Supervisor multicultural competence and its relation to supervisory process and outcome

This study investigated the direct and indirect effects of marriage and family therapy trainees' perceptions of their supervisors' multicultural competence in supervision on the supervisory working alliance, trainees' multicultural competence (case conceptualization abilities in etiology and treatment), and perceived supervision satisfaction. Path analyses revealed supervisor multicultural competence to be positively associated with supervisory working alliance and perceived supervision satisfaction. In addition, supervisor multicultural competence seemed to have a negative effect on trainee etiology conceptualization abilities. Finally, results suggested supervisory working alliance to be a significant mediator in the relationship between supervisor multicultural competence and supervision satisfaction. Findings are discussed within the context of theoretical, empirical, and practical implications for multicultural supervision.     

Supervising Mental Health Clinicians in The Context of Complex Organisational Dynamics

This article discusses the complex dynamics and challenges of providing supervision to mental health clinicians working within an organisational context when the supervisor is not part of the organisation and has no formal managerial or accountability responsibility. It considers two models of supervision and their application to three supervisory relationships in an organisational context. It concludes that for supervision to be effective there needs to be a consideration of the social defences in operation within the organisation and how they are met by the anxieties and defences of the supervisor and supervisee. This requires a mixed approach by the supervisor of the technical with the inter-subjective as a reliance on one model of supervision risks limiting the effectiveness of the intervention. The role of the supervisor can enable the supervisee to establish a clinical framework and the necessary environment essentials for their practice.     

A TOOL FOR TRAINING SUPERVISORS: USING THE SUPERVISION FEEDBACK FORM (SFF)

As the field of supervision and training has evolved, there has been a growing recognition of and appreciation for the skills required to be an effective supervisor or trainer (Liddle, Breunlin, & Schwartz, 1988). This new awareness has pointed to the need for effective methods and tools for training family therapy supervisors. One of the tools I developed to improve my supervision complete to give me feedback on my supervision. This article describes how developing and using an SFF was valuable to me in my training as a supervisor. Based on my experience, I believe the SFF could be a useful tool in training other supervisors.     

Collaborative Approaches to Family Systems Supervision: Differentiation of Self

Many systems approaches speak to the importance of respectful mutual curiosity in supervision rather than linear teacher–learner didacticism. This paper provides an overview of collaborative approaches to supervision in family therapy. It then focuses on Bowen family systems and encouraging differentiation in the relationship process between supervisor and supervisee as a useful approach towards equal collaboration. The authors use case examples to illustrate what impedes and fosters mutuality in the supervision process where both supervisor and supervisee learn from each other.     

GROWTH BEHIND THE MIRROR:, THE FAMILY THERAPY CONSORTIUM'S GROUP PROCESS

An earlier paper (Wendorf, 1984) presented the pragmatic aspects and theoretical model of The Family Therapy Consortium, a group set up to provide supervision and continuing education in family therapy. The emphasis was on the development of each individual therapist's competency, the isomorphic relationship between the supervisor, group, therapist, and family levels of the therapeutic system, and the legitimacy of the term "peer supervision." Beginning under the leadership of an expert supervisor hired from outside the group, the Family Therapy Consortium has developed into a peer supervision group with a "floating," rather than fixed, supervisory hierarchy. The present paper charts this development and explores the peer supervision process as it currently works in the Consortium. The focus is on the growth of the individual behind the mirror as therapist, person, leader and group member, and on the growth of the group as a "mature sibling subsystem" no longer in need of outside supervision. Individual and group development are seen as complementary aspects of the same growth process.     

Practicing as a postmodern supervisor

In this article, aspects of postmodern supervision are explored that highlight the blurring of boundaries that occurs between the multiple roles performed by supervisors. An approach to supervision is detailed that shows how a supervisor who navigates between roles can assist supervisees in constructing identities congruent with the stories they tell about themselves as successful therapists. Six of the many possible roles that supervisors play are illustrated through dialogue taken from a group supervision session. In the last part of this article, concepts that inform a postmodern approach to supervision, borrowed from the literature on narrative and constructionist therapy, are discussed.     

FOCUSED SUPERVISION SEEN THROUGH A RECURSIVE FRAME ANALYSIS*

The last decade has seen a dramatic increase in the literature addressing family therapy training and supervision (Liddle, Breunlin, & Schwartz, 1988; Morris & Chenail, 1995; Selekman & Todd, 1995; Thomas, 1994). Most of this literature, however, focuses on theory rather than prctice. This paper presents a study of solution-focused therapy's model of supervision, which we have labeled focused supervision. This supervisory process is conceptualized as a conversation during which supervisor and supervisee engage in a dialogue that mutually shapes the meaning of the experience. This study attends to the actual words spoken and utilizes recursive frame analysis to get closer to the talk of a focused supervisory session.     

