Psychotherapy Supervision : An Integrative Rational Approach to Psychotherapy Supervision

by Gilbert, Maria C.; Evans, Kenneth

• ISBN13: 9780335201389
• ISBN10: 0335201385
• Edition: 1st
• Format: Paperback
• Copyright: 2000-12-01
• Publisher: Open University Press

Summary

"...Maria Gilbert and Ken Evans have given us a beautifully written and richly illustrated account of psychotherapy supervision...Providing clear guidelines for effective clinical supervision, the book describes and vividly illustrates how the supervisor monitors, instructs, models, consults and supports the supervisee, all within the context of respect and empathy." - Marvin R. Goldfried, Ph.D. State University of New York at Stony Brook, Stony Brook , New York, USA"...Don't read this book if you have a well-worked-out, pre-determined model of supervision that you don't want to change...it will only disturb, distract and challenge you. If you would like to review your model of supervision, on the other hand, update it in the light of modern scholarship and insights, open it to 'manufactured uncertainty' so as to adapt it to the contemporary issues of the day, then it's a 'must' for you. It's a book of tomorrow in the light of the best of yesterday and indisputably for today." - Michael Carroll, Ph.D. Chartered Counselling Psychologist and BAC Fellow"...Gilbert and Evans' book is sure to become a key text in the area of psychotherapy supervision from an integrative perspective...the authors reveal an extensive knowledge of the work of other experts in the field and a deep understanding of how this knowledge may be translated into practice...Gilbert and Evans draw much needed attention to the often neglected aspect of the contexts within which supervision takes place. Their focus on the multi-cultural aspects of supervision and their advocacy for anti-oppressive practices is of note...very accessible and highly recommended to beginning supervisees and seasoned supervisors alike. This book will make a substantial contribution to the field for a long time to come." - Gillian Straker, Professor of Psychology at the University of Sydney* What are the primary goals of clinical supervision ?* What is the basis for ethical decision making in supervision ?* How can anti-oppressive practice be embedded in the training of supervisors ?This book presents an integrative relational model for psychotherapy supervision. The focus is on the primacy of the relationship both in psychotherapy and in supervision. This is one of the few books in the field of supervision to focus exclusively and in-depth on issues in clinical supervision. It provides an integrative relational model of supervision drawing on developmental theory that is applicable to the fields of psychotherapy, counselling, and clinical and counselling psychology. The authors believe that this integrative framework for supervision will be of use to supervisors of 'pure-form' approaches as well as to those supervisors involved in cross-orientation supervision since its main focus is on the quality of the supervisory alliance. Psychotherapy Supervision contains a balance of theoretical material, examples of in vivo supervision and a discussion of techniques. The book presents some interesting and innovative material on ethical decision making and on anti-oppressive practice in training organisations. The authors illustrate their material with frequent examples of supervision from their own practice to show the reader the model in action. The book is aimed at supervisors of counsellors, psychotherapists and psychologists at all levels.

Author Biography

Maria C. Gilbert is a Chartered Clinical Psychologist, integrative psychotherapist, trainer and supervisor who has many years of experience in adult education, organizational consultancy and training as well as maintaining a private psychotherapy and supervision practice. She has been involved in the training and supervision of supervisors for many years. Currently she is head of the integrative and supervision courses at Metanoia Institute in West London.

Kenneth Evans is an integrative psychotherapist registered with the United Kingdom Council for Psychotherapy. Formerly a social worker he is also an Anglican priest and works with individual adults and groups. He is director of clinical training at Sherwood Psychotherapy Training Institute and programme leader for the MA in Gestalt psychotherapy and supervision courses. He is also programme leader for a doctorate in psychotherapy. He has been involved in the training and supervision of supervisors for ten years.

