Using cognitive analytic ideas in supervision
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Using Cognitive-Analytic ideas in Supervision. The Supervisory Relationship. Supervisory relationship (SR) is a key factor in the success or otherwise of supervision (Ellis & Ladany, 1997; Beinart, 2004) Closely related to therapeutic relationship (Norcross, 2002)

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Using Cognitive-Analytic ideas in Supervision

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Using cognitive analytic ideas in supervision

Using Cognitive-Analytic ideas in Supervision


The supervisory relationship

The Supervisory Relationship

  • Supervisory relationship (SR) is a key factor in the success or otherwise of supervision (Ellis & Ladany, 1997; Beinart, 2004)

  • Closely related to therapeutic relationship (Norcross, 2002)

  • Attachment style can be reflected in the SR (Pistole & Watkins, 1995; Riggs & Bretz, 2006; Dickson et al 2011)

  • Supervision outcome closely related to quality of SR (Ladany et al. 1999)

  • Emerging evidence that SR related to the success of therapy (Bambling et. al, 2006)


Cat in a nutshell

CAT in a nutshell

  • Integrated model

  • Collaborative

  • Time limited

  • Core concepts – Target problems; reciprocal roles; core pain, unmet need, target problem ‘procedures’. Transference and countertransference

  • CAT ‘tools’ – Psychotherapy file, reformulation and ending letters, ‘sequential diagrammatic reformulation’ (relational ‘maps’)

    .


Big person little person

‘big person, little person’


Putting it all together

Putting it all together….


Reciprocal role procedures 1

Reciprocal role procedures (1)

  • ‘A stable pattern of interaction originating in relationships with caretakers in early life, determining current patterns of relationship with others and self-management. Playing a role always implies an ‘other’, or the internalised ‘voice’ of another, whose reciprocation is sought or experienced’

    (Ryle and Kerr, 2002)


Reciprocal role procedures 2

Reciprocal role procedures (2)

(With thanks to Liz Fawkes)


Exercise

Exercise

  • In pairs, reflect on a situation where you have found supervisory relationship with a trainee (or other supervisee) challenging in some way.

  • Reflect on the relationship between you - what might have been ‘playing out’ in the way of ‘reciprocal role procedures’?


Other useful concepts for supervision

Other useful concepts for supervision

  • The zone of proximal development – ‘the gap between current performance and the level that could be achieved with the assistance of a more competent other.

  • To paraphrase Vygotsky - what a supervisor does with a supervisee today, the supervisee will do on their own tomorrow….


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