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Psychotherapy Supervision in the New Millennium: Competency-Based, Evidence-Based, Particularized, and Energized

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Abstract

Psychotherapy supervision has increasingly become or is on the fast track to becoming competency-based, evidence-based, particularized, and accountable. In this paper, I explore how that appears to be so by: (1) briefly considering the concepts of “competencies” and “evidence-based practice” as preeminent guides for psychotherapy supervision practice and training; and (2) briefly reviewing the current status, pressing needs, and future possibilities of psychoanalytic, cognitive-behavioral, humanistic-existential, and integrative psychotherapy supervision. Based on my examination, the following conclusions are proposed: (1) the supervision relationship, individualization, developmental differentiation, and self-reflection (for supervisee and supervisor) appear to be crucial cornerstones for the conceptualization and actuation of supervision process and practice across psychotherapy-based supervision approaches; (2) all indications suggest that three emphases—competency-based supervision, evidence-based practice, and accountability—will continue to substantially influence, affect, and inform psychotherapy supervision practice for its near and distant future; (3) psychotherapy-based supervision approaches will need to be and indeed appear to now be in the process of becoming increasingly particularized in how each of their respective approach-specific competencies are defined and explicated; and (4) psychotherapy supervision has come to be increasingly viewed as an educational process and practice that is best facilitated by: (a) a rich and enriching supervision training environment that vigorously addresses and attempts to meaningfully integrate declarative, procedural, and reflective knowledge bases throughout the supervisory endeavor; and (b) the considered and deliberate utilization of facilitative technology that has the potential to substantially enhance and expand the value of the supervisee’s training/supervision experiences. Some discussion is provided about those four conclusions, and a retrofitted psychotherapy supervision for the new millennium is considered.

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References

  • Abbass, A., Arthey, S., Elliott, J., Fedak, T., Nowoweiski, D., Markovski, J., et al. (2011). Utilizing technological innovations to enhance psychotherapy supervision, training, and outcomes. Psychotherapy, 48, 109–118.

    Article  PubMed  Google Scholar 

  • American Academy of Child and Adolescent Psychiatry. (2006). American Academy of Child and Adolescent Psychiatry policy statement on evidence-based practice in psychiatry. Retrieved August 8, 2011 from http://www.aacap.org/cs/root/policy_statements/evidence_based_practice.

  • American Psychological Association Presidential Task Force on Evidence-Based Practice. (2006). Evidence-based practice in psychology. American Psychologist, 61, 271–285.

    Article  Google Scholar 

  • Barnett, J. E. (Ed.). (2011). Special section: Internet and video technology in psychotherapy supervision and training. Psychotherapy, 48, 103–181.

    Google Scholar 

  • Binder, J. (2011). Avatars—a new technology for psychotherapy supervision. In C. E. Watkins, Jr. (Chair), Teaching and supervising psychotherapies in the 21st century: Pressing needs, impressing possibilities. Symposium presented at the annual convention of the American Psychological Association, Washington, DC.

  • Brown, L. S. (2011). Feminist models of supervision. In C. E. Watkins, Jr. (Chair), Teaching and supervising psychotherapies in the 21st century: Pressing needs, impressing possibilities. Symposium presented at the annual convention of the American Psychological Association, Washington, DC.

  • Cabannis, D. L. (2008). Becoming a school: Developing learning objectives for psychoanalytic education. Psychoanalytic Inquiry, 28, 262–277.

    Article  Google Scholar 

  • Carroll, M. (2010). Supervision: Critical reflection for transformational learning (Part 2). The Clinical Supervisor, 29, 1–19.

    Article  Google Scholar 

  • Ellis, M. V. (2010). Bridging the science and practice of clinical supervision: Some discoveries, some misconceptions. The Clinical Supervisor, 29, 95–116.

    Article  Google Scholar 

  • Ellis, M. V., D’Iuso, N., & Ladany, N. (2008). State of the art in assessment, measurement, and evaluation of clinical supervision. In A. K. Hess, et al. (Eds.), Psychotherapy supervision: Theory, research, and practice (2nd ed., pp. 473–499). Hoboken, NJ: Wiley.

    Google Scholar 

  • Falender, C. A., Cornish, J. A. E., Goodyear, R. K., Hatcher, R., Kaslow, N. J., Leventhal, G., … Grus, C. (2004). Defining competencies in psychology supervision: A consensus statement. Journal of Clinical Psychology, 60, 771–785.

    Google Scholar 

  • Falender, C. A., & Shafranske, E. P. (2004). Clinical supervision: A competency-based approach. Washington, DC: American Psychological Association.

    Book  Google Scholar 

  • Falender, C. A., & Shafranske, E. P. (2007). Competence in competency-based supervision practice: Construct and application. Professional Psychology: Research and Practice, 38, 232–240.

    Article  Google Scholar 

  • Falender, C. A., & Shafranske, E. P. (Eds.). (2008). Casebook for clinical supervision: A competency-based approach. Washington, DC: American Psychological Association.

    Google Scholar 

  • Falender, C. A., & Shafranske, E. P. (2010). Psychotherapy-based supervision models in an emerging competency-based era: A commentary. Psychotherapy, 47, 45–50.

