期刊论文详细信息
BMC Psychiatry
Developing psychotherapists’ competence through clinical supervision: protocol for a qualitative study of supervisory dyads
Jan Grant2  Margot J Schofield1 
[1] School of Public Health and Human Biosciences, La Trobe University, Melbourne, VIC 3086, Australia;School of Psychology and Speech Pathology, and Curtin Health Innovation Research Institute, Curtin University, Perth, WA, Australia
关键词: Professional wellbeing;    Professional development;    Mental health;    Counselling;    Psychotherapy;    Clinical supervision;   
Others  :  1124181
DOI  :  10.1186/1471-244X-13-12
 received in 2012-09-19, accepted in 2012-11-28,  发布年份 2013
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【 摘 要 】

Background

Mental health professionals face unique demands and stressors in their work, resulting in high rates of burnout and distress. Clinical supervision is a widely adopted and valued mechanism of professional support, development, and accountability, despite the very limited evidence of specific impacts on therapist or client outcomes. The current study aims to address this by exploring how psychotherapists develop competence through clinical supervision and what impact this has on the supervisees’ practice and their clients’ outcomes. This paper provides a rationale for the study and describes the protocol for an in-depth qualitative study of supervisory dyads, highlighting how it addresses gaps in the literature.

Methods/Design

The study of 16–20 supervisor-supervisee dyads uses a qualitative mixed method design, with two phases. In phase one, supervisors who are nominated as expert by their peers are interviewed about their supervision practice. In phase two, supervisors record a supervision session with a consenting supervisee; interpersonal process recall interviews are conducted separately with supervisor and supervisee to reflect in depth on the teaching and learning processes occurring. All interviews will be transcribed, coded and analysed to identify the processes that build competence, using a modified form of Consensual Qualitative Research (CQR) strategies. Using a theory-building case study method, data from both phases of the study will be integrated to develop a model describing the processes that build competence and support wellbeing in practising psychotherapists, reflecting the accumulated wisdom of the expert supervisors.

Discussion

The study addresses past study limitations by examining expert supervisors and their supervisory interactions, by reflecting on actual supervision sessions, and by using dyadic analysis of the supervisory pairs. The study findings will inform the development of future supervision training and practice and identify fruitful avenues for future research.

