Contemporary Trends in Supervision Theory: A Shift from Parallel Process to Relational and Trauma Theory

This paper describes how relational theories of supervision and one aspect of contemporary trauma theory coalesce to offer a conceptual shift in supervision theory and practices. The paper gives a brief overview of the concept of parallel process in supervision. Following this, the paper summarizes current literature that questions the universal nature of parallel processes in supervision. Next, the characteristics of supervision, when framed in relational theories, are offered. Last, the paper describes how the understanding of trauma theory’s triadic self of victim-victimizer-bystander is a useful construct in understanding impasses in supervisory relationships. Supervisory vignettes are utilized to illustrate the theoretical constructs.     

Field practice supervision of social work students: a psychodynamic view on the emotional context of the process and the setting during the client assessment phase

This empirical study is a psychodynamic view of the supervision setting and key emotional parameters during the client assessment process. The supervisor, through reflectivity, studied his own supervision practice with undergraduate social work students during their first field practice placement. By using supervision critical incidents, he formulated the basic characteristics of the supervision setting, and followed it up with discussion on the key emotional parameters of the supervision process. Particular emphasis was laid on psychodynamic understanding of the supervision process and the consequences of supervisor's interventions for both supervisees and clients. The emotional context of the supervision process during the client assessment phase was predominantly shaped by four emotional parameters: (i) the supervisor identifying with both client and supervisee needs; (ii) the supervisor concentrating on exclusively the educational character of supervision by avoiding dealing with student's personality issues; (iii) the supervisor dealing with client and supervisee ‘transferences to the setting’; and (iv) the supervisor setting and safeguarding the supervision limits and boundaries.     

Mitchell's Relational Conflict Model: An Analysis of Its Usefulness in Clinical Social Work

This article examines the relational conflict model developed by Stephen A. Mitchell. The main concepts of Mitchell's relational conflict model are discussed, particularly early patterns of connection to parental figures and the interactive treatment approach to understanding and changing those relational patterns. The model is contrasted with classical drive and developmental arrest theories in the psychodynamic treatment of psychopathology. We explain how Mitchell's model, in keeping with a social work perspective, takes into consideration the social, cultural, and environmental factors as well as the intrapsychic. We discuss how patterns of relating are reworked throughout the life course, and we explore the potential for individual agency in constructing new patterns of relating. We also highlight the social constructivist aspects of Mitchell's approach which are congruent with current contemporary trends in social work theory. A case vignette is presented to illustrate the viability of this model for clinical social work practice.     

‘Stumbling through’? Relationship-based social work practice in austere times

In recent times relationship-based practice has become a familiar term in social work practice and education. Despite its widespread adoption, how relationship-based practice is understood varies widely. Drawing on contemporary conceptualisations of the child and family and individuals as psychosocial subjects experiencing social suffering, this paper explores how current social work practice can be understood in the context of neoliberalism and austerity. Setting these ideas in an historical context helps to inform our understanding as to why social work seems to be the focus of sustained political discontent and scrutiny, making it difficult to retain a balanced relationship-based professional stance. Contemporary responses to the current challenges of everyday practice are outlined and the contribution of psychodynamic and systemic ideas to promoting relationship-based practice is explored. The paper concludes by considering how the concept of social systems as defences against anxiety can inform our understanding of the resistance amongst practitioners to relationship-based practice and emphasises the importance of reflective spaces and places for developing and maintaining integrated, mature relational approaches to practice which impact on practice at both the individual casework and social structural level.     

Thinking from experience in psychosocial practice: reclaiming and teaching ‘use of self’

A course based on psychosocial theory and students' experiences in practice has been taught in the UK, Norway and Quebec. It departs from the classical social work concept ‘use of self’ and aims to help novices in health and social work to understand how the social world is internalised and re-produced and the value of thinking from experience. International developments such as, competency-based education, New Public Management and evidence-based practice reduce opportunities for experiential learning. This trend has been exacerbated by a focus on anti-oppressive practice without a corresponding understanding of how oppressive relations are internalized and enacted by defended and conflicted subjects. Attempts to rectify a relational deficit through traditions of reflective practice and critical reflection are important developments, but could be further strengthened by psychosocial and psychodynamic perspectives. The course combines critical, contextual and relational thinking for students in caring professions.     