The Take Over of Parent-Child Dynamics in a Supervisory Relationship: Identifying the Role Transformation

The literature on supervision discusses processes occurring in the supervisor-supervisee relationship that are similar to, and have parallels in, a parent-child relationship. This slipping from the one type of relationship into the other can interfere with the process of supervision. This shift to the supervisee feeling like a child and the supervisor like a parent is liable to be the natural outcome of transference and counter-transference. The aim of this paper is to examine the pseudo-parental role of the supervisor, in order to make supervisors more aware of, and alert to, the possibility that their supervision of young workers may slip into a parent-child mode, to identify critical points where parental feelings may intrude on supervision, and to suggest a useful support model that can help prevent this intrusion.     

An Aspect of Live Supervision: The Pathological Triangle

A model of live supervision is developed that asserts that when live supervision is ineffective in producing change in the trainee's behaviour and consequently in the family's problem behaviour, this can be the result of the formation of a pathological triangle in the therapeutic system, consisting of the family, the trainee and the supervisor. The pathological triangle, with its incongruent hierarchy, is seen as a defence against issues of attachment-detachment in the supervisor and the trainee. The triangle formed in the therapeutic system is characterised by the same systemic metaphor as that presented by the family. Intervening in. and disrupting the triangle is seen as resolving issues of attachment-detachment in the therapeutic members. The role of the live supervisor and the supervisor of supervision is discussed.     

THE SUPERVISORY RELATIONSHIP: AN IDENTIFICATION OF THE PRIMARY ELEMENTS IN THE RELATIONSHIP AND AN APPLICATION OF TWO THEORIES OF ETHICAL RELATIONSHIPS

Many authors on the subject of marriage and family therapy supervision point to the fact that the quality of relationship between supervisor and supervisee is crucial to the process. However, little has been written about the nature of this relationship. This article identifies key elements in the relationship and introduces a theoretical framework for understanding those elements based on the principles of ethical relationships proposed by Ivan Boszormenyi-Nagy and Nell Noddings.     

Maintaining front-line workers in child protection: a case for refocusing supervision

This paper suggests that a refocusing of supervision be seen as one possible strategy for lowering high attrition rates among child protection workers. Research findings from a qualitative study undertaken in two rural regions in the State of Victoria, Australia illustrate that the current model of supervision gives insufficient attention to the emotional intrusiveness of the work, to building resilience in workers and the implications of adult learning theory. An argument is made for a refocusing of supervision which moves beyond task, encompassing much of what is already known from the supervision literature. The supervisor can be thought of as a messenger who must send and receive messages to and from workers. What message is sent and how supervisors respond to what they receive are critical if the objective is to retain front-line staff. Critically, the supervisor must affirm both the merit and necessity of exploring the impact of feelings and thoughts on action and perception. A key message for supervisors to deliver is the value of individual workers to the organization, leading to increased self-esteem and self-efficacy. The paper also argues for adult learning via reflective supervision. This change to supervision involves a fundamental shift in organizational priorities and an acceptance throughout of the impact of anxiety on all those working in this field. Copyright © 2001 John Wiley & Sons, Ltd.     

Participant Supervision: Supervisor and Supervisee Experiences of Cotherapy

Participant supervision is a unique application of live supervision in which a supervisor and supervisee see clients conjointly. Although minimally discussed in the family therapy literature, it has notable advantages, chief among them being a shared clinical experience that increases attunement to supervisee skill and development, the modeling of skillful intervention, and a higher degree of collegiality. However, it is not without its challenges, including supervisee vulnerability and anxiety, diffusion of responsibility, and limited time for case discussion. This article highlights the experience of one supervisor and three doctoral‐level supervisees engaging in participant supervision over the course of a 2‐year period. Using illustrative examples, we discuss our experience of the advantages and challenges of participant supervision, and provide recommendations for establishing a collaborative relational context within which supervisory benefits can be maximized.     

Student Unit: The Advantages and Disadvantages of Group Placement

Social work supervision has been traditionally seen as central to social work training. Its focus was the emphasis on the one-to-one relationship between student and supervisor. The master-apprentice model prevailed. It is probably because of this that group supervision is a relatively late and still quite rare development, in spite of the fact that field placement resources are strained in practically every School.     

