Klinische Supervision

Clinical supervision is of central significance within different phases of training and is seen as a central part of adequate psychotherapy. Based upon different definitions and models of supervision, this article reviews clinically relevant results of psychotherapy research dealing with issues of supervision. Although the significance of supervision for the quality of psychotherapeutic treatment is sometimes still critically discussed, the amount of evidence for their positive effects increases. The review shows a number of current research deficits that should be compensated in the future.     

Supervision and imagination

Abstract :  This paper explores the role of imagination for the supervisor and examines the differences between the supervisor's use of creative and defensive imagination. It is suggested that reverie and imagining play a central role in supervision but that these need to be harnessed in the service of the reality principle. It is argued that the Jungian emphasis on the ego-self relationship provides a context for this process. A clinical example of work with a supervisee is described in which hidden aspects of a strong erotic transference/countertransference were revealed in the supervisor's imagining and became available for reflection.     

Spirituality in Supervision

As an important component of counselor education and development, supervision is a likely teaching and learning opportunity to address spirituality in counseling. The author examines ways in which spiritual and religious issues might be presented in supervision, using the focus areas of the Discrimination Model (J. M. Bernard, 1997), namely intervention, conceptualization, and personalization skills.     

Professionalisierung der Supervision

Supervision is a central domain of professional education and clinical practice. Supervisors features for qualification as well as formal training standards have been largely neglected. In this article the proposals of different psychotherapeutic societies concerning the features for qualification are discussed. Additionally, some training concepts are presented. Suggestions for future development in this area are addressed including the need to refine further operationalized competence, develop conditions for accreditation and certification regarding supervision competencies.     

Play in Supervision

Abstract

Clinical supervision is a fundamental component of counselor education training. Counselor Educators play an active and dynamic role in helping beginning practicum students conceptualize their work with clients. The use of expressive arts in counseling has been shown to be effective in creating a deeper level and meaning to counselor and client interactions. This article describes the use of a particular expressive art technique, a sandtray, based on Sandplay Therapy, with students enrolled in beginning practicum. Additionally, results from a pilot study comparing ratings of traditional supervision and ratings of sandtray supervision with students enrolled in a beginning practicum experience are provided. Results of the pilot study indicated some preliminary support for the viability of the application comparing ratings of traditional supervision sessions with ratings of supervision using sandtray.     

Experiential Group Psychotherapy Supervision

Following a review of various traditional models of supervising group therapy, an experiential model of supervising group in a group setting is presented. The model stresses the group aspect of the supervisory process, encourages group interaction, here-and-now responses and associations, and employs concepts from both object relations and group-as-a-whole theory to understand what is taking place. The model's premise is that case material presented in a supervision group stimulates parallel material in supervisees, which is then used to elucidate what has taken place in the therapy group being presented. Excerpts from one supervisory group are used to illustrate major features of the model.     

Adventures in Supervision: Implications for Supervision of Adventure Based Counseling

Supervision is a key component of counselor education. Although a variety of models guide the supervision process, few address the needs of counselors engaging in Adventure Based Counseling (ABC), a mode of treatment that uses experiential activities in a group setting. To address the experiential nature of ABC, the authors propose an integrative supervision approach comprised of the discrimination model of counseling supervision and the ENHANCES model for ABC. The authors also address training needs of ABC supervisors as well as supervision best practices. Finally, the article includes a case-study demonstrating the implementation of an integrative model of ABC supervision, addressing both the technical and clinical skills.     

Aspects of Live Supervision

Live supervision is a term describing the process by which someone guides the therapist while he works. The person supervising watches the session, usually behind a one-way mirror, and intrudes upon it to guide the therapist's behavior at the moment the action is happening. Goals and methods used are described.     

Supervision Is a Relationship Too: A Contemporary Approach to Psychoanalytic Supervision

This paper discusses clinical cases presented by Comins and Eliot within a paradigm of psychoanalytic supervisory work based on relational theory. Here, in making the medium of supervision more symmetrical with the message of contemporary psychoanalytic ideas about structure of mind health, pathology, and treatment, the relationship between the supervisor and supervisee is considered to contain crucial supervisory data to be delineated and discussed by both members of the dyad. The supervisory relationship is described using three dimensions: power and authority, the data held to be relevant for supervisory conversations, and the mode of the supervisor's participation in the supervisory process.     

Supervision von Psychotherapie

Zusammenfassung Modelle, Varianten und Methoden der Supervision von Psychotherapie werden vor dem Hintergrund eines sich ?ndernden Supervisionsverst?ndnisses dargestellt. Es wird aufgezeigt, worin diese Ver?nderungen bestehen, auf welche empirische Basis sich die Behauptung von der qualit?tssichernden Funktion der Supervision stützt, und was unternommen wird, um die Qualit?t der Supervision selbst zu sichern.      

Reflections on Supervision

The American Journal of Psychoanalysis - This paper explores basic tasks involved in the supervisory process, and frequent problems in carrying out these tasks. Basic tasks include clarification of...     

Editorial on Supervision

This Editorial provides background information to inform the report from the United Kingdom (UK) and Eire Association of Genetic Nurses and Counsellors (AGNC) Supervision Working Group on Genetic Counselling Supervision. We begin by introducing the context of practice as a genetic counselor in the UK and then follow with an overview of events that have happened in our profession that led to the need and creation of the report. Genetic counseling supervision has become instrumental to our practice, training and registration as genetic counselors in the UK.     

