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CBT Supervision: From Reflexivity to Specialization

  • Derek Milne (a1)

Abstract

Cognitive-behavioural therapy (CBT) supervision has traditionally been presented as an extension of the therapy, a reflexive strategy that includes a commendable commitment to a principled approach. However, a critical review suggests that this strategy has not been implemented with fidelity. Furthermore, this strategy overlooks potentially valuable ideas from the wider field of clinical supervision, runs counter to CBT's empirical roots, and under-values supervision as a discrete professional specialization. For these reasons, it is argued that new developments should be grafted onto the current approach. In future, this augmented version of CBT supervision should be subjected to the same kinds of research and development (R&D) activity as CBT. Initially, this could include developing a manual to specify and operationalize this innovative approach, evaluation of manual-based training, and N = 1 research to assess its effectiveness. Examples of preliminary work are provided, and future R&D directions identified.

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Corresponding author

Reprint requests to Derek Milne, Doctorate in Clinical Psychology, 4th Floor, Ridley Building, Newcastle University, Newcastle Upon Tyne NE1 7RU, UK. E-mail: d.l.milne@newcastle.ac.uk

References

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Armstrong, P. and Freeston, M. (2006). Conceptualising and formulating cognitive therapy supervision. In Tarrier, N. (Ed.), Case Formulation in Cognitive Behaviour Therapy. London: Routledge.
Bransford, J. D., Brown, A. L. and Cocking, R. R. (2000). How People Learn. Washington, DC: National Academy Press.
Castonguay, L. G., Goldfried, M. R., Wiser, S, Rave, P. J. and Hayes, A. M. (1996). Predicting the effect of cognitive therapy for depression: a study of unique and common factors. Journal of Consulting and Clinical Psychology, 64, 497504.
Cliffe, T. (2008). Making Things Compute: developing an instrument that assesses competency in clinical supervision. Unpublished B.Sc. dissertation, available from: .
Colquitt, J. A., LePine, J. A. and Noe, R. A. (2000). Toward an integrative theory of training motivation: a meta-analytic path analysis of 20 years of research. Journal of Applied Psychology, 85, 678707.
Falender, C. A. and Shafranske, E. P. (2004). Clinical Supervision: a competency-based approach. Washington DC: American Psychological Association.
Goldstein, I. L. (1993). Training in Organizations: needs assessment, development, and evaluation. Pacific Grove, CA: Brooks/Cole.
Holloway, E. L. and Wolleat, P. L. (1994). Supervision: the pragmatics of empowerment. Journal of Educational and Psychological Consultation, 5, 2343.
James, I. A., Milne, D. L., Blackburn, I.-M. and Armstrong, P. (2007). Conducting successful supervision: novel elements toward an integrative approach. Behavioural and Cognitive Psychotherapy, 35, 191200.
James, I. A., Milne, D. L. and Morse, R. (2008). Microskills of clinical supervision: scaffolding skills. Journal of Cognitive Psychotherapy: An International Quarterly, 22, 2936.
Kolb, D. A. (1984). Experiential Learning. Englewood-Cliffs, NJ: Prentice-Hall.
Komaki, J. L. and Citera, M. (1990). Beyond effective supervision: identifying key interactions between supervisor and subordinate. Leadership Quarterly, 1, 91105.
Lewis, K. (2005). The Supervision of Cognitive and Behavioural Psychotherapists. BABCP Magazine, Supervision Supplement (May). Accrington: BABCP.
Liese, B. S. and Beck, J. S. (1997). Cognitive therapy supervision. In Watkins, C. E. (Ed.), Handbook of Psychotherapy Supervision (pp. 114133). Chichester: Wiley.
Lomax, J. W., Andrews, L. B., Burruss, J. W. and Moorey, S. (2005). Psychotherapy supervision. In Gabbard, G. O., Beck, J. S. and Holmes, J. (Eds.), Oxford Textbook of Psychotherapy (pp. 495506). Oxford: Oxford University Press.
