Sizeism in Therapy: Fat Shaming in Supervision

Abstract

The author, a doctoral student therapist, discusses her experience with a clinical supervisor who fat-shamed a client during supervision. This incident is examined within a shame framework and addresses the experience of shame, the effects of shame and shame-proneness on mental health outcomes, and why discussions about shame are often avoided in therapy by both clients and therapists. Some of the real-world considerations that can impact treatment for fat individuals, including chair size and comfort of the client, implicit bias within therapy, and goals for treatment, are also discussed.     

Goal Commitment Buffers the Negative Effects of Perceived Abusive Supervision

Abstract

The effects of abusive supervision may be more intricate than what reason would suggest. To examine why individuals may respond differently to perceptions of supervisor abusive, this study relies on goal-setting theory to present a model that accounts for the influence of abusive supervision on job performance and organizational deviance. To be precise, motivation control and self-defeating cognition are proposed to mediate the interaction of perceived abusive supervision with goal commitment in predicting organizational deviance and job performance. In particular, the extent to which goal commitment alleviates the deleterious effects of abusive supervision is examined such that when goal commitment is high, the indirect effects of perceived abusive supervision on job performance and organizational deviance via motivation control and self-defeating cognition were predicted to be weaker. The proposed model was supported by multisource and multiwave data. The understanding of when the deleterious effects of supervisor abuse as perceived by followers are likely might help the human resource personnel to adopt measures that buffer against such outcomes.     

Dilemmas that undermine supervisor confidence

Background

Conventional wisdom links supervisor self‐confidence with experience in supervisory practice.

Aims

This study explored the nature of confidence from an emic perspective.

Method

Twelve experienced Canadian supervisors were interviewed, and data was analysed using Structured Thematic Analysis.

Results

Aspects of the role and process produce tensions that create ambiguity that may diminish self‐confidence. Five main themes were distilled: (a) building supervisee confidence when experiencing self‐doubt as supervisor or clinician;(b) parallel process‐what disturbs therapy disturbs supervision; (c) expert vs. co‐explorer; (d) engaging in supervision while maintaining boundaries; and (e) catch 22 – inviting disclosures of difficulties and evaluation.

Conclusion

The study adds nuance to the scholarly work that informs supervisor self‐confidence.     

Supervision of supervision: Specialism or new profession?

Abstract

Consecutive BAC Codes of Ethics and Practice of the Supervision of Counsellors have emphasised the importance of supervisory consultations for supervisors, and the need of evaluating and monitoring supervision work. Supervision of supervision work has also been an integral part of the training of supervisors, in order for them to learn supervision by actually supervising and receiving feedback on their work. The paper attempts to define and conceptualise the task of the supervisor of supervision in comparison with and by contrast to ordinary supervision and covers such areas as function, format, focus, presentation.     

How does psychoanalytic supervision work? A brief communication

In this brief communication, we offer one perspective – the contextual psychoanalytic supervision model (CPSM) – on how psychoanalytic supervision works. The CPSM, a supervisory extrapolation of Wampold’s contextual psychotherapy relationship model, accentuates four psychoanalytic supervisor–supervisee relationship variables as crucial and change inducing: the learning alliance bond, supervisor–supervisee real relationship, creating supervision expectations/providing an expectation-consistent form of supervision, and the supervisee’s engagement in facilitative educational actions. The CPSM is presented in hopes of stimulating further discussion about what makes psychoanalytic supervision work.     

Ethical considerations in the supervision of applied sport psychology graduate students

Abstract

Some of the most important relationships that a sport psychologist experiences in his or her career are between the supervisor and supervisee in applied practica and internships. These relationships may become models for future professional and ethical behavior with colleagues, students, and clients, and thus deserve careful examination. Ethics form a foundation for practice, and while classroom discussions of ethical issues help educate graduate students, the supervisor-supervisee relationship may provide a hands-on experience of ethical dilemmas and ethical problem solving. Ethics in supervisor-supervisee relationships cover at least two broad areas. First, there is the supervisor's monitoring and mentoring of ethical considerations in the supervisee's relationship with the athlete-client. Second, ethical questions arise in the relationship between the supervisor and the supervisee. The present paper includes discussion of general supervisory issues (e.g., modeling ethical behavior, helping develop counseling skills) and explores the specific ethical problems of referring for counseling, intimacy, and exploitation. Also, three case examples illustrate ethical concerns that may appear in the process of applied sport psychology supervision. Broadening education in ethical issues in supervision for both psychology and exercise science graduate programs may help future practitioners better serve their clients.     