    Article  PubMed  Google Scholar 

  • Falender, C. A., & Shafranske, E. P. (2012). The importance of competency-based clinical supervision and training in the twenty-first century: Why bother? Journal of Contemporary Psychotherapy, 42. doi:10.1007/s10879-011-9198-9.

  • Farber, E. W. (2012). Supervising humanistic-existential psychotherapy: Needs, possibilities. Journal of Contemporary Psychotherapy, 42. doi:10.1007/s10879-011-9197-x.

  • Fleming, J., & Benedek, T. F. (1966). Psychoanalytic supervision: A method of clinical teaching. New York: Grune & Stratton.

    Google Scholar 

  • Fouad, N. A., Grus, C. L., Hatcher, R. L., Kaslow, N. J., Hutchings, P. S., Madson, M., … Crossman, R. E. (2009). Competency benchmarks: A model for the understanding and measuring of competence in professional psychology across training levels. Training and Education in Professional Psychology, 3, S1–S26.

  • Haggerty, G., & Hilsenroth, M. H. (2011). The use of video in psychotherapy supervision. British Journal of Psychotherapy, 27, 193–210.

    Article  Google Scholar 

  • Hess, A. K. (2011). Psychotherapy supervision. In J. C. Norcross, G. R. Vandenbos, & D. K. Freedheim (Eds.), History of psychotherapy (2nd ed., pp. 703–722). Washington, DC: American Psychological Association.

    Google Scholar 

  • Hill, C. E., Stahl, J., & Roffman, M. (2007). Training novice psychotherapists: Helping skills and beyond. Psychotherapy, 44, 364–370.

    Article  PubMed  Google Scholar 

  • Inman, A. G., & Ladany, N. (2008). Research: The state of the field. In A. K. Hess, K. D. Hess, & T. H. Hess (Eds.), Psychotherapy supervision: Theory, research, and practice (2nd ed., pp. 500–517). Hoboken, NJ: Wiley.

    Google Scholar 

  • Kaslow, N. J. (2004). Competencies in professional psychology. American Psychologist, 59, 774–781.

    Article  PubMed  Google Scholar 

  • Ladany, N. (2004). Psychotherapy supervision: What lies beneath. Psychotherapy Research, 14, 1–19.

    Article  PubMed  Google Scholar 

  • Manring, J., Greenberg, R. P., Gregory, R., & Gallinger, L. (2011). Learning psychotherapy in the digital age. Psychotherapy, 48, 119–126.

    Article  PubMed  Google Scholar 

  • McCullough, L., Bhatia, M., Ulvenes, P., Berggraf, L., & Osborn, K. (2011). Learning how to rate video-recorded therapy sessions: A practical guide for trainees and advanced clinicians. Psychotherapy, 48, 127–137.

    Article  PubMed  Google Scholar 

  • Miller, S. I., Scully, J. H., Jr., & Winstead, D. K. (2003). The evolution of core competencies in psychiatry. Academic Psychiatry, 27, 128–130.

    Article  PubMed  Google Scholar 

  • Milne, D. (2009). Evidence-based clinical supervision: Principles and practice. Hoboken, NJ: Wiley.

    Google Scholar 

  • Milne, D. (2010). Can we enhance the training of clinical supervisors? A national pilot study of an evidence-based approach. Clinical Psychology and Psychotherapy, 17, 321–328.

    PubMed  Google Scholar 

  • Milne, D., & Reiser, R. P. (2012). A rationale for evidence-based clinical supervision. Journal of Contemporary Psychotherapy, 42. doi:10.1007/s10879-011-9199-8.

  • Milne, D. L., & Dunkerley, C. (2010). Towards evidence-based clinical supervision: The development and evaluation of four CBT guidelines. The Cognitive Behaviour Therapist, 3, 43–57.

    Article  Google Scholar 

  • Milne, D. L., & James, I. A. (1999). Evidence-based clinical supervision: Review and guidelines. Clinical Psychology Forum, 133, 32–36.

    Google Scholar 

  • Milne, D. L., & Reiser, R. (2008). Supervision: Adherence and Guidance Evaluation (SAGE). Unpublished instrument available from first author upon request.

  • Milne, D. L., & Westerman, C. (2001). Evidence-based clinical supervision: Rationale and illustration. Clinical Psychology and Psychotherapy, 8, 444–457.

    Article  Google Scholar 

  • Nelson, P. D. (2007). Striving for competence in the assessment of competence: Psychology’s professional education and credentialing journey of public accountability. Training and Education in Professional Psychology, 1, 3–12.

    Article  Google Scholar 

  • Reese, R. J., Usher, E. L., Bowman, D. C., Norsworthy, L. A., Halstead, J. L., Rowlands, S. R., et al. (2009). Using client feedback in psychotherapy training: An analysis of its influence on supervision and counselor self-efficacy. Training and Education in Professional Psychology, 3, 157–168.

    Article  Google Scholar 

  • Reiser, R. P., & Milne, D. (2012). Supervising cognitive-behavioral psychotherapy: Pressing needs, impressing possibilities. Journal of Contemporary Psychotherapy, 42. doi:10.1007/s10879-011-9200-6.

