Supervision of Novice Counsellors
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Transcript Supervision of Novice Counsellors
Amy Marco, M.C., CCC
Erin Musick-Neily, M.C., R. Psych
May 7th, 2014
Who
we are
Who you are
Who
in this room has experienced good
supervision?
What made it good?
The experience of good supervision has a
lasting impact on us as professionals (Orlinksy,
Botermans, & Ronnestad, 2001). It is a
relational experience and one that shapes us
personally and professionally.
Why
talk about supervision and new/novice
counsellors?
Defining supervision
Counselling practicums
Common presenting issues
Developmental model
Mirroring process
Unique challenges
Tips for interns and new counsellors
How supervision can help/tips for supervisors
Questions
1)
2)
Supervision plays a critical role in the preparation of
future mental health professionals
Two central purposes:
To foster the supervisee’s professional development
(a supportive and educational function)
To ensure client welfare (the supervisor as a gate
keeper to the profession)
(Bernard & Goodyear; Bornsheuer)
ETHICS! Good supervision contributes to the future of
the profession and supporting the development of
competent and ethical professionals This relates to
competency and also public accountability (Rodolfa et
al., 2005).
Many
conceptualizations and models of
supervision
We are not suggesting a cookie cutter
approach but will outline a model that can
be applied for supervisors to consider
Two main categories of supervision:
developmental and administrative
Developmental supervision focuses on
training/education/mentorship
Administrative supervision focuses more on
management as a function
Canadian Psychological Association; Starr
The
Mutual Recognition Agreement (2001,
p.10) defines supervision as:
“A kind of management that involves
responsibility for the services provided under
one’s supervision and may involve teaching in
the context of a relationship focused on
developing or enhancing the competence of
the person being supervised. Supervision is the
preferred vehicle for the integration of
practice, theory, and research, with the
supervisor as role model”
(Canadian Psychological Association, 2001).
Bernard & Goodyear (2009) offer the following
definition:
“Supervision is an intervention provided by a more
senior member of the profession to a more junior
member or members of the same profession. This
relationship:
- Is evaluative and hierarchal
- Extends over time, and
- Has the simultaneous purposes of enhancing the
professional functioning of the more junior
person(s); monitoring the quality of professional
services offered to the clients that she, he or
they see; and serving as a gatekeeper for those
who are to enter the particular profession.” (p.
7).
It
is erroneous to assume that all good
counsellors make good supervisors.
They are unique and distinct processes, that
have some shared characteristics.
(Scott, Ingram, Vitanza, & Smith, 2000)
Specialized
training in supervision is
recommended in order to engage in the
process ethically and competently
(Bernard & Goodyear, 2009)
Master’s level or Doctorate level of education
in a related field (psychology, social work etc.)
Require specific number of hours at counselling
practicum site
Specific direct and indirect client hours
Specific number of supervision hours
Observation and shadowing
Carry own client caseload
PD activities and seminars
Work with clients is supervised
Present own client work
Most common: depression, anxiety, stress,
academic concerns, transitions/adjustment,
relationship issues
Less common for practicum students or new
counsellors to see: complex trauma, couples/family
counselling, Axis II diagnoses
Note: sometimes other issues present themselves
part-way through counselling, such as trauma, so
practicum students do end up working with these
issues at times
So one role of the supervisor would be to manage
these types of issues so that new counsellors are not
overwhelmed or taking on presenting concerns they
are not equipped to deal with.
LEVEL 1 – SUPERVISEE
Exhibits high anxiety
Exhibits high motivation
Is dependent on supervisor
Focuses predominately on the self,
particularly on performance or technique or
following of guidelines (cookbook)
Is fearful of evaluation
(Falender & Shafranske, 2004, p. 12)
LEVEL 1 – SUPERVISOR
Should:
Be supportive & prescriptive
Provide structure and positive feedback
Minimal direct confrontation
Have the supervisee work with only mildly distressed
clients
Institute observation and role play
Emphasize and encourage conceptualization, skill
acquisition and development, self monitoring of skill
development, and attention to the client response to
intervention
(Falender & Shafranske, 2004, p. 12)
LEVEL 2 – SUPERVISEE
“Trial and tribulation” period
Experiences dependency-autonomy conflicts
Fluctuates in confidence and motivation
Shifts focus to the client with increased empathy
Links mood to success with clients
Increased understanding of own limitations
Uses therapeutic self in interventions
Uneven theoretical and conceptual integration
Sensitive and anxious re: evaluation
(Falender & Shafranske, 2004, p. 12)
LEVEL 2 – SUPERVISOR
Balances autonomy with support and structure
Works to increase autonomy and confidence in the
supervisee
Introduces and considers countertransference
Deals with self, defensiveness, transference, affect and
the supervisory relationship
Articulates theory and conceptual framing
Challenges supervisee to increase self awareness
Helps the supervisee identify and understand strengths and
weaknesses
Accepts de-idealization of him/herself
Monitors use of videotaping and live observation
Encourages multiple theoretical conceptualizations
(Falender & Shafranske, 2004, p. 12)
LEVEL 3 – SUPERVISEE
“Calm after the storm”
Stable motivation
Secure in autonomy
Focuses on client, self and process
Professional identity at the core of his or her treatment
Is not disabled by remaining doubts
Accepts strengths and weaknesses (high level of insight)
Exhibits high empathy and understanding
Uses the therapeutic self in interventions
Integrates client information, personal responses, theoretical
information and empirical information
May find it a challenge to be flexible in approach
Has accurate empathy
Addresses areas of weakness with increased confidence and nondefensiveness
(Falender & Shafranske, 2004, p. 13)
LEVEL 3 – SUPERVISOR
Assesses consistency in performance and works
towards integration
Emphasizes autonomy and growth
Less structure and less intrusive
Engages in confrontation
Devotes attention to parallel process,
countertransference, and the supervisory relationship
Encourages self discovery and insight in the
supervisee
Encourages experimentation and exploration
Provides advice re: job searches and professional
development
(Falender & Shafranske, 2004, p. 12)
The
process in therapy (between counsellor
and client) is mirrored in the supervisory
relationship
Supervisee awareness of the similarities in
both relationships (client/counsellor &
supervisor/supervisee) = benefits for
therapeutic relationship
Increased understanding of client
Learn to respond to clients in same/similar way
that their supervisor responds to them
Russell et al. as cited in Bernard & Goodyear, 2009; Starr, 2014
Transference
– can be positive or negative
(for example, supervisee views supervisor as
more critical than they actually are (from
their own internal self-criticalness) or
supervisee idealizes supervisor which is
important in early stages
Other examples: the supervisor becomes the
critical parent, the nurturing parent, the
dismissive spouse etc.