Supervisors' and Supervisees' perceptions of the effectiveness of family therapy supervisor interpersonal skills

Abstract

This study surveyed a randomly selected group of Approved Supervisors of the American Association for Marriage and Family Therapy (n=318) and their supervisees (n=299) on their perceptions of the effectiveness of several supervisor interpersonal skills. Both supervisors and supervisees had high ratings for the majority of the interpersonal skills and rated “respects the supervisee” most effective. Trends in supervisors' and supervisees' responses were assessed for (a) theoretical orientation, (b) supervision setting, (c) gender, (d) number of years supervising family therapists (for supervisors), and (e) number of years practicing family therapy (for supervisees).     

How Does the Analytic Supervisor Teach Group Therapy?

This paper presents a detailed account of the role of the analytic supervisor of group therapy. In addition to overseeing the teaching of clinical skills, the analytically-oriented supervisor monitors the dynamics of the supervisee and the supervisory relationship itself. Unconscious processes may both interfere with, and shed light on what is occurring in the treatment. The author suggests that a collaborative relationship characterized by safety and mutual reflection promotes learning. The distinctions between analytic and nonanalytic supervision of groups are discussed.     

Supervisory Abuse of High Performers: A Social Comparison Perspective

Prior research linking employee performance to abusive supervision suggests that supervisors have instrumental and non-instrumental reasons for engaging in abuse while dealing with low performers in the workplace. Drawing on social comparison theory, we argue that high-performing subordinates can make supervisors envious, which in turn leads to abusive supervisory behavior. Furthermore, we hypothesize supervisor social comparison orientation as a key boundary condition for the indirect positive effect of subordinate performance on abusive supervision through supervisor envy; that is, supervisors are more likely to abuse high performers when the supervisors’ social comparison orientation is high. A multi-source, multi-wave field study was conducted with data collected from supervisor-subordinate dyads (N = 95 supervisors and 385 subordinates). The data supported a positive indirect effect of employee performance on abusive supervision through supervisor envy. Moreover, the indirect effect was statistically significant for supervisors with high social comparison orientation but it was not significant for supervisors with low social comparison orientation. Implications of these findings for reducing abusive supervision are discussed.     

Supervision in Community Mental Health: Understanding Intensity of EBT Focus

The goal of the present study was to examine clinician, supervisor, and organizational factors that are associated with the intensity of evidence-based treatment (EBT) focus in workplace-based clinical supervision of a specific EBT, Trauma-Focused Cognitive Behavioral Therapy (TF-CBT). Supervisors (n = 56) and clinicians (n = 207) from mental health organizations across Washington State completed online self-report questionnaires. Multilevel modeling (MLM) analyses were used to examine the relative influence of nested clinician and supervisor factors on the intensity of EBT focus in supervision. We found that 33% of the variance in clinician report of EBT supervision intensity clustered at the supervisor level and implementation climate was the only significant factor associated with EBT supervision intensity. While individual clinician and supervisor factors may play a role in EBT coverage in supervision, our results suggest that an implementation climate that supports EBT may be the most critical factor for improving intensity of EBT coverage. Thus, implementation efforts that address the extent to which EBTs are expected, rewarded, and supported within an organization may be needed to support greater coverage of EBT during workplace-based supervision.     

Cybervision: Virtual peer group counselling supervision — Hindrance or help?

This study explored the use of text‐based computer‐mediated communication in counsellor supervision. ‘Cybervision’ is an innovative collaboration between counsellors and computer technology. The study reports on the use of clinical case presentation by e‐mail and the discussion of cases in text‐based chat rooms. The inquiry, conducted from a qualitative research perspective, seeks to explore the potential effectiveness of Cybervision along with its advantages and disadvantages. Prior to each supervision session, the supervisee presented case concerns by e‐mail and later received 60 minutes supervision from the remaining three group members adopting the role of supervisor. As a form of co‐operative inquiry, the personal experience of research participants was investigated and reported, highlighting key themes and issues relating to the absence of face‐to‐face contact. In all cases, participants reported that Cybervision effectively influenced and informed the clinical practice of the counsellor. Participants quickly and successfully formed a meaningful group where support, challenge and feedback were expressed and valued. The ‘disinhibition’ effect of on‐line contact was found to support open and honest communication. Feelings were communicated in this environment with surprising ease. The consistent emergence of useful parallel processes was another significant finding.     