The Learning Relationship: Working Through Disjunctions in the Classroom

This paper advances a relational perspective to teaching social work practice. The reflective use of this relationship aids the instructor in conceptualizing interactions with students in ways that further the students' understanding of social work practice. We argue that students learn first-hand about social work through the instructor-student relationship. Inevitably, parallel to clinical practice and the client-worker relationship, disjunctions in the learning relationship occur. Drawing on the literature pertaining to the client-worker relationship and to the supervisor-supervisee relationship, this paper explores the use of this relationship to address ruptures in the learning process and to enhance students' professional development.     

Developing people in a network of relational practices: reflections on the role of social work education

The mission of social work education in Flanders is threefold: to deliver education, to conduct research and to provide services to society. In our opinion social work education has a critical and liberating function towards society and it must stimulate and develop a critical attitude amongst students. In this article we first focus on the educational dimension of social work education as we practise this in one institute. Next we describe how we realise our objectives as a social work education institute in relation to the professional field. The central concept of our vision is social work as a relational practice.     

The Use of Self from a Relational Perspective

This article explores the implications of a contemporary relational perspective on the use of self in social work practice. The author is responding to an article by Andrea Reupert, who interviewed social workers and reported they tended to see their concept of self as individualistic, autonomous, and only partially defined by others, even though social work practice focuses on person-in-environment. In this article, the author expands the concept of self and argues that a contemporary view of the therapist’s self is one that is dialogic, contextualized, decentered, and multiple. Additionally, the author suggests that this relational perspective has implications for teaching and supervision. Several clinical vignettes are provided to illustrate the concepts under discussion.     

Using psychodynamic interventions to engage in trauma-informed practice

In recent years, trauma-informed practice has received increased attention in the social work literature. Although the adoption of trauma-informed practice is necessary for preparing social workers to practice effectively with clients, these frameworks do not necessarily provide social workers with the specific skills for doing so. Therefore, we argue that using interventions grounded in contemporary psychodynamic theory can help transform them into trauma-informed practitioners. Psychodynamic psychotherapy interventions, especially from object relations and self psychology, align with many of the principles of trauma-informed practice (e.g. establishing an atmosphere of safety and acceptance, relying upon relational collaboration). We begin by discussing trauma-informed practice and then discuss how the use of psychodynamic psychotherapy interventions (holding environment, containment, and selfobject transferences) can facilitate the application of trauma-informed principles. We conclude with a case illustration of how to incorporate psychodynamic interventions into trauma-informed practice.     

Evaluating the Effectiveness of the Reframing Technique in Psychodynamic Social Work Practice

This multiple case study responds to the need for process and effectiveness studies in mental health social work practice through providing an in-depth analysis of the operationalisation of the reframing technique from a psychodynamic perspective. The practitioner–researcher studies (1) the way reframing (theory) is applied in the work with the parents of six latency aged children suffering from child separation anxiety disorder (practice) and (2) the effects of the technique on the parents and their relationship with the child. Reframing provided relational meaning and accordingly modified the parental ambivalence to bring the child for assessment, the parental inability to set boundaries on child aggressive behaviours, the parental child overprotection behaviours, the separation anxiety symptoms of the child, the parental phobic anxiety, the emotionally painful parental psychosocial histories, and the parental couple relationship problems. The study establishes that the concept of reframing is worth further exploration in mental health social work practice.     

Community college field placement internships: supervisors’ perspectives and recommendations

ABSTRACT

Community College human services students represent the future social service workforce. The defining feature of their training is 250 h supervised field placement internship. Despite burgeoning research describing best practices for supervision of Bachelors of social work (BSW) and Masters of social work (MSW), there is no research aimed at supervision for community college students, leaving a gap in our understanding of best practices for supporting community college students’ pedagogy and sustaining partnerships with agencies. This exploratory study offers recommendations for best practices supported by our discovery of the benefits, challenges, and strategies involved with offering community college student internships in New York City human services agencies. We analyzed data from semi-structured interviews with 30 field supervisors through qualitative content analysis. Community college students and agencies both benefit substantially from the field placement, however agencies identified significant social and structural challenges specific to working with community college students that require interventions for both field supervisors and students alike. Suggested interventions aimed at improving supervisor training, procedures for focusing goals of supervision sessions, assisting students in meeting their academic and social needs, as well as supporting supervisors’ professional goals to promote best practices are proposed.     

