An Instrument for Person-of-the-Therapist Supervision

This article introduces a tool that serves as a guide for building an effective bridge between the personal and technical aspects of therapy in supervision. The instrument is based on a model of clinical supervision that emphasizes the purposeful utilization of self—in the moment, with both flaws and strengths—in the therapeutic relationship in combination with the technical interventions with clients. The article also offers some aid to promote a personal integration of the philosophy underlying this supervisory model into a therapist's clinical thinking and practice .     

Dyadic Cross-Sectional Associations Between Depressive Mood,Relationship Satisfaction,and Common Dyadic Coping

The aim of this cross-sectional study was to investigate the mediational role of common dyadic coping in the links between depressive mood and relationship satisfaction. We estimated two competing Actor–Partner Mediator Models, in which the dyad is the highest unit of analysis. The first model specified dyadic coping as a mediator in the association between relationship satisfaction and depression, whereas the second model specified dyadic coping as a mediator between depression and relationship satisfaction. Analyzing data from 198 couples, our findings provided a plausible approximation of the second model, representing the interactional model of depression. They showed that common dyadic coping mediates the link between depression and relationship satisfaction for men only.     

The Dyadic Effects of Supportive Coparenting and Parental Stress on Relationship Quality Across the Transition to Parenthood

The transition to first‐time parenthood can be challenging for couples. Using a sample of 848 ethnically diverse couples from the Fragile Families and Child Wellbeing Study across the first 3 years of parenthood, we investigated the longitudinal and dyadic associations of each parents’ parental stress, supportive coparenting, and relationship quality. Results from an actor–partner interdependence model indicated that supportive coparenting significantly predicted higher relationship quality for both mothers and fathers. Fathers’ supportive coparenting significantly buffered the effects of mothers’ parental stress on relationship quality. Also, the unique dyadic contexts of each parents’ supportive coparenting, and also both partners’ parental stress were significantly associated with relationship quality. Clinical implications from these findings are discussed through commonly used clinical theories.     

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.     

Combining the Social Relations Model and Behavioral Genetics to Explore the Etiology of Familial Interactions

SUMMARY

This review focuses on the Social Relations Model (SRM) and a genetic extension of this model as one approach for identifying the processes by which genetic factors influence familial exchanges (Kenny & La Voie, 1984). The basic SRM and its ability to decompose dyadic measures of family interaction into actor, partner and dyadic relationship effects is described followed by findings from 3 recent studies. Results indicate that much of familial interaction is in fact relationship specific, and not due to individual-level effects. We also discuss why and how the basic SRM is enriched through the incorporation of genetically sensitive designs and present results that suggest the importance of nonshared environmental contributions for both individual and dyadic level effects. Finally, directions for future family research are proposed including the use of genetically informative designs, the collection of round-robin robin data, and the incorporation of more diverse samples.     

A Dyadic Approach to Understanding the Link Between Sexual Functioning and Sexual Satisfaction in Heterosexual Couples

Researchers have demonstrated that several dimensions of sexual functioning (e.g., sexual desire, arousal, orgasm) are associated with the sexual satisfaction of individuals in a committed mixed-sex (male–female) relationship. We extended this research by comparing a dyadic model that included both own (i.e., actor effect) and partner (i.e., partner effect) domains of sexual functioning to an individual model that included only actor effects. Participants were 124 mixed-sex couples who completed online measures of sexual functioning and sexual satisfaction. Data analysis using the actor–partner interdependence model (APIM) and structural equation modeling (SEM) indicated that the dyadic model had a better fit than the individual model. Women’s sexual desire and orgasm and men’s erectile functioning were significant positive predictors of both own and partner’s sexual satisfaction. These results are discussed in terms of the importance of taking a dyadic approach to research and clinical work related to sexual satisfaction.     

Depressive Dyadic and Triadic Relationships*

This paper describes some of the characteristics of relationship patterns established by partners with one depressed member. Depressive dyadic and triadic relationships are characterized by repetitive and patterned verbal and non-verbal behavior which is designated as “microcycling”. A distinction is made between the psychotic and neurotic types. The personality characteristics of the “caretakers” are described. The psychodynamics of depressive dyadic relationships involves reaction formation against hidden mutual hostilities and a struggle for power. The triadic relationship secures a third party involvement to maintain a balance in the dyadic pair. Depressive dyadic and triadic relationships inhibit personal growth and fixate the individual at an early stage of psychosexual development. Treatment approaches include therapy of the partners' relationship and of the individual's pathological dynamics.     