  • Roberts, M. C., Borden, K. A., Christiansen, M. D., & Lopez, S. J. (2005). Fostering a culture shift: Assessment of competence in the education and careers of professional psychologists. Professional Psychology: Research and Practice, 36, 355–361.

    Article  Google Scholar 

  • Rodolfa, E., Bent, R., Eisman, E., Nelson, P., Rehm, L., & Ritchie, P. (2005). A cube model for competency development: Implications for psychology educators and regulators. Professional Psychology: Research and Practice, 36, 347–354.

    Article  Google Scholar 

  • Roth, A., & Pilling, S. (2008). A competence framework for the supervision of psychological therapies. Retrieved August 18, 2011 from http://www.ucl.ac.uk/clinical-psychology/CORE/supervision_framework.htm.

  • Sackett, D., Richardson, W., Rosenberg, W., & Haynes, P. (1997). Evidence-based medicine: How to practice and teach EBM. New York: Churchill Livingstone.

    Google Scholar 

  • Sarnat, J. E. (2012). Supervising psychoanalytic psychotherapy: Present knowledge, pressing needs, future possibilities. Journal of Contemporary Psychotherapy, 42. doi:10.1007/s10879-011-9201-5.

  • Scaturo, D. J. (2012). Supervising integrative psychotherapy in the 21st century: Pressing needs, impressing possibilities. Journal of Contemporary Psychotherapy, 42. doi:10.1007/s10879-011-9204-2.

  • Stoltenberg, C. D. (2009). Evidence-based clinical supervision. Living Proof Podcast Series (Audio Podcast). Retrieved August 26, 2010 from http://www.socialwork.buffalo.edu/podcast/episode.asp?Ep=12.

  • Swick, S., Hall, S., & Beresin, E. (2006). Assessing ACGME competencies in psychiatry training programs. Academic Psychiatry, 30, 330–351.

    Article  PubMed  Google Scholar 

  • Thomason, T. C. (2010). The trend toward evidence-based practice and the future of psychotherapy. American Journal of Psychotherapy, 64, 29–38.

    PubMed  Google Scholar 

  • Turpin, G., & Wheeler, S. (2011). IAPT supervision guidance. Retrieved August 18, 2011 from http://www.iapt.nhs.uk/silo/files/iapt-supervision-guidance-revised-march-2011.pdf.

  • Watkins, C. E., Jr. (1998). Psychotherapy supervision in the 21st century: Pressing needs and impressing possibilities. Journal of Psychotherapy Practice and Research, 7, 93–101.

    PubMed  Google Scholar 

  • Watkins, C. E., Jr. (2010). Psychoanalytic constructs in psychotherapy supervision. American Journal of Psychotherapy, 64, 393–416.

    PubMed  Google Scholar 

  • Watkins, C. E., Jr. (2011a). Does psychotherapy supervision contribute to patient outcomes? Considering 30 years of research. The Clinical Supervisor, 30, 145–165.

    Article  Google Scholar 

  • Watkins, C. E., Jr. (2011b). Is psychoanalytic education effective? Comment on Damsa et al. (2010). American Journal of Psychoanalysis, 71, 290–292.

  • Watkins, C. E., Jr. (2011c). Psychotherapy supervision since 1909: Some friendly observations about its first century. Journal of Contemporary Psychotherapy, 41, 57–67.

    Article  Google Scholar 

  • Watkins, C. E., Jr. (Chair). (2011d). Teaching and supervising psychotherapies in the 21st century: Pressing needs, impressing possibilities. Symposium presented at the annual convention of the American Psychological Association, Washington, DC.

  • Watkins, C. E., Jr. (2011e). Toward a tripartite vision of supervision for psychoanalysis and psychoanalytic psychotherapies: Alliance, transference-countertransference configuration, and real relationship. The Psychoanalytic Review, 98, 457–490.

    Google Scholar 

  • Westefeld, J. S. (2009). Supervision of psychotherapy: Models, issues, and recommendations. The Counseling Psychologist, 37, 296–316.

    Article  Google Scholar 

  • Wheeler, S., Aveline, M., & Barkham, M. (2011). Practice-based supervision research: A network of researchers using a common toolkit. Counselling and Psychotherapy Research, 11, 88–96.

    Article  Google Scholar 

  • Wheeler, S., & Richards, K. (2007). The impact of clinical supervision on counselors and therapists, their practice and their clients: A systematic review of the literature. Counselling and Psychotherapy Research, 7, 54–65.

    Article  Google Scholar 

  • Worthen, V. E., & Lambert, M. J. (2007). Outcome-oriented supervision: Advantages of adding systematic client tracking to supportive consultations. Counselling and Psychotherapy Research, 7, 48–53.

    Article  Google Scholar 

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Correspondence to C. Edward Watkins Jr..

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Watkins, C.E. Psychotherapy Supervision in the New Millennium: Competency-Based, Evidence-Based, Particularized, and Energized. J Contemp Psychother 42, 193–203 (2012). https://doi.org/10.1007/s10879-011-9202-4

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