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Psychotherapy Trainee Humility and Its Impact: Conceptual and Practical Considerations

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Abstract

Humility has been increasingly recognized and elaborated upon as a critical variable for effective therapeutic practice and training. But all considerations thus far have focused virtually exclusively on supervisor or therapist humility, the psychotherapy trainee’s humility going unexamined. What role might humility play in the trainee’s own therapist development process and treatment functioning? Furthermore, what implications might trainee humility have for the supervisory relationship? Those questions are considered subsequently. We examine the role of trainee humility in both the treatment and supervisory situations and give focus to its intrapersonal and interpersonal properties, specifically considering the following: (a) three types of trainee humility; (b) trainee humility as contributing to four best practices; and (c) three ways by which trainee humility is placed under developmental threat. Case examples are provided for illustrative purposes, and some ways of cultivating trainee humility are proposed.

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References

  • Abbott, D. M., Pelc, N., & Mercier, C. (2019). Cultural humility and the teaching of psychology. Scholarship of Teaching and Learning in Psychology,5, 169–181. https://doi.org/10.1037/stl0000144.

    Article  Google Scholar 

  • American Psychological Association. (2015). Guidelines for clinical supervision in health service psychology. American Psychologist,70, 33–46. https://doi.org/10.1037/a0038112.

    Article  Google Scholar 

  • Bernard, J. M., & Goodyear, R. K. (2019). Fundamentals of clinical supervision (6th ed.). Upper Saddle River, NJ: Merrill.

    Google Scholar 

  • Church, I. M., & Barrett, J. L. (2017). Intellectual humility. In E. L. Worthington, D. E. Davis, & J. N. Hook (Eds.), Handbook of humility: Theory, research, and applications (pp. 62–75). New York, NY: Routledge.

    Google Scholar 

  • Coren, S., & Farber, B. A. (2019). A qualitative investigation of the nature of “informal supervision” among therapists in training. Psychotherapy Research,29, 679–690. https://doi.org/10.1080/10503307.2017.1408974.

    Article  PubMed  Google Scholar 

  • Cuthbert, A. D., Davis, E. B., Aten, J. D., Short, A., Yarborough, C. A., Lavelock, C. R., … Van Tongeren, D. R. (2018). Cultivating humility in religious leaders: The effectiveness of a spiritually integrated positive psychology intervention. Spirituality in Clinical Practice, 5, 227–239. https://doi.org/10.1037/scp0000185.

  • Davis, D. E., Placeres, V., Choe, E., DeBlaere, C., Zeyala, D., & Hook, J. N. (2017). Relational humility. In E. L. Worthington, D. E. Davis, & J. N. Hook (Eds.), Handbook of humility: Theory, research, and applications (pp. 105–118). New York, NY: Routledge.

    Google Scholar 

  • Davis, E. B., & Cuthbert, A. D. (2017). Humility and psychotherapist effectiveness: Humility, the therapy relationship, and psychotherapy outcomes. In E. L. Worthington, D. E. Davis, & J. N. Hook (Eds.), Handbook of humility: Theory, research, and applications (pp. 286–300). New York, NY: Routledge.

    Google Scholar 

  • Eckler-Hart, A. H. (1987). True and false self in the development of the psychotherapist. Psychotherapy,24, 683–692. https://doi.org/10.1037/h0085768.

    Article  Google Scholar 

  • Ellis, M. V. (2017). Narratives of harmful clinical supervision. The Clinical Supervisor,36, 20–87. https://doi.org/10.1080/07325223.2017.1297752.

    Article  Google Scholar 

  • Emmons, R. A. (1998). The psychology of ultimate concern: Personality, spirituality, and intelligence. Unpublished manuscript, University of California, Davis.

  • Eubanks, C. F., Muran, J. C., & Safran, J. D. (2018). Alliance rupture repair: A meta-analysis. Psychotherapy,55, 508–519. https://doi.org/10.1037/pst0000185.

    Article  PubMed  Google Scholar 

  • Flückiger, C., Del Re, A. C., Wampold, B. E., & Horvath, A. O. (2018). The alliance in adult psychotherapy: A meta-analytic synthesis. Psychotherapy,55, 316–340. https://doi.org/10.1037/pst0000172.

