comfort and likelihood of CT disclosures, highlighting the importance of the alliance and drawing attention to supervisors their responsibility to particularly attend to the bond dimension of the relationship.     

The role of faith in intuition, need for cognition and method of attitude formation in implicit–explicit brand attitude relationship strength

We tested the hypothesis that Faith in Intuition (FI) would moderate implicit–explicit attitude relationship strength for attitudes formed via associative processes, but not propositional processes. Experiments 1 and 2 demonstrated that FI moderated I–E relationship strength for attitudes formed via evaluative conditioning. High FI people had stronger I–E correlations. Experiment 2 showed that FI did not moderate I–E relationship strength for attitudes formed via propositional reasoning. Those low in Need for Cognition (NC), however, showed stronger I–E correlations than those high in NC. The importance of considering trait variables in combination with the method of attitude formation is discussed.     

How management style moderates the relationship between abusive supervision and workplace deviance: An uncertainty management theory perspective

Based on uncertainty management theory [Lind, E. A., & Van den Bos, K., (2002). When fairness works: Toward a general theory of uncertainty management. In Staw, B. M., & Kramer, R. M. (Eds.), Research in organizational behavior (Vol. 24, pp. 181–223). Greenwich, CT: JAI Press.], two studies tested whether a management style depicting situational uncertainty moderates the relationship between abusive supervision and workplace deviance. Study 1, using survey data from 379 subordinates of various industries, found that the positive relationship between abusive supervision and organizational deviance was stronger when authoritarian management style was low (high situational uncertainty) rather than high (low situational uncertainty). No significant interaction effect was found on interpersonal deviance. Study 2, using survey data from 1477 subordinates of various industries, found that the positive relationship between abusive supervision and supervisor-directed and organizational deviance was stronger when employees’ perceptions of their organization’s management style reflected high rather than low situational uncertainty.     

The effects of counsellor gender and problem type on help-seeking attitudes among Turkish high school students

The present study explores gender differences in help-seeking attitudes and the effects of counsellor gender and problem type on those attitudes among Turkish high school students. The Attitudes towards Seeking Help Scale and a survey instrument concerning related factors were administered to 342 adolescents. ANOVAs show that male and female students displayed different help-seeking attitudes. Females held much more positive help-seeking attitudes than did males. For females, neither counsellor gender, problem type nor their interaction affected help-seeking attitudes. By contrast, among males, the interaction of counsellor gender and problem type influenced total help-seeking attitudes as well as two of the subscales – psychological distress and confidence in mental health professionals. Limitations, suggestions for further research and implications are discussed.     

人际同步性现象：探索心理咨询过程中同盟关系的新视角

人际同步性是指两个或两个以上的人的言语特点、行为表现、生理指标以及神经生理活动在时间上出现重合的现象, 得益于近10年内技术上的突破, 研究者开始对心理咨询领域的人际同步现象进行初步的探索, 试图从该视角揭示心理咨询过程中咨访双方的互动模式和同盟建立的内在机制。近期研究主要关注非言语同步、生理同步、人际脑同步与同盟及其影响因素之间的关系, 并针对它们各自对同盟的作用机制发展出了相应的理论。未来的研究者可以更多地关注同盟动态变化过程中的人际同步性, 发展整合理论来回应同盟建立的内在机制, 并在临床应用上促进具有人际同步性的心理咨询互动过程。     

Infants' ability to match dynamic phonetic and gender information in the face and voice.

Six experiments tested young infants' sensitivity to vowel and gender information in dynamic faces and voices. Infants were presented with side-by-side displays of two faces articulating the vowels /a/ or /i/ in synchrony. The heard voice matched the gender of one face in some studies and the vowel of one face in other studies and, in some studies, vowel and gender were placed in conflict. Infants of age 4.5 months showed no evidence of matching face and voice on the basis of gender, but were able to ignore irrelevant gender information and match on the basis of the vowel. Robust evidence of the ability to match on the basis of gender was not evident until 8 months of age. This set of findings suggests that, when identical stimuli are used, gender matching does not emerge until a later age than does phonetic matching. Results are discussed in relation to key theories of intermodal development.