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.     

Urban culture and physical and sports activities. The "sportification" of parkour and street golf as cultural mediation

The article explores the process of "sportification"--i.e., processing physical activity in a sport regulated by a set of rules and standards, legitimized by supervisory institutions--from two originals practices, parkour and urban golf. To study these practices, we crossed the contributions of urban sociology and of the contemporary sociology of sport while respecting the methodological principles of qualitative sociology. A first point concerns the process of"sport" itself, its definition, its various stages, and the role played by communication of stakeholders on public space. The cultural mediation shows us how to institutionalize the movement that represents the "sports" resulted in the same time reconfiguration of physical practices themselves. Recent events illustrate the ongoing reconfiguration, we will detail them. Finally, we show the effects produced by the process on the definition of urban culture and sports: setting sight of activities, enhanced cooperation with the media-cultural, polarization between different types of practical in the case of parkour, around a confrontation between two of the founders.     

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.     

"THE STORY" OF A DEATH: THERAPEUTIC CONSIDERATIONS WITH BEREAVED FAMILIES

Facilitating and listening to bereaved families tell "The Story" of their loss is an important component of therapeutic work with bereaved families. Following a discussion of the general functions of stories, the authors use a variety of case examples to illustrate how "The Story" can be used as an assessment device, as an initial intervention, and as a gauge of the progress of treatment. Family stories of loss are conceptualized as constructions, and the emphasis is on how individual and family context affect and are affected by these stories. Throughout the paper, particular attention is paid to ways stories canbe useful for children in families.     

Trust,Power and Safety in the Social Work Supervisory Relationship: Results from Australian Research

Social work, as a discipline, places considerable importance on the provision of supervision, promoting it as a key process supporting critical reflection and practice improvement. A supervision relationship built on trust has the potential to provide a safe context within which practice issues can be explored. This article reports on an Australian study of social work supervision and the ways in which a trusting supervision relationship supports safe practice and critical reflection. A context of trust within the supervisory relationship is found to promote safe practice, providing the basis for what supervisees felt was satisfying supervision. Within a trusted and supportive supervisory relationship participants wanted and valued challenge which was seen to promote professional growth and positive client outcomes. Whether this occurs, however, depended on how power was exercised and how safe they felt in the supervisory relationship. The research argues the need for social work to reclaim supervision through a revitalised commitment to advancing supervision practice, research, and research-based policies.     

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.     

Bringing It All Back Home: Individual and Group Supervision in Family Therapy Training*

Literature in family therapy training neglects to address the usefulness of individual supervision. Just as family members struggle to integrate needs for autonomy with needs for family membership, so the individual family therapy trainee has individual concerns. Psychoanalytic literature fully recognises the power of the emotional responses of the psychotherapist, but is uncertain how to handle these reactions, especially in terms of the parallel process between psychotherapy and supervision. The integration of individual process-centred supervision with live group supervision and training provides a structure within which to maximize the supervisory experience.     

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.     

Supervising self-supervision: constructive inquiry and embedded narratives in case consultation

The development of self-supervision has been suggested as a universal supervisory goal. However, the principle of isomorphism suggests that supervisors from different orientations will view this practice quite differently. This article elaborates an approach to self-supervision that is consistent with constructive therapies, though the intention is to provide flexible guidelines that can accommodate a range of supervisory activities. Case consultation is viewed as an "embedded narrative" involving the case story, the therapist story, and the supervision story. A process of "constructive inquiry" is used to connect these stories in order to construct the identity of a self-sustaining therapist. This process requires a conceptual shift from supervising practice to supervising self-supervision.     

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.     

