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Investigating the core skills of clinical supervision : a qualitative analysis

By David Russell Green


This study used self-reports of the experience of Clinical Psychology trainees on the Doctor of Clinical Psychology course at the University of Leeds as the basis for developing a model of effective clinical supervision\ud from the users' perspective. Three sources of data were used: 100 critical incident reports of episodes which trainees had experienced as particularly helpful during supervision; seven extended commentaries by trainees on\ud video-tape recordings of supervision sessions in which they had been involved (following the principles of inter-personal process recall); and two focus group discussions in which final year trainees reflected on their worst\ud experiences in clinical supervision during their time on the training course. This data was analysed using the grounded theory approach to qualitative research. The study contains procedures for assessing the reliability of the\ud codings used in the study and attempting to validate the theoretical model developed. The study identified five factors that contributed to a successful outcome in supervision (from the trainees' viewpoint): promoting experiential learning; developing a strong supervisory alliance; accepting the sapiential authority of the supervisor; timing interventions in supervision appropriately; and working in a personal and professional context that facilitates good practice. The model of effective supervision developed is dynamic and\ud recognises the mutual influence of supervisor and supervisee on each other and the fluid interaction of the five factors described. The findings of the study are compared with the extensive psychological literature on clinical supervision. Finally the practical implications of the study's findings for training clinical supervisors are considered.\ud \u

Publisher: Institute of Psychological Sciences (Leeds)
Year: 1998
OAI identifier: oai:etheses.whiterose.ac.uk:249