    Article  PubMed  Google Scholar 

  • Foronda, C., Baptiste, D. L., Reinholdt, M. M., & Ousman, K. (2016). Cultural humility: A concept analysis. Journal of Transcultural Nursing,27, 210–217. https://doi.org/10.1177/1043659615592677.

    Article  PubMed  Google Scholar 

  • Hendriks, T., Warren, M. A., Schotanus-Dijkstra, M., Hassankhan, A., Graafsma, T., Bohlmeijer, E., et al. (2019). How WEIRD are positive psychology interventions? A bibliometric analysis of randomized controlled trials on the science of well-being. Journal of Positive Psychology,14, 489–501. https://doi.org/10.1080/17439760.2018.1484941.

    Article  Google Scholar 

  • Hess, E. D., & Ludwig, K. (2017). Humility is the new smart: Rethinking human excellence in the smart machine age. Oakland, CA: Berrett-Koehler.

    Google Scholar 

  • Hook, J. N., Davis, D., Owen, J., & DeBlaere, C. (2017). Cultural humility: Engaging diverse identities in therapy. Washington, DC: American Psychological Association. https://doi.org/10.1037/0000037-000.

    Book  Google Scholar 

  • Hook, J. N., Watkins, C. E., Jr., Davis, D. E., Owen, J., Van Tongeren, D. R., & Ramos, M. (2016). Cultural humility in psychotherapy supervision. American Journal of Psychotherapy, 70, 149–165. https://doi.org/10.1176/appi.psychotherapy.2016.70.2.149.

    Article  PubMed  Google Scholar 

  • Lambert, M. J. (2017). Maximizing psychotherapy outcome beyond evidence-based medicine. Psychotherapy and Psychosomatics,86, 80–89. https://doi.org/10.1159/000455170.

    Article  PubMed  Google Scholar 

  • Lavelock, C. R., Worthington, E. L., Davis, D. E., Griffin, B. J., Reid, C. A., Hook, J. N., et al. (2014). The quiet virtue speaks: An intervention to promote humility. Journal of Psychology and Theology,42, 99–110. https://doi.org/10.1177/009164711404200111.

    Article  Google Scholar 

  • Milne, D. L. (2006). Developing clinical supervision research through reasoned analogies with therapy. Clinical Psychology & Psychotherapy,13, 215–222. https://doi.org/10.1002/cpp.489.

    Article  Google Scholar 

  • Mosher, D. K., Hook, J. N., Farrell, J. E., Watkins, C. E., Jr., & Davis, D. E. (2017). Cultural humility. In E. L. Worthington, D. E. Davis, & J. N. Hook (Eds.), Handbook of humility: Theory, research, and applications (pp. 91–104). New York, NY: Taylor & Francis.

    Google Scholar 

  • Overholser, J. C. (2018). The Socratic method of psychotherapy. New York, NY: Columbia University Press.

    Book  Google Scholar 

  • Paine, R. P., Sandage, S. J., Rupert, D., Devor, N. G., & Bronstein, M. (2015). Humility as a psychotherapeutic virtue: Spiritual, philosophical, and psychological foundations. Journal of Spirituality in Mental Health,17, 3–25. https://doi.org/10.1080/19349637.2015.957611.

    Article  Google Scholar 

  • Park, E. H., Ha, G., Lee, S., Lee, Y. Y., & Lee, S. M. (2019). Relationship between the supervisory working alliance and outcomes: A meta-analysis. Journal of Counseling and Development,97, 437–446. https://doi.org/10.1002/jcad.12292.

    Article  Google Scholar 

  • Rønnestad, M. H., Orlinsky, D. E., Schröder, T. A., Skovholt, T. M., & Willutzki, U. (2019). The professional development of counsellors and psychotherapists: Implications of empirical studies for supervision, training and practice. Counselling and Psychotherapy Research,19, 214–230. https://doi.org/10.1002/capr.12198.

    Article  Google Scholar 

  • Rowatt, W. C., Powers, C., Targhetta, V., Comer, J., Kennedy, S., & Labouff, J. P. (2006). Development and an initial validation of an implicit measure of humility. Journal of Positive Psychology,1, 198–211. https://doi.org/10.1080/17439760600885671.

    Article  Google Scholar 

  • Sandage, S. J., Rupert, D., Paine, D. R., Bronstein, M., & O’Rourke, G. (2017). Humility in psychotherapy. In E. L. Worthington, D. E. Davis, & J. N. Hook (Eds.), Handbook of humility: Theory, research, and applications (pp. 301–315). New York, NY: Routledge.

