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The Hidden in Clinical Supervision: A Method to Know and Affect What’s Going on in There

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Abstract

The utilization of a one-way mirror, a wireless microphone for the supervisor, and a “bug-in-the-ear” earpiece for the supervisee constitutes, in the author’s opinion, an excellent alternative method of supervision. It allows the supervisor to be able to unobtrusively observe the therapist and patient, gives the supervisor a chance to help a learning therapist “on the spot,” so to speak, and to positively reinforce and shape meaningful, empathic, therapeutic responses. This method of supervision has been used over a period of years with residents, medical students, social workers, nurses, psychology interns, etc. Most commonly, supervisees initially feel threatened by the “bug-in-the-ear,” which can be minimized by following some “do’s” and “don’ts.” The literature about supervision and some of the methods employed by other investigators are briefly reviewed.

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Authors and Affiliations

  1. Department of Psychiatry, Oregon Health Sciences University, Portland, Oregon, USA

    Neal E. Ely MD (Associate Professor of Psychiatry and Director)

  2. Psychotherapy Training, Portland, Oregon, USA

    Neal E. Ely MD (Associate Professor of Psychiatry and Director)

  3. Veterans Hospital Department of Psychiatry, Vancouver, Washington, USA

    Neal E. Ely MD (Associate Professor of Psychiatry and Director)

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  1. Neal E. Ely MD
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Additional information

The work to obtain clinical material for this paper was done at the Oregon Health Sciences University Psychiatric Outpatient Clinic; the Portland, Oregon VA Medical Center and Psychiatric Outpatient Clinic; and the University of Washington Department of Psychiatry, University Hospital Psychiatric Inpatient Service, Seattle, Washington.

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Ely, N.E. The Hidden in Clinical Supervision: A Method to Know and Affect What’s Going on in There. Acad Psychiatry 6, 74–86 (1982). https://doi.org/10.1007/BF03399839

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