An Investigation of Abusive Supervision,Vicarious Abusive Supervision,and Their Joint Impacts

ABSTRACT

Recent work has begun to look at the impact of abusive supervision, a dysfunctional workplace behavior, on employee outcomes. This study extends this line of research by examining vicarious abusive supervision (abuse not directly experienced, but rumors about it or hearing about it, that is “experienced vicariously”). In particular, this research effort investigates whether vicarious abuse has effects above and beyond those accounted for by personally experienced abusive supervision on the outcomes of job frustration, coworker abuse, and perceived organizational support. Our sample is composed of 233 workers from a large variety of organizations. Results reveal that both personally experienced and vicarious abuse have negative impacts and these effects are heightened when both forms of abusive supervision are present. Practical and theoretical implications, as well as directions for future research, are offered.     

Supervision zwischen Differenz und Triangulierung

The author outlines some aspects helpful for a better understanding of supervision processes, which focus on difference, e.g. between perspectives of the analyst and the supervisor and take place in a triadic setting. Based on his experience he assumes that this triangulation allows for a differentiation high enough to effectively work on the treatment deliverer’s countertransference. In order to shed some light on this assumption the term “difference” as well as the history of the terms “difference” and “differentiation” are discussed. Furthermore, the concept of early triangulation as understood in developmental psychology is introduced and applied to the process of supervision. An exemplary report of a supervision session with a psychoanalyst in training follows which is intended to underline how supervisory work on countertransference processes within the framework of difference and triangulation can benefit the patient.     

A Paraprofessional's View of Supervision

The experience of a black paraprofessional community worker is presented in this paper with special emphasis on the problems of shifting to a family-oriented point of view in her work. Problems associated with the supervisory relationship and with the worker's use of herself as a therapeutic person are discussed as well.     

Supervision, transference and countertransference

The author discusses supervision, transference and countertransference as seen in the context of the clinical case of a patient who had been first seen as a training analysis case and who later, in a fortuitous way, was treated by the supervisor of the training analysis. The supervisor, who in the first instance did not recognize the patient, discusses the reasons for this unusual experience in terms of the presence and absence of transference during the analysis of this patient as a training case and the problems inherent in the task of supervising. The patient's feelings towards the first and the second analyst and the vicissitudes of transference and countertransference during the supervision of the training analysis and its influence on the presentation of the analytical sessions by the student are also detailed and discussed. The question of recorded supervision presentations and their possible influence on the dynamics of supervision is raised.     

Kontextanalytische Supervision in der psychoanalytischen Ausbildung

Clinical practice with supervision is that area of psychoanalytic education, in which psychotherapeutic competence is learned, developed and imparted. From the results of the current research about education and supervision, the tasks and aims of supervision are derived. Based on that a context-analytical concept of supervision is evolved. In context-analytical supervision a researching attitude is adopted by which the interactional evaluation of the patient/supervisee is captured and understood for to follow this in psychotherapeutic/supervisory acting and intervening. Finally the potential of context-analysis as a method of qualitative research is pointed out.     

Counselling Supervision: The British context

Counselling/psychotherapy supervision is on the verge of a professional breakthrough in Britain today. Training courses are emerging, accreditation for supervisors is in progress and a Code of Ethics for Supervisors is finalised. Yet supervision is still little understood. There are few agreed definitions and certainly no agreed tasks, roles, or even goals of supervision. Conflict still abounds about whether it is more akin to therapy than to education, about whether or not it shold be evaluative, and about what areas of counselling it should cover. Supervisors are poorly trained in supervision and areas such as the legal implications and responsibilities of supervision not clear and often not even considered important. What research has been done is confined largely to United States and few attempts have been made to apply findings to Britain, e.g. how valid in Britain is the current research on Developmental Models of supervision which outline the stages through which counsellors in training travel.

Supervision is still tied to counselling theory despite its efforts to become a discipline on its own. Most supervisors in Britain seem to apply their theory of counselling to supervision setting. However, some of the conflicts are being faced and some questions raised about the future of supervision, about the kind of relationship involved, about its relationship to counselling. This article raises some current issues in the field and asks the kinds of questions that need answering before we are able to talk about a British understanding and application of counselling supervision.     

Some Thoughts on Supervision

Quite often we have the experience that adolescents do not accept an offer of treatment, in spite of the fact that they feel miserable. Or, that they do start in treatment and then change their minds and break off contact. The author reflects about factors and conditions contributing to these analytic failures. He discusses elements of analytic method, setting, neutral position, analytic relationship, and how the frames are put under pressure in work with adolescents. He thereafter presents some vignettes and examples of analytic work, where intuitive interventions and interpretations appear against a background of ordinary psychoanalytic method. For the analyst, these interventions can feel unexpected, incidental, like ideas out of the blue. On second thoughts, we may sometimes be able to trace and understand how these intuitions are based on non-conscious processes, like counter-transference feelings, an understanding of the patient still unclear and unarticulated for the analyst or perhaps a last desperate attempt to reach the patient and get in contact at a decisive or critical moment. Finally, the author reflects on the double face of psychoanalysis: both a contemplated, carefully described and systematic method and a craft with elements of intuition, creativity and, sometimes, inspiration.