    Google Scholar 

  • Stellar, J. E., Gordon, A., Anderson, C. L., Piff, P. K., McNeil, G. D., & Keltner, D. (2018). Awe and humility. Journal of Personality and Social Psychology,114, 258–269. https://doi.org/10.1037/pspi0000109.

    Article  PubMed  Google Scholar 

  • Tangney, J. P. (2009). Humility. In S. J. Lopez & C. R. Snyder (Eds.), Oxford handbook of positive psychology (2nd ed., pp. 483–490). New York, NY: Oxford University Press.

    Google Scholar 

  • Thomas, J. T. (2010). The ethics of supervision and consultation: Practical guidance for mental health professionals. Washington, DC: American Psychological Association.

    Book  Google Scholar 

  • Van Tongeren, D. R., Davis, D. E., Hook, J. N., & Witvliet, C. V. (2019). Humility. Current Directions in Psychological Science,28, 463–468. https://doi.org/10.1177/0963721419850153.

    Article  Google Scholar 

  • Watkins, C. E., Jr. (2019). Ruptures in the supervisory alliance. In S. DeGolia & K. Corcoran (Eds.), Supervision in psychiatric practice: Practical approaches across venues and providers (pp. 299–304). Washington, DC: American Psychiatric Association Publishing.

    Google Scholar 

  • Watkins, C. E., Jr., Hook, J. N., DeBlaere, C., Davis, D. E., Van Tongeren, D. R., Owen, J., & Callahan, J. L. (2019a). Humility, ruptures, and rupture repair in clinical supervision: A simple conceptual clarification and extension. The Clinical Supervisor, 38, 281–300. https://doi.org/10.1080/07325223.2019.1624996.

    Article  Google Scholar 

  • Watkins, C. E., Jr., Hook, J. N., Mosher, D., & Callahan, J. L. (2019b). Humility in clinical supervision: Fundamental, foundational, and transformational. The Clinical Supervisor, 38, 58–78. https://doi.org/10.1080/07325223.2018.1487355.

    Article  Google Scholar 

  • Watkins, C. E., Jr., Hook, J. N., Owen, J., DeBlaere, C., Davis, D. E., & Van Tongeren, D. R. (2019c). Multicultural orientation in psychotherapy supervision: Cultural humility, cultural comfort, and cultural opportunities. American Journal of Psychotherapy, 72, 38–46. https://doi.org/10.1176/appi.psychotherapy.20180040.

    Article  PubMed  Google Scholar 

  • Watkins, C. E., Jr., Hook, J. N., Ramaeker, J., & Ramos, M. J. (2016). Repairing the ruptured supervisory alliance: Humility as a foundational virtue in clinical supervision. The Clinical Supervisor, 35, 22–41. https://doi.org/10.1080/07325223.2015.1127190.

    Article  Google Scholar 

  • Watkins, C. E., Jr., Reyna, S. H., Ramos, M. J., & Hook, J. N. (2015). The ruptured supervisory alliance and its repair: On supervisor apology as a reparative intervention. The Clinical Supervisor, 34, 98–114. https://doi.org/10.1080/07325223.2015.1015194.

    Article  Google Scholar 

  • Worthington, E. L., & Allison, S. T. (2018). Heroic humility. Washington, DC: American Psychological Association.

    Google Scholar 

  • Worthington, E. L., Davis, D., & Hook, J. (2017a). Epilogue: What have we learned, where are we likely to go. In E. L. Worthington, D. E. Davis, & J. N. Hook (Eds.), Handbook of humility: Theory, research, and applications (pp. 343–355). New York, NY: Routledge.

    Google Scholar 

  • Worthington, E. L., Davis, D. E., & Hook, J. N. (Eds.). (2017b). Handbook of humility: Theory, research, and applications. New York, NY: Taylor & Francis.

    Google Scholar 

  • Wright, J. C. (2019). Humility as a foundational virtue. In J. C. Wright (Ed.), Humility (pp. 146–174). New York, NY: Oxford University Press.

    Chapter  Google Scholar 

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Watkins, C.E., Mosher, D.K. Psychotherapy Trainee Humility and Its Impact: Conceptual and Practical Considerations. J Contemp Psychother 50, 187–195 (2020). https://doi.org/10.1007/s10879-020-09454-8

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