The Art and Craft of Clinical Supervision, Jay Reeve, PhD

Experience

Knowledge Base/Professional Training

Appearance

Affect

Anxiety

Boundary Maintenance

Self reference (low/high)

Age Appearance Affect and demeanor Role comfort Reputation Knowledge base Institutional affiliation Theoretical Orientation

What’s the end-goal of the process?

A. For the client. B. For the supervisee. C. For the institution. D. For the field. E. For the supervisor.

Caretaking – Explaining good therapy technique. Intervening proactively to minimize therapist error and distress.

Coaching – Modeling and explaining good therapy technique. Analyzing session notes and tapes to identify therapist positives and negatives.

Structure – Focus on supervisor set agenda, and content of therapy sessions.

Process – Focus on therapist agenda, and parallel process.

The 4 quadrant model:

Includes:◦ A. Manualized treatment training◦ B. Strong didactic component◦ C. Minimization of parallel process◦ D. Little room for individual therapist expression◦ E. Pre-session scriptingGood for:

A. Novice therapists.B. High anxiety therapists.C. High affect therapists.D. Low Boundary therapists.

Includes:◦ A. Manualized treatment training ◦ B. Medium didactic component◦ C. Minimization of parallel process◦ D. Moderate therapist autonomy◦ E. Post-session coachingGood for:

A. Intermediate therapists.B. High anxiety therapists, with experience.C. High affect therapists.D. High self-reference therapists.E. Low Boundary therapists, with experience

Includes:◦ A. Intro to process therapy◦ B. Medium didactic component◦ C. Medium attention to parallel process◦ D. Moderate therapist autonomy◦ E. Emphasis on role-playingGood for:

A. Beginning to intermediate therapists.B. Low to medium anxiety therapists.C. Low to medium affect therapists.D. Low to medium self-reference therapists.E. High Boundary therapists.

Includes:◦ A. Advanced process therapy◦ B. Low didactic component◦ C. High attention to parallel process◦ D. High therapist autonomy◦ E. Emphasis on use of counter-transferenceGood for:

A. intermediate to advanced therapists.B. Low anxiety therapists.C. Low to medium affect therapists.D. Low self-reference therapists.E. medium to high boundary therapists.

1. “You aren’t giving me enough feedback.”

2. “The workload is overwhelming.”

3. “I’ve dealt with this kind of client before”.

4. “That’s not what the latest research says.”

5. “I’m worried about what will happen if I…”

1. “My other supervisor says…”

2. “My client is just like my ex/my mother/me.”

3. “Can I discuss a personal issue with you?”

4. “If only my partner were as understanding as you are.”