Allphin as cited in Bernard & Goodyear; Lewis as cited in Bernard &
Goodyear, 2009
Positive
or negative
Examples where Intern/Novice
Counsellor:
Is idealized by client
Is viewed as inferior
Is viewed as a peer
One of the main tasks of supervision is to address
countertransference in the supervisory
relationship
Very strong feelings can arise in supervision for
both supervisor and supervisee
Sources of countertransference:
Supervisee’s interpersonal style, supervisor’s own
unresolved personal issues, supervisor’s personality
characteristics; nature of learning and teaching
Falender & Shafranske, 2004; Omand, 2010
Examples:
Viewing client as more intelligent/ capable;
Viewing client as peer (feelings of friendship or
romantic attraction)
Feeling threatened or intimidated by client
(academically or otherwise)
Viewing client as partner, spouse, friend, etc.
Over identification with client (similar age,
experiences, schooling) resulting in nontherapeutic discussion
Resistance in supervisees may occur when:
There is lack of trust in the supervisory
relationship
Parallel processes interferes
Disagreement about supervision tasks and
goals
Supervisor is too directive
Personality clashes/traits
Bernard & Goodyear, 2009
Clients
with very high intellectual/academic
abilities
Increased complexity of client issues (i.e.
Cairns et al., 2010)
Lack of resources—not enough counselling
staff to respond to large numbers of clients
A mismatch between the type of supervision
offered and the type of supervision that is
needed (one paint brush)
de Rivera (1992) outlines four stages of
individual therapy:
1. Commitment
-Mutual goals, client motivation, clientcounsellor match
2.
Process
-Identify problem(s), gain clarity
3.
Change
-Relapse prevention, applying tools, making and
maintaining changes
4.
Termination
-Develop independence in client, therapeutic
gains maintained on own
The
stages of individual therapy in part
mirror the stages of development in
supervision
Stage
1: Commitment
Mirrors Level 1 of IDM
Relationship development
Mutual goals
Stage
2: Process
Mirrors Level 2 of IDM
Naming of transference and countertransference
in supervision
Intern/Novice counsellor makes gains
Self awareness – role of self in therapeutic
process
Stages
3 and 4 mirror IDM Level 3
Stage 3: Change
Integrating knowledge and skills, increased
autonomy and independence, intern more self
directed
Stage
4: Termination
The ending of the internship, moving forward
with acquired knowledge and skills
Strong working alliance
Guidance that matches developmental level
Encourage supervisees how to arrive at solutions
Assist in managing all experiences, especially
uncertainty
Don’t provide therapy by proxy
Set boundaries
-Omand, 2010; Rousmaniere, 2013; Starr, 2014
Haynes et al. (2003) outlines these 10 qualities of
inadequate supervision:
Lack of interest
Lack of availability
Rigid approach
Lack of knowledge and experience
Lack of reliability
Irregular feedback
Overly critical approach
Lack of empathy
Lack of organization (no structure)
Lack of professional ethics
Power (equality vs. differential)
Power differential
Egalitarian approach
Challenge and support
Both are needed – it’s a delicate balance
Structure (engagement, roles and boundaries)
“Supervisees experienced narrowing when they
perceived that (a) the feedback was overly critical
without being contextualized, (b) the theoretical
stance of the supervisor was inflexible, and (c) they
were indiscriminately treated as apprentices”
(Gazzola & Thériault, 2007)
Honesty
Read
and use resources
Patience
Self care
Consult
Openness
Personal counselling
Boundaries
Ethics, ethics, ethics!
Be approachable and open
Team work approach
Don’t supervise from a place of power
Keep current
Consider additional training specific to
supervision
Supervise with intention
Name transference and counter-transference as
issues in supervision
Ensure appropriate monitoring throughout (of
notes, videos etc.)
Encourage self care, balance, outside therapy in
supervisees (be mindful of dual roles – be the
supervisor, not the supervisee’s counsellor)
Erin Musick-Neily, M.C., R. Psych
Registered Psychologist – Lethbridge
Counselling Services (private practice)
[email protected]
Amy Marco, M.C.
Counsellor – Alberta Health Services
Email: [email protected]
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