Working with Lesbians,Gays, and Bisexuals: Addressing Heterosexism in Supervision

Heterosexism is a form of multicultural bias that has the potential to harm both clients and supervisees. Supervisors are encouraged to examine their own heterosexist lens as a first step in providing a safe environment in which supervisees can challenge their own heterosexism. The issue of heterosexism is first discussed from an ethical vantage point. The second section of the article examines four facets of heterosexism (discrimination, lack of knowledge, stereotyping, and insensitivity) and how they might be exhibited by the supervisor in the supervision arena. Special topics discussed in this section include: the possible consequences of “coming out” in the supervisory context; the presence of heterosexism in the foundational family systems theory; the need for recognition of the special family characteristics of lesbians, gays, and bisexuals; the value of personal and professional relationships with persons who are gay, lesbian, and bisexual; common heterosexist stereotypes and research that refutes them; and the use of language. The final section of the article offers suggestions for working with supervisees around these issues.     

INTERFACING INFANT MENTAL HEALTH KNOWLEDGE: PERSPECTIVES OF SOUTH AFRICAN SUPERVISORS SUPPORTING LAY MOTHER–INFANT HOME VISITORS

This article is part of a project investigating the interfacing of clinically and research‐generated knowledge in the field of infant mental health (IMH) with local cultural models of child care and development. The article explores the experiences and challenges reported by psychology‐trained supervisors in supervision with local, lay, trained home visitors. Supervisors and supervisees were drawn from two early intervention programs which apply relational IMH mental health models in socioeconomically deprived townships in South Africa. Literature that considers supervisors’ experiences of conducting supervision with lay counselors has been limited, and even more so in settings where there are marked cultural and contextual differences between supervisors and supervisees. These differences pose particular challenges regarding the finding of a shared theoretical understanding of the work as well as to the establishment of a secure working alliance. While it was found that psychoanalytic and attachment‐informed theories of infant development are applicable in these South African settings, differences in race, language, education, socioeconomic status, and culture between supervisors and supervisees challenge the supervisor–supervisee relationship and require psychological processing and creative solutions to ensure integrity in the application of the model.     

Photo-synthesis: Facilitating Goal Setting in Supervision Using Images and Creativity

ABSTRACT

One of the most important aspects of clinical supervision is goal-setting. In the early stages of supervision, supervisees may find it difficult to connect authentically with their supervisors due to the inherent power differential in supervision. Difficulty connecting may be exacerbated when students are attempting to set goals regarding their areas for growth. Based on literature reviewed on the counselor-client relationship, the authors posit that using images may increase vulnerability between supervisors and supervisees. Additionally, the authors introduce relational-cultural theory as a framework for connecting authentically through creative images. The authors present examples of using images in individual and group supervision, specifically employing The Coaching Game made by Points of You.     

Problematic Self-Efficacy Inferences in Beginning Psychotherapy Supervisees: Identification and Management

We contend that a particular form of self-efficacy beliefs — specifically referred to as relation-inferred self-efficacy beliefs — often gets activated in beginning supervisees, can potentially pose supervision problems from the outset and, consequently, is best addressed by supervisors early on. Relation-inferred self-efficacy beliefs refer to what supervisees think or infer that their supervisor is thinking about their therapeutic efficacy; because beginning supervisees often have doubts about their own therapeutic efficacy, they can make incorrect inferences about what their supervisor is thinking of them, and supervision can be accordingly affected. In this brief report, relation-inferred self-efficacy beliefs are elaborated upon, their significance for the trajectory of beginning supervisee development is considered, and some supervisor actions that can aid in alleviating the impact of those beliefs on beginning supervisees are identified. We view it as important that supervisors (a) hold supervisee problematic relation-inferred self-efficacy beliefs in mind as a likely supervision reality, (b) strive to proactively address their possible emergence through supervisee education at supervision’s onset and through including the topic in the body of the supervision agreement, (c) be sensitive to cues that may indicate the emergence of such problematic inferred beliefs during the course of supervision, (d) sensitively inquire about those cues and, if confirmed, be open to discussing their implications with beginning supervisees, (e) fully carry out discussion about those beliefs so as to allay supervisees’ inference concerns, and (f) because addressing those problematic beliefs is not a one-and-done affair, be ready to re-address them as need arises.

     

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.     

