Supervision. Jerrold Lee Shapiro, Ph.D. Professor and Chairman Santa Clara University. Supervisees complaints – exercise . what complaints do you/ did you have about supervision?. What do your supervisees have?. Common complaints. lack of constructive feedback
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Jerrold Lee Shapiro, Ph.D.
Professor and Chairman
Santa Clara University
what complaints do you/ did you have about supervision?
What do your supervisees have?
Just as for therapy, successful supervision impossible when relationship is inadequate
Supervision that focuses on the interaction among client, therapist, andsupervisor makes use of what is occurring in both the therapist-client relationship and the therapist-supervisor relationship.This enables the trainee to use his or her own experience of emotional difficulties in receiving help from the supervisor to facilitate understanding of the client's situation.
Every intervention with Jason is questioned and homework not followed
Jenna is increasingly frustrated and begins to question her ability as a therapist
Jenna is supervised by Mary
Jenna seems particularly resistent to following recommendations regarding Jason
She claims that nothing will work
Mary cannot seem to find a way to get Jenna to try harder and focus on Jason’s resistenceParallel Process
Jenna cannot understand why Mary wants to look at the supervisory relationship, but is willing to try.
Jenna begins to see where what’s happening in the supervision is a replication of her therapy relationship with Jason
Jenna focuses on the therapeutic relationship in session with Jason.
Resistence is diminished
Mary focuses on what’s happening in the supervisory relationship
Jenna and Mary explore the resistence in the supervisory relationship
They begin to see Jenna’s resistence as an unconscious manifestation of Jason’s resistence
As they work on the resistence directly, it begins to diminishParallel Process – Using the Supervisory relationship
Supervisors serve as a model for therapists
In supervisionWhat do you do to enhance a strong working alliance?
Why are there differences and which ones are appropriate?
Ongoing maintenance of thealliance should be the supervisor's responsibility What distinguishes supervisory and therapeutic alliance is the evaluative component
Supervision remains part education and part therapy
The Relationship is the core
Toni is a student in a MFT program. She has lately been expressing dissatisfaction with the direction of her supervision. She claims that her supervision is all didactic. Her supervision is primarily describing what she does and listening to her supervisor give advice about what to do next.
How might you respond as the supervisor to Toni’s complaints?
Is her dissatisfaction more than resistance?
Jenny is in her first practicum setting. At the beginning she confesses to her supervisor that she may not be ready for this. As you discuss it with her, three things become evident:
1) She has low self esteem
2) She is most concerned about harm she might do by inexperience
3) As far as you can tell, she is as well prepared as the better graduate students with whom you have worked in the past.
She wants you to make a decision as to what she should do
Bill in a new practicum student working with teens in a halfway house. He has recently seen a demonstration of EMDR and sees it as a way to really help the patients.
As a supervisor, you think Bill is seriously underrestimating the pathology of his clients and you think the technique is dangerous.
Bill thinks your reticence is holding him back
What do you do?
Jackie is seeing a couple, working with them on communication skills with apparent progress. Then she gets a late night call from the wife saying that they had a “knock down drag out” fight and her husband has walked out.
Jackie was able to ascertain that the wife slapped the husband before he left.
Despite Jackie’s best professional efforts, neither of them seems willing to return to therapy.
Jackie is feeling devastated and discouraged.
How do you approach her?
Lupe is an experienced psychologist, who has been working for several years with minority clients.
She is seeking your supervision because she has recently been seeing a family, whose values make her work ineffective.
The family is Samoan and they use a great deal of corporal punishment with their children. They claim that it is the Samoan way of childrearing.
Lupe believes that their “discipline” approaches physical abuse, but is reticent to violate cultural standards.
How would you work with Lupe?
Mel, a licensed therapist with 5 years experience is running a group under your supervision. It becomes clear to you that he has several patients in the group who would best be diagnosed as “Borderline Personality Disorder.”
He doesn’t seem to have a grasp on the effect of their pathology on the group process.
What are your options and approaches?
You are working at a community agency. Most of the clients are of a different ethnic group than yourself.
Recently your supervisees are of the same ethnic group as the clients.
You get the feeling that they are loathe to take in your recommendations because they see themselves as more tuned in culturally to the clients.
How do you deal with this?
As an experienced therapist, you have seen many female clients over the years. One group with whom you feel very comfortable is battered women.
Recently, one of your supervisees began a group for new fathers at the local hospital.
The issues that are emerging seem atypical in your experience.
What is your best option?