Hostname: page-component-8448b6f56d-wq2xx Total loading time: 0 Render date: 2024-04-24T16:03:14.827Z Has data issue: false hasContentIssue false

How Supervisees on a Foundation Course in CBT Perceive a Supervision Session and what they Bring Forward to the Next Therapy Session

Published online by Cambridge University Press:  14 September 2017

Anna Törnquist*
Affiliation:
SAPU Education Centre, Stockholm, Sweden
Sarah Rakovshik
Affiliation:
OCTC, University of Oxford, UK
Jan Carlsson
Affiliation:
University of Örebro, Sweden
Joakim Norberg
Affiliation:
Uppsala University, Sweden
*
Correspondence to Anna Törnquist, SAPU Education Centre, Brännkyrkagatan 76, Stockholm 118 23, Sweden. E-mail: anna.tornquist@sapu.se

Abstract

Background: There is limited research into the effect of supervision in cognitive behavioural therapy (CBT) from the supervisees’ perspective. Aims: The aim of the study was to acquire knowledge from the supervisees’ perspective as to what in particular in the supervision process contributes to the therapy process. Method: Fourteen supervisees on a foundation course participated in the study. A qualitative approach was used with thematic analysis of the participants’ written diaries after supervision and therapy sessions. Results: Analyses of supervisees’ experiences suggested that a variety of therapeutic interventions were easier to implement if one had the supervisor's support and felt free to decide if and when the suggested interventions could best be implemented. Evaluation in the form of positive feedback from the supervisor indicating that the supervisee was ‘doing the right thing’ was perceived to be important. A unifying theme when supervisees felt they were not getting anything out of the supervision was that the supervisees did not have a supervision question. Conclusions: The results of this research suggest that the supervisor's support during training is perceived to be important for the supervisee. Receiving positive feedback from one's supervisor in an evaluation is perceived to have a great impact on whether the therapist implements the suggested therapeutic interventions discussed in the previous supervision.

Type
Research Article
Copyright
Copyright © British Association for Behavioural and Cognitive Psychotherapies 2017 