Supervising Psychoanalytic Psychotherapy: Present Knowledge,Pressing Needs,Future Possibilities

Existing research from the fields of education, cognitive science, neuroscience, and psychoanalytic psychotherapy points us toward possibilities for the future of psychoanalytic supervision. This research suggests that we need to go beyond communicating abstract knowledge and make our supervisory relationships more experiential, participatory, relationship-focused, and personal in order to teach usable knowledge, develop complex psychotherapeutic skills, and facilitate emotional and relational development in our supervisees. The author concludes that a relational model of supervision fits this pedagogical profile. After grappling with our resistances to change, the author hopes that more psychoanalytic supervisors will make use of a relational model of supervision, as well as drawing upon new technologies and neuroscience-based teaching techniques.     

Systems-centered supervision

The systems-centered (SCT) approach to supervision frames the dynamics of both groups and individuals as isomorphic systems. In this chapter, the SCT supervisory experience, its goals, and its approach to transference and countertransference are addressed; the orientation of the seven questions that structure the SCT supervisory process are identified; and the thinking that is required to answer them is discussed. SCT supervisees locate their supervision issues in the context of the phases of system development; consider interventions as hypotheses that can be tested in the therapeutic context; and provide feedback to all parties about the validity of the theory of living human systems, the reliability of its systems-centered practice, and the accuracy of the therapist's hypotheses about the isomorphic dynamics of the systems of member, subgroup and group as a whole. Illustrations are taken from tape recordings of supervisory sessions.     

督导重要事件对新手咨询师专业成长的影响

目的：了解个别督导过程中重要事件的类型、内涵及对新手咨询师专业成长的影响。方法：采用重要事件法,访谈4对受督者和督导师,并用共识性质性研究法分析。结果：有益重要事件包括督导关系、概念化、历程化、个人化4大类;督导促进了新手咨询师干预技巧能力、治疗计划目标等8个专业领域的成长。结论：督导对于新手咨询师专业成长非常重要。各类督导事件对于新手咨询师的促进作用并不均衡。     

Electronic Communication in Supervisory Relationships: A Mixed Data Survey

Much has been written about online communication between therapists and clients, particularly regarding the feasibility, ethics, and frequency of such practices. Little, however, has been published with regard to electronic communication patterns between therapists and their supervisors. The purpose of this study was to understand if and how electronic communication is used between marriage and family therapy (MFT) supervisees and supervisors. To accomplish this, we administered a mixed data survey to MFT supervisors and supervisees across the United States regarding frequency of interaction via electronic methods. We also assessed comfort level with online supervision, how supervisory participants make determinations when to use online supervision, and when online communication is believed to be most appropriate within MFT supervision. We report both qualitative and quantitative findings regarding the use of online technologies in supervision. Implications for research, training, and supervision are discussed.     

What's not being said? Recollections of nondisclosure in clinical supervision while in training

The aim of this qualitative study was to retrospectively examine nondisclosure in individual supervision while in training. Interviews were conducted with supervisees two years post-qualification. Specific nondisclosures were examined and reasons for these nondisclosures were explored. Six in-depth semi-structured interviews were conducted and data analysis drew on Consensual Qualitative Research. The findings revealed four categories relating to: (i) the nature of the difficulty; (ii) reasons for nondisclosure; (iii) the supervisory relationship; and (iv) facilitative factors. The quality of the supervisory relationship was a significant element in nondisclosure. A key recommendation was that role induction for supervisees should be incorporated into training programmes to assist supervisees in learning how to use supervision more effectively. Limitations of the study and further research are provided in light of current findings.     

The Wisdom Jar

Abstract

Supervisors can use a wide range of skills and exercises when terminating counseling supervision with supervisees at the end of a practicum class. This article presents an experiential creative activity, the Wisdom Jar, as a metaphor for discussing specific lessons with supervisees. The use of creativity and the integration of symbols and metaphors provided supervisees with images to reflect upon after completing a counseling practicum clinical experience.     

Supervisor social skill and supervision outcome

Background: The practice of clinical supervision is considered an effective procedure to achieve a variety of professional outcomes for supervisees. Supervisory alliance mediates many of the learning outcomes thought important for effective supervision. Therefore, it is important to identity supervisor characteristics that relate to the capacity to develop a positive supervisory alliance and achieve supervision outcome. Aim: Supervisor interpersonal skill was investigated as a characteristic involved with both supervisee assessment of supervisory alliance and learning outcomes of supervision. Method: Forty supervisors completed assessments for interpersonal skill and provided 8 sessions of supervision to 50 supervisees. Supervisees completed assessments for supervisory alliance and supervision evaluation. Findings: Supervisor interpersonal skill predicted supervisee rated supervisory alliance and supervision outcome. Implications: Supervisor interpersonal skill is important for the capacity to develop a positive supervisory alliance and manage the learning environment of supervision.     

