An Experiential Group Model for Psychotherapy Supervision

Abstract

This article presents an experiential group model of supervision constructed for both group and individual therapy presentations, emphasizing concepts from object relations theory and group-as-a-whole dynamics. It focuses on intrapsychic, interpersonal, and systems processes, and stresses the group aspect of the supervisory process. Its central thesis is that material presented in a group supervisory setting stimulates conscious and unconscious parallel processes in group members. Through here-and-now responses, associations, and interactions among the supervisory members, countertransference issues that have eluded the presenter can make themselves known and be worked through on emotional as well as cognitive levels. Selected excerpts from supervisory sessions demonstrate various attributes and strengths of the model.

From psychotherapist to supervisor

“…It is reasonable to assume that the training level, group composition and the supervisor's experience of group processes are of significance for the group supervision's focus and outcome (Altfeld & Bernard, 1997;Ögren & Sundin, 2004;Ögren & Sundin, in press). …”

Group Supervision: A Review of Practices and Models in Training

“…Borders (1991) noted that neophyte counselors are often "selffocused," "overly aware of their every move," and "assume that the client's report is the only truth about the problem situation" (p. 249). When other group members respond from these alternate tasks, roles, or perspectives, Supervision (Altfeld, 1999;Altfeld & Bernard, 1997). Suggestions for practice are included in the discussion of each model.…”

“…Experiential group supervision was developed to address these issues. Altfeld (1999) described the key theoretical concepts of the model as emphasizing a "holding environment, group as a container, the frame, parallel process, projective identification, reassimilation, [and] the general concept of guided unconscious communication" (p. 387). The EGM emphasizes concepts from "object relations theory and from group-as-a-whole dynamics" (p. 239).…”

“…As Altfeld (1999) noted, "clinicians are prone to giving opinions, formulations, clinical insights, and so on" (p. 241). When this occurs, Altfeld offered several suggestions for getting the discussion back on track.…”

“…field (Altfeld & Bernard, 1997;Borders, 1991;Carroll, 1996;Goodyear & Nelson, 1997;Holloway & Johnston, 1985;Proctor, 2000;Prieto, 1996Prieto, , 1998Proctor & Inskipp, 2001;Riva & Cornish, 1995;Stoltenberg, McNeill, & Delworth, 1998). Despite its wide use, few supervisors have received adequate training in group supervision techniques and practices.…”