Table of Contents

List of figures	ix
Series editors' preface	xi
Preface	xiii
Acknowledgements	xv
Introduction	1	(5)
What is supervision?	1	(1)
The intention informing this book	2	(1)
Supervision: a space to reflect	2	(1)
Training and consultative supervision	3	(1)
Possible applications of the model	4	(1)
Overview of contents	5	(1)
An integrative relational model of supervision	6	(19)
A relationally-based model of supervision in context	6	(1)
Supervision from a meta-systems perspective	7	(2)
Participant-observation as a core concept	9	(1)
The centrality of Martin Buber's concept of `inclusion'	10	(2)
The `third person perspective'	12	(2)
An integrative relational approach to supervision	14	(2)
The co-creation of relationship and the co-construction of meaning	16	(2)
Relationship stances and psychological distance/closeness	18	(2)
Dimensions of relationship in psychotherapy and supervision	20	(1)
Developing a reliable `internal supervisor'	21	(1)
Transference and countertransference: an intersubjective perspective	22	(2)
In conclusion	24	(1)
Questions for further reflection	24	(1)
The model in practice	25	(25)
Objectives of the model in practice	25	(3)
security: emergent phase	28	(6)
identity: core phase	34	(4)
contact: intersubjective phase	38	(4)
communication: verbal phase	42	(5)
Educating the internal supervisor	47	(1)
Questions for further reflection	48	(2)
Creating an effective learning environment	50	(18)
The importance of the supervisory alliance	50	(1)
`Thinking therapy' is at the heart of good practice	51	(1)
The `research mind set' fosters a focus on effective outcomes	52	(1)
`Change moments' in psychotherapy and supervision	53	(2)
Counteracting the effects of shame	55	(2)
Individual learning needs in supervision	57	(4)
Kolb et al. provide another perspective on styles of optimal learning	61	(2)
Stages of development in the evolution of the supervisee	63	(1)
Selfobject needs manifest in supervision	64	(2)
Mature selfobject needs continue to find expression in supervision	66	(1)
Questions for further reflection	67	(1)
The supervision frame: contracting and boundaries in supervision; styles and modes of psychotherapy supervision	68	(15)
Good contracting forms a basis for effective supervision	68	(2)
Renegotiation and recontracting	70	(1)
Process contracts support a healthy supervisory alliance	71	(1)
The contractual process as a key to good relating	72	(1)
The Three-cornered contract: working in organizations	73	(1)
Adding the concept of psychological distance and power	73	(3)
The supervisor contracts too...	76	(1)
Two different traditions influence presentation in supervision	76	(3)
Individual, group and peer supervision all have their place	79	(2)
What is on the supervision menu?	81	(1)
The containment of anxiety in supervision	82	(1)
Questions for further reflection	82	(1)
Theoretical and research foundations for an integrative relational approach to supervision	83	(19)
Why an integrative relationship-based model of supervision?	83	(2)
The relationship as a vehicle for therapeutic change	85	(3)
Research into the supervisory alliance	88	(1)
Conflict resolution in supervision: a central issue	89	(2)
Research findings in developmental theory support our model	91	(5)
The importance of contextual factors	96	(4)
The constructivist theory of memory underpins our model	100	(1)
Questions for further reflection	101	(1)
Assessment, accreditation and evaluation in supervision practice	102	(10)
Evaluation as a crucial supervisory responsibility	102	(1)
Criteria for evaluating competence at the point of accrediatation	103	(1)
Giving the `good' and the `bad' news	104	(1)
Evaluation of supervision sessions and outcomes over time	105	(1)
The effective psychotherapy supervisor	105	(1)
An important place for supervised supervision	106	(2)
`Supertransference': a challenge to supervisor narcissism	108	(1)
Quis custodiat ipsos custodes?	109	(1)
Supervisor accreditation	110	(1)
Questions for further reflection	111	(1)
Developing personal style as a supervisor	112	(18)
Factors contributing to personal style	112	(2)
The importance of clear, direct feedback	114	(1)
The tasks of supervision as a method for measuring individual style	115	(2)
The choice of focus as an indicator of individual style	117	(2)
Self-disclosure as an indicator of personal style	119	(3)
A focus on countertransference as part of the supervisor's personal style	122	(4)
Does psychotherapy have a place in supervision?	126	(3)
The importance of humour as a supervisor's friend	129	(1)
Questions for further reflection	129	(1)
Ethical decision making in supervision	130	(17)
Confidentiality	138	(2)
Conduct of colleagues	140	(1)
Sexual abuse	141	(2)
Dual relationships	143	(1)
Reflection on the four vignettes	144	(1)
Complaints procedures: balance of probability or beyond all reasonable doubt?	144	(2)
Questions for further reflection	146	(1)
Multicultural aspects and anti-oppressive practice in supervision and in psychotherapy	147	(11)
A definition of culture	147	(1)
Recent developments in the United Kingdom	148	(1)
The perpetuation of anti-oppressive practice	149	(1)
Models of mental health and oppression	150	(1)
The effects of oppression	151	(1)
Philosophical support for a new perspective	152	(2)
Reform in psychotherapy training organizations	154	(3)
Anti-oppression audit	157	(1)
Psychotherapy and supervision in the UK, in Europe and in the wider context	158	(5)
Psychotherapy and supervision in the United Kingdom	158	(3)
Psychotherapy and supervision in the European context	161	(1)
The World Council for Psychotherapy (WCP)	162	(1)
Resources for the supervisor	163	(7)
References	170	(6)
Index	176