Crisis management during "live" supervision: clinical and instructional matters

In this article, we illustrate two examples of "live" supervision with marriage and family therapy trainees whose clients presented in the therapy room in immediate crisis. The case examples, one a client with suicidal thoughts and the other a parent who had struck her child, demonstrate how the university-based therapy team managed the recursive clinical and supervision processes that unfolded during the sessions. We present the case examples from the perspective of both supervisees and supervisor, discussing how our different experiences of the supervision unfolded in real time. Case discussion and reflections later in the article illustrate the need for an open, transparent, dialogical process throughout supervision. A case is made for supervisory participants to create alternative formats in which multiple supervisory voices can be heard.     

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.     

IN DEFENSE OF CASE CONSULTATION: MAYBE "DEAD" SUPERVISION ISN'T DEAD AFTER ALL

Clinical supervision based on "raw data"—the supervisor having direct access to the therapy session via tape or live observation—has become a hallmark of family therapy training. Despite the many advantages of such an approach, it also has limitations. The case consultation approach to supervision provides a different perspective which complements raw data supervision and remedies some of the limitations of the raw data approach. This paper proposes four specific tasks that are best undertaken in case consultation sessions: understanding the "architecture" of therapy, helping trainees build theoretical models of change, understanding the clients'broader context, and understanding the student's broader context.     

The role of empathy in supervision

Empathy plays an important role in clinical supervision. It is the link between the client whose treatment is being supervised, the clinician/supervisee, and the supervisor. The supervisor uses an empathic capacity as well as theoretical knowledge to understand the clinical work and build the supervisory relationship. Often the progress of a case can be traced through the development of empathic understanding in the supervision. The transmission of empathy requires creativity and openness and is one of the major challenges in supervision. By analyzing the different uses of empathy in clinical supervision we can increase our understanding of the supervisory process.     

Case Management for Community Practice

This article concerns an approach to supervision for statutory youth casework. The model involves caseworkers recording a video of their meetings with their clients and sending it to an external supervisor. The supervisor selects video clips. They then hold an online meeting where they review the clips, and the supervisor gives feedback based on a standardized model. The caseworker then uses the feedback in their future practice and the cycle is repeated. 16 statutory youth caseworkers and 6 supervisors from three municipalities in Denmark participated in semi-structured interviews regarding their experiences with the video supervision and feedback model. The interviews focused on facilitating and inhibiting factors with regard to the use of the model. A thematic analysis was conducted. Communication regarding the law, giving clients space to find their voice, and paying heed to how each relationship was progressing were emphasized as central focus points. Advice had to be concrete and achievable and come from supervisors with statutory experience. Participants highlighted the significance of viewing practice directly via video footage. Film clips used for feedback needed to be short and well chosen. The technology, logistics and infrastructure, including management support, were important. Findings were used to develop the model.     

Less assessment and more suggestions please: Factors contributing to effective supervision of counsellors at different experience levels

Abstract

Twenty-two supervisors and 60 supervisees working in community counselling services in Melbourne were asked to rate the importance of 46 supervisory behaviours to good supervision, as well as listing behaviours that contribute to and detract from good supervision. In general, supervisors saw good supervision as relating primarily to feedback to the supervisee, while supervisees were interested in learning new skills and gaining assistance with conceptualisation in supervision. The responses confirmed evidence of differing supervisee and supervisor perceptions of supervision seen in previous research of students' supervisory needs in America.

Differences in responses from supervisees in this sample to the American sample suggest some cultural differences and some differing needs attributable to different levels of experience. Responses in the current research support a developmental model of supervision; that supervisees have different needs as they gain experience. Applying a process model to behaviours believed to contribute to and detract from good supervision revealed that the bulk of responsibility for a good supervisory relationship is attributed to supervisors. Neither supervisors nor supervisees indicated a high level of supervisee qualities and skills that contribute to good supervision. This has obvious training implications.     

Using live supervision to teach counselling skills to social work students

This article reports on a research project which explored how anxiety can be managed when social work students receive live supervision as they are learning counselling skills. Eight social work students volunteered to participate in an eight session project in which they role played counselling sessions and received live supervision of their work. Their subjective experience of live supervision was elicited via survey reported surveys over the course of the project. They also submitted pre-and post-project recordings of their counselling role plays which were evaluated for changes in skill level. The participants’ survey results showed that, over the course of the project, each participant became less anxious about live supervision and came to find it a valuable learning experience. Their recorded role plays all showed improvements in skill level across a range of domains. The authors contend the establishment and maintenance of positive and trusting relationships between participants and between participants and the supervisor was crucial to the success of this project, as was attention to power dynamics and differences in learning styles. These results suggest that, under the right conditions, live supervision can be a valuable addition to counselling skills teaching strategies with social work students.