Suggested articles



  1. (1983). A client-centred approach to supervision The Counsellincg Psychologist, doi
  2. (1997). A Comparative Study of the Arrangements for Clinical Placements across 10 Health and Care Professions: Recommendations for Improved Practice.
  3. (1992). A Constructive approach to Supervision: some Preliminary Thoughts. doi
  4. (1996). A Phenomenological Investigation of "Good" Supervision Events. doi
  5. (1997). A Qualitative Analysis of Client Perceptions of the Effects of Helpful Therapist Self-Disclosure in LongTerm Therapy. doi
  6. (1991). A Review of the Validity and Accuracy of Selfassessments in Health Professions Training Academic Medicine, doi
  7. (1988). A short form of the Barrett-Lennard Relationshipinventory for supervisor relationships .
  8. (1983). A working alliance based model of supervision The Counselling Psychologist, doi
  9. (1997). Adolescents' perceptions of their parents' disclosure to them. doi
  10. (1997). An Experiment doi
  11. (1991). An exploratory study of supervision in the training of Clinical Psychologists.
  12. (1995). An Introduction to Social Constructionism. doi
  13. (1996). Assuring Quality for Practice Teaching: Rules and Requirements for the Practice Teaching Award.
  14. (1988). Brief Structured Recall: A more efficient method for studying significant therapy events. doi
  15. (1994). Case Studies in Organizational Research.
  16. (1987). Changes in supervision as counselors and supervisors gain experience: A review. doi
  17. (1988). Client perceptions of significant events in prescriptive and exploratory periods of individual therapy. doi
  18. (1976). Client-centred therapy. Its current practice, implications and theory.
  19. (1996). Clients' Perceptions of Treatment for Depression: 2. Problematic or Hindering Aspects. doi
  20. (1996). Clinical Psychologists' doi
  21. (1996). Clinical supervision research from 1981 to 1993: A methodological critique. doi
  22. (1994). Clinical supervision skills: a Delphi and critical incident technique study. doi
  23. (1995). Clinical Supervision: a systems approach. doi
  24. (1987). Clinical supervision: An intensive case-study. doi
  25. (1991). Cognitive Styles - an overview and integration. doi
  26. (1996). Commentary on "Clients' Perceptions of Treatment for Depression: 1 and 2. Psychotherapy Research, doi
  27. (1993). Complementary Interaction Over Time doi
  28. (1997). Composing Qualitative Research. doi
  29. (1988). Counselling supervision: the British context. Counselling Psychology Quarterly, doi
  30. (1984). Counselor training and supervision: Theory and research.
  31. (1997). Credit where credit's due. doi
  32. (1997). Defining Psychotherapy Supervision and Understanding Supervisor Functioning. In
  33. (1984). Development and validation of the supervisory styles inventory. doi
  34. (1987). Development of a taxonomy of therapist difficulties: Initial report. doi
  35. (1987). Developmental Models of Supervision : doi
  36. (1997). Diary account of Newcastle Supervisor Training Course 11. A4 copy of poster presented at European Congress of Psychology,
  37. (1984). Differences among supervisees at different levels of training: implications for a developmental model of supervision. doi
  38. (1993). Differences in Supervisory Needs and Expectations by Trainee Experience, Cognitive Style, and Program Membership. doi
  39. (1997). Dimensions of Psychotherapy Supervision. Maps and Means.
  40. (1994). Dimensions That Characterize Supervisor Interventions Delivered in the Context of Live Supervision of Practicum Counselors Counselling Psychology. doi
  41. (1994). Disabuse of the drug metaphor: Psychotherapy process - Outcome correlations. doi
  42. (1990). Discovering" chronic illness: using grounded theory . Soc Sci Med. doi
  43. (1986). Doctoral students' comparative evaluations of best and worst psychotherapy supervision. doi
  44. (1997). Educating Professional Psychologists. History and Guiding doi
  45. (1993). Effects of training in time-limited dynamic psychotherapy: Changes in therapist behavior. doi
  46. (1993). Effects of training in time-limited dynamic psychotherapy: Mediators of therapists' responses to training. doi
  47. (1997). Ethical and Legal Aspects of Clinical Supervision. In doi
  48. (1995). Ethical difficulties faced by trainee clinical psychologists. Clinical Psychology Forum,
  49. (1993). Ethical Issue in psychotherapy. The importance of informed consent. Clinical Psychology Forum,
  50. (1987). Evaluation and Accountability in Training for Professional Psychology. doi
  51. (1979). Evolving Guidelines for Publication of Qualitative Research Studies in Psychology and Related Fields. (un pub) 149 Elliott R. doi
  52. (1996). Evolving issues for qualitative psychology. In
  53. (1982). Experiential Learning: experience as the source of learning and development. doi
  54. (1996). Exploring the difference between effective and ineffective supervision on clinical placements.
  55. (1990). First Steps in Family Therapy: a personal construct analysis doi
  56. (1988). Focus Groups: a Practical Guide for Applied Research. doi
  57. (1992). Fundamentals of clinical supervision. doi
  58. (1968). Games people play in supervision.
  59. (1995). Grounded Theory as an Emerging Paradigm for Computer-assisted Qualitative Data Analysis. In Kelle
  60. (1994). Grounded Theory Methodology. doi
  61. (1996). Grounded theory: practical implementation. In doi
  62. (1996). Handbook of qualitative research methods for psychology and the social sciences. Leicester:
  63. (1996). In search of supervision.
  64. (1990). Increasing the Generalizability of Qualitative Research.
  65. (1997). Inferences Concerning Supervisees and Clients in Clinical Supervision: An Integrative Review. In
  66. (1981). Interpersonal Attraction and Direct-Indirect Supervisor Influence as Predictors of Counselor Trainee Effectiveness Counselling Psychology, doi
  67. (1997). Interpersonal Process Recall: Influencing Human Interaction. In
  68. (1997). Interpersonal Process Recall.
  69. (1982). Interpersonal Process Recall. In
  70. (1995). Introducing focus groups BMJ, doi
  71. (1993). Is it time to Improve Psychotherapy Training? doi
  72. (1994). Issues in training effective supervisors. doi
  73. (1967). Knowledge, Learning and Freedom from Thought Australian and New Zealand doi
  74. (1987). Learning by Doing. A Guide to Teaching and Learning Methods. Birmingham: Birmingham Polytechnic.
  75. (1990). Measuring the working alliance in counsellor supervision. doi
  76. (1987). Modal Responses and, Cultural Expertise. American Behavioral Scientist, doi
  77. (1996). Nature extent and importance of what psychotherapy trainees do not disclose to their supervisors doi
  78. (1975). Objectionable supervisory styles: Students' views.