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.     

Sexual Portrait of Couples Seeking Relationship Therapy

This study sought to provide information about the sexual well‐being of 298 mixed‐sex couples seeking relationship therapy and determined the extent to which problems with sexual functioning and dyadic adjustment of both partners are associated with sexual satisfaction. Partners completed measures of dyadic adjustment, sexual satisfaction, and sexual functioning. Thirty percent of couples reported a clinically significant sexual problem. Compared to their male partners, the women were more likely to report a sexual problem as well as lower dyadic adjustment, sexual satisfaction, and overall sexual functioning. Path analysis indicated that relationship adjustment uniquely predicted individuals' own sexual satisfaction; problems in sexual functioning uniquely predicted own and partner sexual satisfaction. Findings underscore the need to address sexual problems in relationship therapy.     

Early abuse experiences and subsequent gender differences in couple adjustment

The main purpose of the current study was to evaluate the relationship between early abusive experiences (sexual abuse, parental violence, and witnessing parental violence) and subsequent couple adjustment with a theoretical model that incorporates attachment and psychological distress as mediator variables. We specifically examined the variability in long-term psychosocial characteristics of child abuse survivors across women and men. A representative sample of French-Canadian couples composed of 632 men and women completed measures of child abuse, attachment, psychological distress, and dyadic adjustment. Structural equation analyses showed that, for both women and men, sexual abuse was related to dyadic adjustment through anxiety about abandonment and psychological distress. For men, experiencing physical or psychological violence was associated with dyadic adjustment through psychological distress. For women, there was an indirect relationship between witnessing physical violence and dyadic adjustment through abandonment anxiety. Differences between men and women in the long-term adjustment to childhood sexual abuse were small and not consistent with a gender-specific model of psychosocial repercussions.     

Bridging the Gaps: An Interdependent Model for Educating Accountable Practitioners

Abstract

This article presents an Interdependent Model that integrates field instruction with the clinical and research curricula to educate students to become accountable practitioners. It describes the application of this model in teaching single-system evaluation to social work students with support from faculty, field advisers, and agency practitioners who provide field supervision. The merits of using this model as compared to other more common, less comprehensive approaches to social work education are examined. Issues relating to the implementation of the Interdependent Model are also discussed.     

A Longitudinal View of the Association Between Therapist Warmth and Couples' In‐Session Process: An Observational Pilot Study of Emotionally Focused Couples Therapy

This longitudinal dyadic clinical process study used coded data from eleven couples to determine the influence of therapist warmth behaviors on couples' warmth behaviors over time in therapy. A mixed effects model was used to examine within‐ and between‐individual variability. Men and women were modeled separately. A series of two‐level multilevel models of change were examined, where Time is Level 1 and Individual is Level 2. Findings were mixed. There was no significant relationship between therapist warmth toward wife and wife warmth toward husband; however, there was a significant relationship between therapist warmth toward husband and husband warmth toward wife. Findings demonstrated that 62.9% of the variance in husband warmth toward wife was accounted for by therapist warmth to husband across time in therapy. Specifically, therapist warmth toward husband was significantly and positively related to husband warmth toward wife over time in therapy. Clinical implications and directions for future research are discussed.     

Longing for Recognition Commentary on the Work or Jessica Benjamin

This essay considers Jessica Benjamin's conception of recognition and relationality, concentrating on the role of destruction and of dyadic relations. I argue that Benjamin has tended in her recent work to posit clinical practice as an area in which the destructiveness in relations can be transformed into more productive and even harmonious experiences of difference. Benjamin has also provided a dyadic alternative to the triangular conception of desire and relationality, offering an important alternative to schemes that are restricted to the oedipal model. I ask whether forms of triangulation are nevertheless central to the workings of desire that exceed the purview of Oedipus, in particular, whether understanding the coconstitutive relations of homosexuality and heterosexuality offer a queer approach to triangularity.     