Structural factors affecting the supervisor's devotion

The system of supervision in psychoanalytically-oriented psychotherapy consists of a young, relatively inexperienced trainee and a senior, experienced and knowledgeable supervisor. The issues generally discussed during the course of supervision are related to the dynamics of the patient, therapeutic values, difficulties encountered by the trainee and feelings aroused in him or her in connection with the patient and the therapy. The trainee goes through a process of growth and development in both the personal and the professional sense. This process may thus be studied by analogy with the process of human growth and development as it appears in the theoretical literature in the context of the mother-child or the therapist-patient relationship. The theoretical questions at the focus of the present paper are concerned mainly with a number of structural factors in the relationship between the supervisor and the trainee. These factors go beyond the differences in the participants' personalities. These factors are built into every supervisory system and serve to increase the supervisor's devotion to the trainee. The paper examines the components of the supervisor-trainee interaction that may help the supervisor ignore his or her own needs, wishes and self, and concentrate on the needs and wishes of the trainee. This enables the supervisor to create an accepting environment that permits the trainee to grow and develop as a professional and as a person.     

Supervisor Workplace Stress and Abusive Supervision: The Buffering Effect of Exercise

Purpose

We examine how supervisor stress is associated with employee-rated abusive supervision. In addition, we test the premise that higher levels of physical exercise by supervisors can buffer the negative effects of stress on their relationship with their subordinates.

Design/Methodology/Approach

A matched sample of 98 employed individuals and their direct supervisors was used to test our hypotheses.

Findings

Results suggest that increased levels of supervisor-reported stress are related to the increased experience of employee-rated abusive supervision. We also find that the relationship between supervisor stress and abusive behavior can be diminished when supervisors engage in moderate levels of physical exercise.

Implications

While the current economic conditions and a host of other trying workplace factors mean that supervisors are likely to experience workplace stress, we found evidence that they do not necessarily have to transfer these frustrations onto those they supervise. Our study supports a link between supervisor stress and employee perceptions of abusive supervision, but this is a link that can be loosened if supervisors engage in moderate levels of physical exercise.

Originality/Value

The results of this study add to the modest number of antecedents to abusive supervision that have been discovered in existing research. In addition, this is the first study to examine how exercise can buffer the relationship between supervisor stress and employee perceptions of abusive supervision.     

Therapist orientation,supervisor match,and therapeutic interventions: Implications for session quality in a psychotherapy training PRN

Background: Theoretical orientation is a multifaceted construct that is integral to the process of psychotherapy and psychotherapy training. While some research has been conducted on personal identification with particular schools of psychotherapy, techniques used in psychotherapy sessions, and match between trainees and supervisors in training, there is insufficient information regarding how these may interact with one another. Aim: This study, conducted in a practice research network of trainee therapists, was designed to test whether these variables may be related to one another in predicting session quality. Method: The sample comprised 328 sessions from 26 clients and 11 therapists, with the clients completing session quality measures and therapists completing measures of technique immediately post‐session. Results: Using multilevel linear modelling, the data showed varied results. For behavioural therapy and person‐centred therapy, techniques and orientation were unrelated to session quality in the sample. However, process‐experiential, psychodynamic, and cognitive therapy techniques were all involved in interactions with therapist and/or supervisor orientations. Conclusions: These results suggest that the impact of specific psychotherapy techniques sometimes depends on the orientation of the therapist and/or supervisor. For instance, sessions high in cognitive therapy techniques were only associated with positive outcome when both the therapist and supervisor were highly cognitively oriented. Though preliminary, these results suggest that orientation may be an important variable to consider in training and supervision, especially in the context of other variables.     

A constructivist approach to supervision: Some preliminary thoughts

Supervision from a constructivist point of view is explored. Supervision processes with three different therapists are presented to exemplify this constructivist stance. In this approach the relation between supervisor and therapist is seen as similar to that between therapist and client. Thus, a “therapist-centered” approach for supervision is outlined, the main points of which are as follows: The main focus of a constructivist supervision is the therapist, supervision should be centered on the therapist's complaint, supervision should generate a learning context, the therapist and supervisor have different types of expertise, the supervising context should generate alternative views about the problem, and the supervision context should be reflexive.     