Milne, D. L. (2007). CPD workshop for new clinical supervisors: a tutor's guide (Appendix to Milne, 2008; available on request to the author).
Milne, D. L. (2009). Evidence-Based Clinical Supervision: principles and practice. Leicester: BPS/Blackwell.
Milne, D. L. and James, I. A. (2000). A systematic review of effective cognitive-behavioural supervision. British Journal of Clinical Psychology, 39, 111127.
Milne, D. L. and James, I. A. (2002). The observed impact of training on competence in clinical supervision. British Journal of Clinical Psychology, 41, 5572.
Milne, D. L. and James, I. A. (2005). Clinical supervision: ten tests of the tandem model. Clinical Psychology Forum, 151, 610.
Milne, D. L., James, I. A., Keegan, D. and Dudley, M. (2002). Teacher's PETS: a new observational measure of experiential training interactions. Clinical Psychology and Psychotherapy, 9, 187199.
Milne, D. L., Pilkington, Gracie, J. and James, I. (2003). Transferring skills from supervision to therapy: a qualitative and quantitative N = 1 analysis. Behavioral and Cognitive Psychotherapy, 31, 193202.
Milne, D. L. and Reiser, R. (2008). Supervision: Adherence and Guidance Evaluation (SAGE). Unpublished instrument, available from the first author.
Milne, D. L. and Westerman, C. (2001). Evidence-based clinical supervision: rationale and illustration. Clinical Psychology and Psychotherapy, 8, 444457.
Padesky, C. A. (1996). Developing cognitive therapist competency: teaching and supervision models. In Salkovskis, P. M. (Ed.), Frontiers of Cognitive Therapy. London: Guilford Press.
Perris, C. (1993). Stumbling blocks in the supervision of cognitive psychotherapy. Clinical Psychology and Psychotherapy, 1, 2943.
Perris, C. (1994). Supervising cognitive psychotherapy and training supervisors. Journal of Cognitive Psychotherapy, 8, 83103.
Pretorius, W. M. (2006). Cognitive-behavioural therapy supervision: recommended practice. Behavioural and Cognitive Psychotherapy, 34, 413420.
Reichelt, F. K., James, I. A. and Blackburn, I-M. (2003). Impact of training on rating competence in cognitive therapy. Journal of Behaviour Therapy and Experimental Psychiatry, 34, 8799.
Safran, J. D., Muran, J. C., Stevens, C. and Rothman, M. (2008). A relational approach to supervision: addressing ruptures in the alliance. In Falender, C. A. and Shafranske, E. P. (Eds.), Casebook for Clinical Supervision: a competency-based approach. Washington, DC: American Psychological Association.
Spence, S. H., Wilson, J., Kavanagh, D., Strong, J. and Worral, L. (2001). Clinical supervision in four mental health professions: a review of the evidence. Behaviour Change, 18, 135155.
Stoltenberg, C. D. (2008). Developmental approaches to supervision. In Falender, C. A. and Shafranske, E. P. (Eds.), Casebook for Clinical Supervision: a competency-based approach (pp. 3956). Washington, DC: American Psychological Association.
Townend, M., Iannetta, L. and Freeston, M. H. (2002). Clinical supervision in practice: a survey of UK cognitive-behavioural psychotherapists accredited by the BABCP. Behavioural and Cognitive Psychotherapy, 30, 485500.
Townend, M., Iannetta, L., Freeston, M. and Hayes, J. (2007). Supervision Practices of UK Cognitive-Behavioural Psychotherapists, 2001 and 2006. Paper presented at the 5th World Congress of Behavioural and Cognitive Therapies, Barcelona, 11–14 July.
Watkins, C. E. (Ed.) (1997). Handbook of Psychotherapy Supervision. Chichester: Wiley.
Worthington, E. L. (1987). Empirical investigations of supervision of counsellors as they gain experience. Journal of Counselling Psychology, 31, 6375.
Zorga, S. (2002). Supervision: the process of life-long learning in social and educational professions. Journal of Interprofessional Care, 16, 265276.

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CBT Supervision: From Reflexivity to Specialization

  • Derek Milne (a1)

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CBT Supervision: From Reflexivity to Specialization

  • Derek Milne (a1)
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