  79. (1986). Observing Interaction. An Introduction to Sequential Analysis. Cambridge: doi
  80. (1994). Occupational Settings Facilitating Wisdom-Related Knowledge: The Sample Case of Clinical Psychologists. doi
  81. (1997). Papers that go beyond numbers (qualitative research). doi
  82. (1996). Parallel process - confirmation and critique Psychodynamic Counselling, doi
  83. (1989). Parallel processing in counselling and supervision: A case-study doi
  84. (1997). Personality, Organizational Justice and Citizenship Behaviour in the Workplace. Paper presented at: Fifth European Congress of Psychology.;
  85. (1997). Perspectives on supervision. Opening the dialogue": a workshop for supervisors run by trainees.
  86. (1995). Phenomenological research on supervision: supervisors reflect on "being a supervisor" Counselling Psychology Quarterly, doi
  87. (1995). Practice for Training on Placements (A benchmarkinc exercise across training schemes in a sample of Health Care Professions ).
  88. (1992). Prescriptive and Exploratory Psychotherapies: Toward an Integration Based on the Assimilation Model.
  89. (1995). Professional Practice Guidelines
  90. (1988). Psychological therapy as viewed by clients and therapists. doi
  91. (1995). Psychotherapy Supervisor and Supervisee: Developmental Models and Research Nine Years Later. Clinical Psychology Review. doi
  92. (1994). Qualitative Analysis of Clients' Subjective Experience of Significant Moments During the Exploration of Problematic Reactions. doi
  93. (1997). Qualitative data analysis packages - towards an informed choice.
  94. (1994). Qualitative data analysis: An expanded sourcebook doi
  95. (1998). Qualitative Data Analysis. A User-Friendly Guide for Social Scientists. doi
  96. (1992). Qualitative research and psychological theorizing. doi
  97. (1995). Qualitative research for applied psychologists. Clinical Psychology Forum,
  98. (1996). Qualitative research in health care: 1. The scope and validity of methods. doi
  99. (1996). Qualitative research in health care: II. A structured review and evaluation of studies. doi
  100. (1996). Qualitative Research: a package deal? . The Psychologist,
  101. (1993). Quality Control in Qualitative Research Clinical Pyschology Review, doi
  102. (1989). Reactance in Relation to Different Supervisory Environments and Counselor Development. doi
  103. (1994). Reaction to Special Section on Qualitative Research in Counselling Process and Outcome. doi
  104. (1996). Reaction to the Special Section on Supervision Research: Comment on Ellis doi
  105. (1997). Reconciling private and public ways of knowing: an uncomfortable issue for constructivists. Paper presented at the 5th European Congress of Psychology:.
  106. (1990). References on supervision in clinical and counselling psychology. doi
  107. (1985). Reflection: turning experience into learning. doi
  108. (1990). Relation of gender to power and involvement in supervision. doi
  109. (1989). Relation of power and involvement to theoretical orientation in supervision: An analysis of discourse. doi
  110. (1997). Reliability and Validity in Research Based on Tapes and Transcripts.
  111. (1993). Setting the scene for supervision: The application of a systems framework to an initial consultation interview. Human Systems,
  112. (1992). Sex differences in self-disclosure: A metaanalysis. 76th Convention of the Speech Communication Association
  113. (1997). Standards for research projects and theses involving qualitative methods: suggested guidelines for trainees for trainees and courses. Clinical Psychology Forum,
  114. (1992). Stress in clinical psychology trainees. doi
  115. (1997). Structures for the Analysis and Teaching of Supervision. In
  116. (1964). Studies in the reliability and validity of the critical incident technique. doi
  117. (1994). Supervising Cognitive Psychotherapy and Training Supervisors:
  118. (1997). Supervision as a space for thinking. doi
  119. (1995). Supervision for Qualified Clinical Psychologists Clinical Psychology Forum,
  120. (1989). Supervision in the Helping Professions. Milton Keynes:
  121. (1995). Supervision: Its Contributions to Treatment Efficacy Counselling and Clinical Psychology, doi
  122. (1997). Supervision. In doi
  123. (1994). Systems Thinking for Harassed Managers.
  124. (1969). The autobiography of a theory. doi
  125. (1998). The Child Within: the exploration of personal construct theory with young people.
  126. (1986). The Critical Incident Technique -a brief guide. doi
  127. (1954). The critical incident technique. doi
  128. (1968). The Discovery of Grounded Theory: Strategies for Qualitative Research. London: Wiedenfeld and Nicholson. doi
  129. (1906). The Doctor's Dilemma. doi
  130. (1997). The Effectiveness of Psychotherapy Supervision. In
  131. (1995). The essential elements of supervisory systems: A modified Delphi study. doi
  132. (1994). The Generic Tasks of Supervision. Doctoral thesis:
  133. (1988). The interaction of domain-specific and strategic knowledge in academic performance . doi
  134. (1989). The Paradox of Training: How not to profit from experience. Paper presented at Eighth International Congress on Personal Construct Theory.: Assissi
  135. (1997). The Psychological Adaptation of Psychologists in Clinical Training: the Role of Appraisal, Coping, and Social Support. Salomons Centre, Tunbridge Wells; Kvale S.
  136. (1992). The Psychological Basis of Problembased Learning: A Review of the Evidence.. doi
  137. (1994). The Qualitative Research Interview.
  138. (1997). The Reflective Practitioner. How Professionals Think in Action. doi
  139. (1987). The Supervision Relationship: Variables Contributing to Positive Versus Negative Experience Professional Psychology: Research and Practice, doi
  140. (1997). The use of audiotapes in supervision of psychotherapy.
  141. (1991). The use of grounded theory for conceptual analysis in knowledge elicitation. doi
  142. (1994). The Working Alliance. Theory, Research and Practice.
  143. (1990). Therapist training: a critical review of skill training studies Clinical Psychology Review, doi
  144. (1997). Towards an Aesthetics of Research.
  145. (1997). Trainee Forum. Clinical Psychology Forum,
  146. (1995). Training to Help: a Survival Guide.
  147. (1992). Triangulation Revisited: Strategy of Validation or Alternative? Journal for the Theory of Social Behaviour, doi
  148. (1994). Use of a Manual to Train Supervisors Counsellor Education and Supervision, doi
  149. (1995). Using Hierarchical Categories in Qualitative Data Analysis. In Kelle
  150. (1991). What can Learning Styles Research Learn from Cognitive Psychology? doi
  151. (1996). Wisdom and the social-interactive foundation of the mind. In
  152. (1990). Writing Up Qualitative Research. doi
  153. (1997). Yorkshire Supervision Workshops

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