Regression,Self-Disclosure,and the Teach or Treat Dilemma: Implications of a Relational Approach for Social Work Supervision

This paper presents a brief review of a relational approach to clinical supervision and argues for its application in social work settings. Although an integral and essential part of practice, clinical supervision is underrepresented in the practice literature. Given this paucity of writings on supervision, the recent book by Mary Gail Frawley-O'Dea and Joan Sarnat, The Supervisory Relationship: A Contemporary Psychodynamic Approach, stands out as a seminal contribution because the authors present a fully developed relational model of supervision that fills a major gap in the development of contemporary relational theory and practice. We selectively review the basic concepts and principles of Frawley-O'Dea and Sarnat's model and apply this supervisory approach to current social work practice. Our focus will be on exploring three controversial and much-debated topics: self-disclosure, regression, and the teach or treat dilemma. Case vignettes from two supervisory experiences will serve to illustrate how a relational approach enhances both the treatment and the supervisory relationship.     

Developing a Working Model of Cross-Cultural Supervision: A Competence- and Alliance-Based Framework

Despite numerous suggestions to integrate culture, diversity and social justice issues in clinical supervision, empirical studies on cross-cultural supervision indicate limited uptake of such recommendations. We suggest that a comprehensive model of cross-cultural supervision could benefit the field by guiding supervisors in this task. A working model is proposed based on a foundation of the supervisory alliance and a focus on social work practice competence, integrating strategies to promote self- and relational-reflexivity within the supervisory relationship. The model is comprised of four components: component 1: goal setting to contract on cross-cultural integration in supervision; component 2: active listening for cross-cultural markers; component 3: bonding through the supervisor’s self-reflexivity to foster the supervisee’s self-reflexivity; and component 4: working through tasks for cultural integration in supervision by modelling the supervisor’s relational reflexivity in case formulation and treatment to foster the supervisee’s relational-reflexivity.     

An International Perspective of Field Instruction

Abstract

Social work educators and practitioners have long debated several issues confronting field instruction. For example, they have addressed the structure of field placement, school versus agency-based supervision, remuneration to agencies that accept student placements, and the use of employer agencies as field settings. Because problem-solving increasingly involves working with people in nations other than the United States, it is important to gain an international perspective on field instruction issues. To this end, an international study was conducted to examine social work field instruction and the educational context in which it occurs. This article reports the findings of that study, which involved 51 countries. The universality of field instruction as an integral part of educational program, is apparent, as are the similarity of issues, problems, and proposed solutions Moreover, the findings indicate areas in which social work education has greater international consistency than education for the professions within national and regional boundaries, whereas other areas are influenced more by national and regional factors than by a universal social work professional culture.     

Sexual Abuse in the Preschool Years: Blending Ideas from Object Relations Theory,Ego Psychology,and Biology

This paper uses concepts from relational psychodynamic theories and findings from neurobiology to conceptualize a young child’s experience of sexual abuse. Selected developmental tasks are discussed using an integrated theoretical framework. Literature which highlights the importance of the child’s environment is reviewed. A case of a sexually abused 5-year-old girl demonstrates consequences of sexual abuse using ideas from psychodynamic theories and neurobiology. It is recommended that social work practitioners expand on the biology domain when conducting a bio-psycho-social assessment. Social work students may benefit from additional content on biology in social work curricula.     

