Psychotherapy Supervision in the New Millennium: Competency-Based, Evidence-Based, Particularized, and Energized
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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.
KeywordsPsychotherapy supervision Competency-based supervision Evidence-based supervision Psychotherapy-based supervision approaches Clinical supervision
- 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.
- 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.Google Scholar
- 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.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. (Eds.). (2008). Casebook for clinical supervision: A competency-based approach. Washington, DC: American Psychological Association.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.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
- 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
- Milne, D. (2009). Evidence-based clinical supervision: Principles and practice. Hoboken, NJ: Wiley.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., & 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.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.CrossRefGoogle 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.
- 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.
- 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. (2011b). Is psychoanalytic education effective? Comment on Damsa et al. (2010). American Journal of Psychoanalysis, 71, 290–292.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.Google Scholar
- 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