FIELD NOTES: A CONCEPTUAL APPLICATION OF ATTACHMENT THEORY AND RESEARCH TO THE SOCIAL WORK STUDENT-FIELD INSTRUCTOR SUPERVISORY RELATIONSHIP

This article conceptualizes an attachment-based model of the student–field instructor relationship, based on empirical research concerning internal working models of attachment, which continue into adulthood and serve as templates for life-long relating. Supportive relationships within a noncritical context are salient for effective supervision; attachment theory provides a framework for developing supportive supervisory relationships and augments existing theories of supervision. Ideal and problematic supervisory relationships are presented followed by recommendations for interventions and future research. The supervisory relationship will be most successful when the field instructor is guided by attachment theory and its conceptualization of a "secure base" (Bowlby, 1988).     

Beyond Competence: Fostering LGBTQQI Ally Development Through Supervision

In this critical literature review, the authors examine how counseling supervisors can ethically and effectively foster supervisees’ lesbian, gay, bisexual, transgender, queer, questioning, intersex (LGBTQQI) ally development. Synthesis of the integrated developmental model of supervision with a framework for affirming LGBTQQI case conceptualization is described. Practical examples are provided for each component of the proposed model, and a case study is provided to illustrate application of LGBTQQI ally supervision.     

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 .     

Supervision and Supervision of Supervision,One Perspective

This paper provides one perspective on the theory, structure and process of supervision and supervision of supervision. A case study is provided of the supervision process with one trainee over a six month period of training during which the supervisor also received live supervision of supervision. Three further examples illustrate the use of supervision of supervision in resolving training difficulties.     

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.     

Research encounters,reflexivity and supervision

Reflexivity in qualitative and ethnographic social science research can provide a rich source of data, especially regarding the affective, performative and relational aspects of interviews with research subjects. This paper explores by means of three case examples different ways of accessing and using such reflexivity. The examples are drawn from an empirical psycho-social study into the identity transitions of first-time mothers in an inner-city multicultural environment. Fieldnotes and supervision were used to engage with researcher subjectivity, to enhance the productive use of reflexivity and to address the emotional work of research. The methodology of the supervision was psychoanalytic, in its use of a boundaried frame and of psychoanalytic forms of noticing oneself, of staying engaged emotionally as well as creating a reflective distance. The examples illustrate how this can enhance the knowledge gained about the research subjects.     

THE INVISIBLE MIRROR: IN-HOME FAMILY THERAPY AND SUPERVISION

Home-based family therapy intervention programs, designed as a preventive strategy for multi-problem, at-risk families, are a rapidly growing phenomenon in mental health agencies. However, a review of the literature reveals little information on clinical supervision, which is a major component of home-based family intervention. The purpose of this article is to provide an alternative supervisory approach, in-home supervision, for training therapists who do home-based intervention.     

Chapter 7: Johns Hopkins University

SUMMARY

This article discusses the need for integration between different models of mental health, as seen through a “diary” of the events in a typical week of EAP supervision. Clinical and supervisory examples are offered as an example of integrating perspectives in the clinical setting. The overall process of integration in a clinical setting is discussed from both a philosophical and psychoanalytic perspective, and several examples of integration are related for the sake of discussion. Complementarity is invoked as a central theme of key importance for integration.     

Dialogical Research in Supervision: Practical Guidelines from Experienced Supervisors in Family Therapy,Child Protection,and Specialty Mental Health Services

This two‐year qualitative participatory research project examines practical guidelines for supervision. Sixteen experienced supervisors across professional settings of family therapy, child protection, and specialty mental health services in the geographical regions of Northern Norway and Northern Sweden outline four main practical guidelines in supervision based on their supervisory practices: (1) elaborating an agreed‐upon contract; (2) exploring potential formats; (3) exploring contents; (4) acknowledging responsibility for process and dilemmas. Participants summarised how they generated mutual growth in supervisory relationships, while being respectful of the first‐person perspective of supervisees. The study challenges pre‐dominating guidelines about deficit‐ or developmental stage‐oriented supervision. It illustrates reflecting processes and a polyphonic orientation in supervision by welcoming diversity, wondering, and tolerance for the not‐yet‐decided among involved persons in a mutual exploration and calibration of relevant knowledge. It outlines a dialogical research for sharing, exploring, and questioning knowledge as beneficial for whom, told by whom, and evaluated by whom.