Constructing Critical Conversations in Social Work Supervision: Creating Change

Clinical social work supervision is not immune to enactments of racial and social injustice, prejudice, power and privilege rampant in our social environment and institutions. These dynamics are active in all social interactions. Most often felt on impact, these remain underground and unevenly experienced—though predominantly by people representing intersecting marginalized identities. Such real enactments can be misunderstood or avoided in social work supervision. Negative consequences not only impede learning for the supervisee and supervisor, and affect clinical understanding of client care they also perpetuate injustice based on power and social locations. Social work supervision provides space for critical analysis to identify and alter dynamics of power, privilege, and social oppression. The critical conversations (CC) model provides a framework to illuminate and examine power dynamics in order to produce change with parallel insight and action—supervisee, supervisor, and client care. Supervisee and supervisor gain capacity to engage in reflection, examine personal and professional values, hold tension and tolerate ambiguity, use one self critically, articulate ideas and insights thoughtfully and effectively, as well as inform clinical understanding of clients. The need for critical dialogue in social work supervision regarding dynamics of sameness, differences, intersectional identities, power and privilege is emphasized. Theoretical grounding is offered to elucidate how complex structural forces of oppression and privilege, cultural patterns and narratives are internalized. A definition of CC, its theoretical underpinnings and the CC model are presented with a case scenario to illuminate the application of the CC model in clinical supervision.     

In-depth learning in field education: evaluating the effectiveness of process recording

Process recording is the anamnestic recollection of narratives and behaviours of the participants in client interviews. Through critical incidents of teaching, this study explores how the process recording teaching and learning activity was operationalised in a field education seminar for postgraduate social work students, at an Australian University. Further, the study evaluates the student satisfaction aspect of the effectiveness of the activity. Assuming the practitioner/lecturer-researcher role, the author adopted a psychodynamic theoretical framework to identify relational roots in client problems, support students to carry out holistic bio-psychosocial assessments, correct practice mistakes and separate facts from thoughts—conceptualised as theories of practice—and emotions. An anonymous mixed-method questionnaire evaluated the satisfaction of students with the activity. The clear majority evaluated process recording as very beneficial for their learning and rated the reflections of the lecturer on the process recorded material as highly satisfactory.     

Improving Field Instruction: An Evaluation of a Seminar for New Field Instructors

Abstract

The field work component of social work education plays an important role in fusing the knowledge, skills, and values of the profession. Moreover, field instructors must be competent to ensure the success of the educational process. Thus, the training of new field instructors is critical to this success. This article reports the findings of a study evaluating the impact of a training seminar for new field instructors on student perceptions of the field experience. A 10-session seminar in field instruction was offered to new direct practice field instructors as a requirement for continued supervision of students. Students' responses to a questionnaire about their field instruction indicated that seminar attendance was related to the degree of emphasis on teaching students from process recordings and also on discussion of student learning needs. Students with trained field instructors were more satisfied with the faculty field liaison. Overall, trained instructors demonstrated expected supervisory behavior more often than untrained instructors for 75% of the 83 supervisory activities studied, although only a limited number of comparisons reached statistical significance.     

Introduction to the Special Issues on the Supervision of Staff and Field Education of Students

Two Special Issues of the Clinical Social Work Journal have been dedicated to building on the social work discipline’s tradition and commitment to the supervision of staff and field education of students. These issues bring together contemporary theorizing, clinical supervisory and field education practice experience and wisdom, and research studies to contribute to the knowledge base for practicing supervisors and field educators. As the first of the Special Issues, this issue has been dedicated to the supervision of staff. In this Introduction, we share the salient aspects of the articles published, as they relate to contemporary social work supervision, relational considerations within the supervisory dyad, models of supervision for fields of specialization, as well as measurement and evaluation. Implications are shared, with highlights and connections for practicing supervisors made throughout.     

On Parallel Process in Social Work Supervision

The recognition and study of parallel process in social work supervision offers both the social work supervisor and supervisee a rich learning opportunity at the moment when an impasse seems unworkable. The parallel process is an unconscious replication in the supervisory session of therapeutic difficulties which a supervisee has with a client. This replication may originate with the supervisor unwittingly modeling behavior that is then taken by the social worker into the therapeutic interaction with the client. This paper reviews the need for social workers to grasp the dynamics of the parallel process, discusses the literature for the historical development of the phenomenon, addresses supervisory methods that will uncover the process, and illustrates the supervisor's stages of exploration and modeling in addressing the parallel process.