Quality of intimate and sexual relationship in first-time parents six months after delivery

This study aimed to describe the quality of the intimate relationship among parents six months after the birth of their first child. The Dyadic Adjustment Scale (DAS) has been modified and used on 820 responding first-time parents, of which 768 were couples. The results reveal that most parents were happy in their relationship, but both mothers and fathers were discontented with the dyadic sexuality. "Being too tired for sexual activity" was a problem, especially for the mothers, and the most common frequency of intercourse was once or twice per month. The result does not support the assumption that the couples compensate the lacking sexuality with sensuality. Good communication within the couple was associated with higher levels of several dimensions of the intimate relationship, especially dyadic consensus and satisfaction. Thus, one way to stabilize and strengthen a relationship when dyadic sexual activity is low would be to emphasize dyadic communication and sexual activity.     

Quality of the intimate and sexual relationship in first‐time parents six months after delivery

This study aimed to describe the quality of the intimate relationship among parents six months after the birth of their first child. The Dyadic Adjustment Scale (DAS) has been modified and used on 820 responding first‐time parents, of which 768 were couples. The results reveal that most parents were happy in their relationship, but both mothers and fathers were discontented with the dyadic sexuality. “Being too tired for sexual activity “ was a problem, especially for the mothers, and the most common frequency of intercourse was once or twice per month. The result does not support the assumption that the couples compensate the lacking sexuality with sensuality. Good communication within the couple was associated with higher levels of several dimensions of the intimate relationship, especially dyadic consensus and satisfaction. Thus, one way to stabilize and strengthen a relationship when dyadic sexual activity is low would be to emphasize dyadic communication and sensual activity.     

Promoting supervisory practice change in public child welfare: lessons from university/agency collaborative research in four states

This article describes qualitative findings regarding lessons learned from research and demonstration projects in four states focused on the implementation of clinical supervision within their public child welfare agencies. This was part of a larger mixed methods study of the effectiveness of these new clinical supervision models on practice, organizational, and client outcomes. Themes from 15 focus groups with frontline supervisors participating in the projects are provided; they focused on the challenges experienced while participating and working to use clinical supervision techniques, recommendations regarding implementing such projects in the public child welfare environment, and those aspects of the implementation that were most effective in supporting their work. These themes provide direction for states and localities wishing to shift frontline supervision to a more clinical model within the public child welfare setting.     

A short‐form scale to measure sexual discord in dyadic relationships

This paper presents a new short‐form scale for use by clinical workers and researchers in measuring the degree or magnitude of a problem in the sexual component of a dyadic relationship, as seen by the respondent. The scale was designed for use in repeated administrations at periodic intervals in order that therapists might continually monitor and evaluate their clients' response to treatment. Internal consistency and test‐retest reliability were found to be in excess of .90, and the scale has a discriminant validity coefficient of .76.     

Further understanding the systemic effects of childhood sexual abuse: a comparison of two groups of clinical couples

This study addressed the impact of traumatic experiences on dyadic relationships by comparing general stress and trauma symptoms and relationship impairment measures between two clinical groups: female childhood sexual abuse (CSA) survivors (n=15) and their male partners, and a control group of couples who reported no CSA (n=17). Both female CSA survivors and their partners reported higher symptoms of stress, suggesting support for the theory of secondary traumatic stress. Relationship impairment results did not support the hypothesis that CSA would negatively impact the dyadic functioning of couples. Clinical implications and recommendations for future research are provided.     

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.     

Supervising emotionally focused therapists: a systematic research-based model

Emotionally Focused Therapy (EFT) is an empirically validated relational therapy that recognizes the complexity of couple's therapy and supports the need for specialized training of therapists. Until now, there has been little research on effective methods for EFT supervision and no systematic model for conducting EFT supervision. The findings of a qualitative study of certified EFT therapists' experiences with EFT supervision and training are presented in this study, along with a systematic model of EFT supervision. The model of EFT supervision is based on the findings of this study, relevant research regarding effective clinical supervision, and the authors' experiences with EFT supervision. This model of EFT supervision is isomorphic to the clinical practice of EFT, in that it is theoretically grounded in attachment theory and emphasizes experiential and emotionally based processes.