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.     

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.     

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.     

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.     

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.     

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.     

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.     

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.     

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.     

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.     

An exploration of the use of power in social work supervisory relationships in Hong Kong

Supervision is considered to be a determining factor in the quality of service to clients, the job satisfaction of social workers, and the level of professional development they achieve. How supervisors use their authority affects their relationships with subordinates, which in turn influences service outcomes. This case study reveals the micro-process of the interplay of power in the supervisor–supervisee dyad, the influence of cultural factors on attitudes toward hierarchical relationships, and subordination to authority in the supervisory dyad. Respondents who considered supervision to be counterproductive or disempowering employed tactics to hide their negative attitude, and concealed important cases and project materials, which hindered the disclosure of mistakes. Redistributing power in the current hierarchical supervisor–supervisee relationship could lead to fewer instances of game playing in the supervisory dyad and facilitate disclosure, which is important in ethical practice.     

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.     

THE RELATIONSHIP AMONG SELECTED SUPERVISOR,THERAPSIT, AND CLIENT BEHAVIORS*

This study examined the extent to which supervisory phone-ins were related to change in both immediate therapist behaviors and subsequent change in resistant behaviors of client family members. Of specific interest was whether the congruence of supervisor and therapist behaviors (referred to as isomorphism by some family therapy authors) would be related to immediate change in client resistance. The quality of supervisor's Support and Teach behaviors was foundj to be significantly related to the change in the quality of the threrapists' Support and Teach behaviors. Moreover, in instances where both supervisors and their supervises demonstrated effective Support and Teach behaviors, clients generally tended to either remain cooperative or become cooperative more frequently than when both effective supervisor and supervisee behaviors where not present.     

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.     

Resolving Therapeutic Impasses by Using the Supervisor's Countertransference

The traditional role-set of the clinical social work supervisor has grown to be much more complex. From the exclusive position of teacher, administrator, and overseer she is now an integral part of a system wherein she is influenced not only by the therapist, client, and her own promptings but is a prime source of feedback to the client through the supervisee.As clinical social workers have shifted their conceptualization of therapy to a two-person psychology, this perspective has emerged as part of the supervisory process. Now the supervisor's countertransference responses to the supervisee, to his client, and to their interaction have assumed importance in supervisory work. This article is an attempt to demonstrate through case illustrations how the supervisor's disclosure of countertransference responses to the supervisee can strengthen the supervisory alliance which then enables the client and therapist to resolve therapeutic impasses.     

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.     

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.     

A SELF-MANAGEMENT MODEL FOR SUPERVISION

The authors present a management-of-self model of supervision that is currently being used in the graduate training program in marriage and family therapy at Virginia Polytechnic Institute and State University. The major proposition of the model is that as the supervisee comes to understand how family of origin and family constellation patterns learned in the past are reenacted within the therapeutic context, he/she can then interrupt those patterns of interaction that tend to inhibit his/her therapeutic effectiveness.     

Supervision of trainees: Tending the professional self

This article seeks to demonstrage how self psychological concepts can be applied to the process of training psychotherapists in a variety of clinical and community settings. The author examines the role of clinical supervision in the development, consolidation, and maintenance of a cohesive professional self. The role of selfobject experience, needs, transference, and countertransference as manifested in the supervisory relationship is elaborated. Supervisor and supervisee form a self-selfobject unit, through which the trainee's anxieties and vulnerabilities can be managed. This selfobject matrix enables maintenance of self-esteem, expansion of cognitive understanding, and structure building in the arena of the professional self. To achieve these ends, the supervisor forms an empathic alliance with the internal, subjective experience of the therapist. The importance of focusing on the self experience and selfobject needs of the therapist in training via an empathic mode of observation is illustrated by several examples and vignettes. The application of theory to practice is emphasized, with examples chosen from a variety of clinical settings and modalities.     

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.