Abusive supervision and subordinate supervisor‐directed deviance: The moderating role of traditional values and the mediating role of revenge cognitions

This study examined the link between abusive supervision and subordinate supervisor‐directed deviance by focusing on the moderating role of traditionality and the mediating role of revenge cognitions directed towards supervisors. The results of analysing 283 supervisor–subordinate dyads in six private electronic companies and 222 supervisor–subordinate dyads in two state‐owned oil and gas companies in the People's Republic of China showed that abusive supervision was positively related to revenge cognitions directed towards supervisors and to supervisor‐directed deviance. In addition, traditionality moderated the above relationships such that they were stronger among low traditionalists than among high ones, while revenge cognitions mediated the main effect of abusive supervision and the interactive effect of abusive supervision and traditionality on supervisor‐directed deviance.     

Nonverbal communication during the learner lesson with a professional driving instructor: A novel investigation

BackgroundFundamental for the development of the driving and road use skills of the young driver is learning to drive through driving instruction and, in graduated driver licensing programs such as in Australia, driving supervision. In Queensland young drivers are required to log a minimum of 100 h supervised practice, with recent research revealing that parents provide most of this supervision. Queensland also offers young drivers a 10-h 3-for-1 bonus for professional driving instruction, such that one hour of professional instruction can be logged as three hours of practice, to a maximum of 30 logbook hours. Recent research efforts have begun to provide insight into the nature of the verbal instruction of both parents and professional instructors, and into the nonverbal communication between parents and learners. However nothing is known regarding the nonverbal communication between professional instructors and learners.MethodTen learner lessons (five male learners) with four professional instructors (four males) were captured via GoPro cameras. The nonverbal communication during the first, middle, and last 10 min of each lesson was coded as being posture and body orientation, gestures, facial expressions, proximity, humour, and eye contact, within the context of the accompanying verbal communication according to the value of (a) eager, or (b) cautious; the valence of (a) neutral, (b) positive, or (c) negative; and the purpose of (a) rapport, or (b) communication.ResultsOverall, posture and body orientation was the most common mechanism of nonverbal communication, while facial expressions and proximity were the least common mechanisms of nonverbal communication. In general the beginning, the middle, and the end of the lessons were characterised by a plethora of neutral, cautious interactions, and positive, eager interactions. However it is noteworthy that the rates at which learners and instructors engaged in these behaviours were found to change across the lesson. Specifically learners actively communication nonverbally through mechanisms such as eye contact, facial expressions and humour, while instructors appeared to manage building rapport and communicating safe vehicle and road use through nonverbal communication such as gestures, facial expressions and posture and body orientation, summarised in a model comprising a continuum of instruction.DiscussionWhile nonverbal communication is fundamental for effective verbal communication, and on occasion can replace verbal communication, and as such the professional – and the parental – driving lesson should optimise the use of nonverbal communication, at this time the optimal nature of nonverbal communication remains unknown. In addition, optimal verbal and nonverbal communication specifically suited to the driving context which involves a dynamic environment outside the vehicle, and at times a dynamic environment inside the vehicle, remains yet to be identified. The research findings provide unique insight into the nature of the nonverbal communication used by both learner drivers and professional driving instructors, in addition to the continuum of instruction model. As such, the findings provide a solid foundation for future research into, and guidance regarding, optimising the learner driving lesson.     

Using parent-infant dyads as models for interpreting the parallel process

Studies indicate that parents replicate with the therapist the behaviors and perceptions they experience with their infants. During parent-infant therapy, the therapist may validate perceptions by comparing the parent's behaviors with verbal disclosures. A similar phenomenon occurs in psychotherapeutic supervision. Therapists in training tend to replicate with the supervisor the interactions of their patients, a phenomenon labeled parallel process.This paper suggests that parent-infant interaction may provide insight into the therapistpatient and therapist-supervisor relationships. Understanding the parallel process that occurs during parent-infant therapy may help the therapist explore the patient's perceptions and resolve conflict.     

From the institute to the ivory tower: The live supervision stage approach for teaching supervision in academic settings

Abstract

In this paper, we describe an experimental academic course on marriage and family therapy supervision. The course, an adapted version of an institute program, was taught in four stages, combined a seminar and a practicum, and culminated with live supervision of live supervision.