督导重要事件对新手咨询师专业成长的影响

目的：了解个别督导过程中重要事件的类型、内涵及对新手咨询师专业成长的影响。方法：采用重要事件法，访谈4对受督者和督导师，并用共识性质性研究法分析。结果：有益重要事件包括督导关系、概念化、历程化、个人化4大类；督导促进了新手咨询师干预技巧能力、治疗计划目标等8个专业领域的成长。结论：督导对于新手咨询师专业成长非常重要。各类督导事件对于新手咨询师的促进作用并不均衡。     

The Science and Art of Integrating Psychodrama and Bernard’s Discrimination Model

This article presents the useful technique of Jacob L. Moreno’s psychodrama in counselor education supervision training. This article addresses how psychodrama can be used with student supervisors who are not sure which of Bernard’s discrimination model roles they are using in supervision. Bernard’s model uses three roles that help supervisors function successfully in their relationships with supervisees. Psychodrama may help student supervisors decide what action would be the most appropriate in a given supervision session. Student supervisors may also benefit from psychodrama in processing internal conflict they may experience in their supervisory role. Faculty members training new supervisors may use these techniques to help their student supervisors gain more awareness on how they view their relationships with supervisees.     

Super- (and not-so-super-) vision of counsellors-in-training: Supervisee perspectives on broadening and narrowing processes

This study investigated the experiences of broadening and narrowing in the supervisory process from the perspective of supervisees. Ten supervisees who had completed all requirements for a master's degree in counselling were interviewed using a semi-structured interview. Data were analyzed using a consensual qualitative research method. Results included categories of supervisor and supervisee actions that contributed to both broadening and narrowing experiences in supervision. The results are discussed in light of implications for the process of supervision.     

Group supervision of groups: a modern analytic perspective

This article is introduced by historical references to Freud's Wednesday Evening Society and to relevant sources in the literature on group supervision. The aims of group supervision are defined: helping supervisees to understand the individuals who comprise their groups, helping the supervisee become a group-oriented therapist, alerting supervisees to the critical task of monitoring and regulating the amount of emotional excitation within their groups, helping supervisees deal with the range of feelings induced in them by their groups, and helping them become familiar with the principles and become proficient in the techniques of modern analysis. Major aspects of the group-supervisory process are delineated and illustrated through the use of relevant vignettes. Resistance in supervisory groups is discussed with examples of the resolution of some resistances. The author's method and style of leading supervisory groups is presented, as are observations on the boundaries of supervisory groups.     

Understanding supervisee nondisclosures in supervision with videorecording review and interpersonal process recall

The purpose of this qualitative multiple case study was to obtain an in‐depth understanding of supervisees' in‐the‐moment nondisclosure experiences, perceptions and internal processes as they occurred in clinical supervision involving videorecording review. The supervisees who participated in the study were students in their first year of a master's‐level counselling practicum in Western Canada. Utilising interpersonal process recall (IPR) interview methods, supervisees were asked to share their moment‐by‐moment nondisclosures that occurred during a recent videorecorded supervision session in which the supervisory dyad reviewed a videorecording of the supervisee's clinical work. Thematic analysis across cases yielded five overarching themes: (a) validation; (b) safety; (c) growth and accomplishment; (d) performance anxiety; and (e) avoidance. The findings revealed a broad range of positive and negative supervisee nondisclosures that were influenced by the supervision modality of videorecording review and the IPR interview. Implications for clinical supervision, limitations of the study and suggestions for future research are discussed.     

The Use of Positive Reframing in the Context of Supervision

This article describes the use of positive reframing in the context of supervision. Supervisors encountering resistance from their supervisees can use positive reframing as a way to reduce threat and promote growth. A rationale is developed for using reframing with supervisees. The positive reframes are designed with an emphasis on the supervisee's experience of personal power and self-esteem. The supervisor capitalizes on the experience by modeling for the supervisee how to resolve the situation. Examples are presented and limitations are outlined.