【 授权许可】

   
2013 Schofield and Grant; licensee BioMed Central Ltd.

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【 参考文献 】
  • [1]Bressi C, Porcellana M, Gambini O, Madia L, Muffatti R, Peirone A, Zanini S, Erlicher A, Scarone S, Altamura AC: Burnout among psychiatrists in Milan: a multicenter survey. Psychiatr Serv 2009, 60:985-988.
  • [2]Fothergill A, Edwards D, Burnard P: Stress, burnout, coping and stress management in psychiatrists: findings from a systematic review. Int J Soc Psychiatry 2004, 50:54-65.
  • [3]Maslach C, Schaufeli WB, Leiter MP: Job burnout. Annu Rev Psychol 2001, 52:397-422.
  • [4]Goldman S: Enhancing adult learning in clinical supervision. Acad Psychiatry 2011, 35:302-306.
  • [5]Gonsalvez CJ, Milne D: Clinical supervisor training in Australia: a review of current problems and possible solutions. Aust Psychol 2010, 45:233-242.
  • [6]Louie A, Coverdale J, Roberts LW: Balancing the personal and the professional: should and can we teach this? Acad Psychiatry 2007, 31:129-132.
  • [7]Warren CS, Schafer KJ, Crowley ME, Olivardia R: A qualitative analysis of job burnout in eating disorder treatment providers. Eating Disorders: The Journal of Treatment & Prevention 2012, 20:175-195.
  • [8]Watkins CE: Contemporary visions of psychotherapy supervision: sharing perspective, identifying need, and charting possibility. J Contemp Psychother 2012, 42:125-127.
  • [9]Bernard JM, Goodyear RK: Fundamentals of clinical supervision. 4th edition. Upper Saddle River, NJ: Pearson Education; 2009.
  • [10]Falender CA, Shafranske EP: Clinical supervision: A competency-based approach. Washington, DC: American Psychological Association; 2004.
  • [11]Gilbert MC, Evans K: Psychotherapy supervision: An integrative approach. Buckingham: Open Uni Press; 2000.
  • [12]Hess AK: Psychotherapy supervision: a conceptual review. In Psychotherapy supervision: theory, research, and practice. 2nd edition. Edited by Hess AK, Hess KD, Hess TH. Hoboken: Wiley; 2008:3-22.
  • [13]Schofield M, Pelling N: Supervision of counsellors. In Supervision in the Helping Professions: a Practical Approach. 1st edition. Edited by McMahon M, Patton W. Sydney: Pearson Education Australia; 2002:211-222.
  • [14]Stoltenberg CD: Enhancing professional competence through developmental approaches to supervision. Am Psychol 2005, 60:857-864.
  • [15]MacDonald J, Ellis P: Supervision in psychiatry: terra incognita? Curr Opin Psychiatry 2012, 25:322-326.
  • [16]Falender CA, Cornish JAE, Goodyear R, Hatcher R, Kaslow NJ, Leventhal G, Shafranske EP, Sigmon ST, Stoltenberg C, Grus C: Defining competencies in psychology supervision: a consensus statement. J Clin Psychol 2004, 60:771-785.
  • [17]Stevens D, Goodyear R, Robertson P: Supervisor development: an exploratory study in changes in stance and emphasis. Clin Superv 1998, 16:73-88.
  • [18]Grant J, Schofield M: Career-long supervision: patterns and perspectives. Counsell Psychother Res 2007, 7:3-11.
  • [19]Orlinsky DE, Rønnestad MH: How psychotherapists develop: A study of therapeutic work and professional growth. Washington, DC: American Psychological Association; 2005.
  • [20]Psychotherapy and Counselling Federation of Australia: Continuing professional development and registration standard. [http:/ / www.psychologyboard.gov.au/ Standards-and-Guidelines/ Registration-Standards.aspx] webcite
  • [21]Royal Australian and New Zealand College of Psychiatrists: Becoming a psychiatrist. [http:/ / www.ranzcp.org/ Library/ About-us/ Becoming-4679(200002)56:2<233::AID- JCLP9>3.0.CO;2–3] webcite
  • [22]Milne D: Evidence-based supervision: principles and practice. Hoboken: Wiley; 2009.
  • [23]Wheeler S, Richards K: The impact of clinical supervision on counsellors and therapists, their practice and their clients. A systematic review of the literature. Rugby, UK: BACP; 2007.
  • [24]Kozlowska K, Nunn K, Cousens P: Training in psychiatry: an examination of trainee perceptions. Part 1. Aust New Zeal J Psychiatr 1997, 31:628-640.
  • [25]Kozlowska K, Nunn K, Cousens P: Adverse experiences in psychiatric training. Part 2. Aust New Zeal J Psychiatr 1997, 31:641-652.
  • [26]Nelson ML, Friedlander ML: A close look at conflictual supervisory relationships: the trainee’s perspective. J Counsel Psychol 2001, 48:384-395.
  • [27]Norcross JC: Empirically supported therapy relationships. In Psychotherapy relationships that work: therapist contributions and responsiveness to patient needs. Edited by Norcross JC. New York: Oxford University Press; 2002.
  • [28]Ratliff DA, Wampler KS, Morris GH: Lack of consensus in supervision. J Marital Fam Ther 2000, 26:373-384.
  • [29]Walker R, Clark JJ: Heading off boundary problems: clinical supervision as risk management. Psychiatr Serv 1999, 50:1435-1439.
  • [30]APA Presidential Task Force on Evidence-Based Practice: Evidence-based practice in psychology. Am Psychol 2006, 61:271-285.
  • [31]McLeod J: Doing counselling research. 2nd edition. London: Sage; 2003.
  • [32]Neimeyer RA: An appraisal of constructivist psychotherapies. J Consult Clin Psychol 1993, 61:221-235.
  • [33]Moustakas C: Phenomenological research methods. Thousand Oaks, CA: Sage; 1994.
  • [34]Schön DA: The reflective practitioner: How professionals think in action. London: Ashgate; 1991.
  • [35]Allen D: Hermeneutics: philosophical traditions and nursing practice research. Nurs Sci Q 1995, 8:221-237.
  • [36]Kagan N, Kagan H: IPR: a validated model for the 1990s and beyond. Counsel Psychol 1990, 18:436-440.
  • [37]Bilodeau C, Savard R, Lecomte C: Examining supervisor and supervisee agreement on alliance: is shame a factor? Can J Counsell 2010, 44:272-282.
  • [38]Fitzpatrick MR, Iwakabe S, Stalikas A: Perspective divergence in the working alliance. Psychother Res 2005, 15:69-79.
  • [39]Hill CE, Thompson BJ, Williams EN: A guide to conducting consensual qualitative research. Counsel Psychol 1997, 25:517-572.
  • [40]Hill CE, Knox S, Thompson BJ, Williams EN, Hess SA, Ladany N: Consensual qualitative research: an update. J Counsel Psychol 2005, 52:196-205.
  • [41]Quinn MC, Schofield MJ, Middleton W: Successful psychotherapy for psychogenic seizures in men. Psychother Res 2012, 22:682-698.
  • [42]Stiles WB: Logical operations in theory-builing case studies. Pragmatic Case Studies in Psychotherapy 2009, 5:9-22.
  • [43]Smith JA: Reflecting on the development of interpretative phenomenological analysis and its contribution to qualitative research in psychology. Qual Res Psychol 2004, 1:39-54.
  • [44]Fishman D: From single case to database: a new method for enhancing psychotherapy practice. Pragmatic Case Studies in Psychotherapy 2005, 1:1-50.
  • [45]Bambling M, King R, Raue P, Schweitzer R, Lambert W: Clinical supervision: its influence on client-rated working alliance and client symptom reduction in the brief treatment of major depression. Psychother Res 2006, 16:317-331.
  • [46]Callahan JL, Almstrom CM, Swift JK, Borja SE, Heath CJ: Exploring the contribution of supervisors to intervention outcomes. Training and Education in Professional Psychology 2009, 3:72-77.
  • [47]Vallance K: Exploring counsellor perceptions of the impact of counselling supervision on clients. Counsell Psychother Res 2005, 5:107-110.
  • [48]Collins HM, Evans R: Rethinking expertise. Chicago: University of Chicago Press; 2007.
  • [49]O’Hara D, Schofield MJ: Personal approaches to psychotherapy integration. Counsell Psychother Res 2008, 8:53-62.
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