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

Bambling, M., King, R., Raue, P., Schweitzer, R. and Lambert, W. (2006). Clinical supervision: its influence on client-rated working alliance and client symptom reduction in the brief treatment of major depression. Psychotherapy Research, 16, 317331. doi: 10.1080/10503300500268524CrossRefGoogle Scholar
Bennett-Levy, J. and Lee, N. K. (2014). Self-practice and self-reflection in cognitive behaviour therapy training: shat factors influence supervisee's engagement and experience of benefit? Behavioural and Cognitive Psychotherapy, 42, 4864. doi:10.1017/S1352465812000781CrossRefGoogle Scholar
Bennett-Levy, J., McManus, F., Westling, B. E. and Fennell, M. (2009). Acquiring and refining CBT skills and competencies. Which training methods are perceived to be most effective? Journal of Behavioural and Cognitive Psychotherapy, 37, 571583. doi: 10.1017/S1352465809990270Google Scholar
Bernard, J. M. and Goodyear, R. K. (2013). Fundamentals of Clinical Supervision (5th edition). New Jersey: Pearson.Google Scholar
Braun, V. and Clarke, V. (2006). Using thematic analysis in psychology. Qualitative Research in Psychology, 3, 77101. doi: 10.1191/1478088706qp063oaGoogle Scholar
Braun, V. and Clark, V. (2013). Successful Qualitative Research; A Practical Guide for Beginners. London: Sage Publications.Google Scholar
Carlsson, J., Norberg, J., Sandell, R. and Schubert, J. (2011). Searching for recognition: the professional development of psychodynamic psychotherapists during training and the first few years after it. Psychotherapy Research, 21, 141153. doi: 10.1080/10503307.2010.506894Google Scholar
Creswell, J. W. (2013). Research Design; Quantitative, Qualitative and Mixed Methods Approaches. London: Sage Publications.Google Scholar
Hayes, N. (2004). Doing Psychological Research. Berkshire: Open University Press.Google Scholar
Hill, C. E. and Knox, S. (2013). Training and supervision in psychotherapy. In Lambert, M. J. (ed), Bergin and Garfield's Handbook of Psychotherapy and Behavior Change (6th edition). New York: Wiley and Sons.Google Scholar
James, I. A., Milne, D. M., Marie-Blackburn, I. and Armstrong, P. (2006). Conducting successful supervision: novel elements towards integrative approach. Behavioural and Cognitive Psychotherapy, 35, 191200. doi: 10.1017/S1352465806003407CrossRefGoogle Scholar
Johnston, H. L. and Milne, D. L. (2012). How do supervisees learn during supervision? A Grounded Theory study of the perceived developmental process. the Cognitive Behaviour Therapist, 5, 123. doi: 10.1017/S1754470X12000013Google Scholar
Kennerley, H. and Clohessy, S. (2010). Becoming a supervisor. In Westbrook, D. (ed), The Oxford Guide to Surviving as a CBT Therapist. Oxford: Oxford University Press.Google Scholar
Kennerley, H., Butler, G. and Clohessy, S. (2010). Supervisor Competency Scale. In Westbrook, D. (ed), The Oxford Guide to Surviving as a CBT Therapist. Oxford: Oxford University Press.Google Scholar
Ladany, N., Friedlander, M. L. and Nelson, M.L. (2005). Critical Events in Psychotherapy Supervision: An Interpersonal Approach. Washington, DC: American Psychological Association.Google Scholar
Mehr, K. E., Ladany, N. and Caskie, G. I. L. (2014). Factors influencing willingness to disclose in supervision. Training and Education in Professional Psychology, 9, 4451. doi: 10.1037/tep0000028Google Scholar
Milne, D. L. (2008). CBT supervision: from reflexivity to specialization. Behavioural and Cognitive Psychotherapy, 36, 779786. doi: 10.1017/S1352465808004773Google Scholar
Milne, D. L. (2009). Evidence-Based Clinical Supervision. Chichester: Wiley Blackwell.Google Scholar
Milne, D. L., Aylott, H., Fitzpatrick, H. and Ellis, M. V. (2008). How does clinical supervision work? Using a best evidence synthesis approach to construct a basic model of supervision. Clinical Supervisor, 27, 107109. doi: 10.1080/07325220802487915Google Scholar
Milne, D. L, Pilkington, J., Gracie, J. and James, I. (2003). Transferring skills from supervision to therapy: a qualitative and quantitate N=1 analysis. Behaviour and Cognitive Psychotherapy, 31, 193202. doi: 10.1017/S1352465803002078Google Scholar
Milne, D. L. and Reiser, R. P. (2011). Observing competence in CBT supervision: a systematic review of the available instruments. the Cognitive Behaviour Therapist, 4, 89100. doi: 10.1017/S1754470X11000067Google Scholar
Milne, D. L. and Reiser, R. P. (2014). SAGE: a scale for rating competence in CBT supervision. In Watkins, C. E. Jr, and Milne, D. L. (eds), The Wiley International Handbook of Clinical Supervision. Oxford, UK: Wiley.Google Scholar
Rakovshik, S. G. and McManus, F. (2010). Establishing evidence-based training in cognitive behavioural therapy: a review of current empirical findings and theoretical guidance. Clinical Psychology Review, 30, 496516. doi: 10.1016/j.cpr.2010.03.004CrossRefGoogle ScholarPubMed
Rakovshik, S. G. and McManus, F. (2013). An anatomy of CBT training: supervisees’ endorsements of elements, sources and modalities of learning during a postgraduate CBT training course. the Cognitive Behaviour Therapist, 6, 112. doi: 10.1017/S1754470X13000160Google Scholar
Roth, A. and Pilling, S. (2008). The Competence Framework for Supervision. Available at: http://www.ucl.ac.uk/pals/research/cehp/research-groups/core/competence-frameworks/Supervision_of_Psychological_Therapies (accessed 30 August 2017).Google Scholar
Ronnestad, M. H. and Skovholt, T. (2012). The Developing Practitioner. London: Routledge.CrossRefGoogle Scholar
Scaife, J. (2008). Supervision in Clinical Practice – A Practioner's Guide (2nd edition). Hove: Brunner-Routledge.Google Scholar
Stoltenberg, C. D. and McNeil, B. W. (2009). IDM Supervision: An Integrative Developmental Model for Supervising Counsellors and Therapists (3rd edition). New York: Routledge.Google Scholar
Vetenskapsrådets Rapportserie (2011). God forskningsed. Available at: www.vetenskapsradet.se (accessed 9 August 2017).Google Scholar
Willig, C. (2013). Introducing Qualitative Research in Psychology. New York: Open University Press.Google Scholar
Vygotsky, L. S. and Cole, M. (1978). Mind in Society: The Development of Higher Psychological Processes. Cambridge: Harvard University Press.Google Scholar
Submit a response

Comments

No Comments have been published for this article.