Some Effective Strategies for the Supervision of Psychodynamic Psychotherapy

Hilsenroth, Mark J.; Diener, Marc J.

doi:10.1002/9781119165590.ch8

Cited by 4 publications

(3 citation statements)

References 64 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…According to some of the supervisees, the working method has contributed to a permissive climate in which the difference between a ‘thing’ and a person became clearer; they were able to openly practise what they considered to be their undeveloped skills. This is in line with what Hilsenroth and Diener (2017) describe as parts of the basic context for training in psychotherapy, specifically, a safe environment in which people are working towards specific goals and taking advantage of opportunities for improvements that arise through error. The awareness of the fact that learning and development is an ongoing process seems to increase the supervisees' confidence in themselves, besides the training increasing their self‐confidence.…”

Section: Discussionsupporting

confidence: 84%

Psychotherapy students' experiences of supervisee‐centred supervision based on deliberate practice, feedback‐informed treatment and self‐compassion

Axelsson,

Kihlberg,

Davis

et al. 2023

Couns and Psychother Res

View full text Add to dashboard Cite

ObjectiveThere are few methods that focus on therapists' experiences of supervision. To facilitate the development of psychologist students, a supervisee‐centred supervision, based on deliberate practice, feedback informed treatment and self‐compassion, was introduced.MethodsThis study examines six supervisees’ experiences of a supervisee‐centred supervision. A semi‐ structured interview was used for the collection of the data, which identified two main themes: Learning and Development and five associated sub‐themes: structure and purposesfulness, prerequisites, experience‐based learning, therapeutic skills and personal development.ConclusionThe experience‐ and feedback‐based approach was perceived as efficient, structured and goal oriented. This created high‐focused activity and participation, a strong group dynamic and a good alliance with the supervisors, providing a good climate for learning and development. Focusing on performance and feedback was perceived as a potential obstacle that could create stress and anxiety.

show abstract

Section: Discussionsupporting

confidence: 84%

Psychotherapy students' experiences of supervisee‐centred supervision based on deliberate practice, feedback‐informed treatment and self‐compassion

Axelsson,

Kihlberg,

Davis

et al. 2023

Couns and Psychother Res

View full text Add to dashboard Cite

show abstract

“…Therefore, we lack empirical evidence regarding whether the techniques used by these therapists reflect best practices, and by extension (using Ericsson’s definition) whether these therapists can truly be said to be “experts.” Along similar lines, the most recent meta-analysis regarding the relationship between adherence and outcome found a null effect (Webb et al, 2010). Therefore, while we assessed master therapist adherence to both traditional and newer integrative therapeutic approaches, we are careful not to suggest that adherence to any particular modality alone is something all therapists should strive for (see our previous discussion on the important role of therapist responsiveness in relation to outcome; also Hilsenroth & Diener, 2017). It is possible that under more normal circumstances, our master APA therapists do practice more flexibly and/or integratively than these taped sessions suggest.…”

Section: Discussionmentioning

confidence: 99%

Therapeutic technique of APA master therapists: Areas of difference and integration across theoretical orientations.

Pitman

Hilsenroth

Goldman

et al. 2017

Professional Psychology: Research and Practice

Self Cite

View full text Add to dashboard Cite

This study utilized the American Psychological Association (APA) PsycTHERAPY digital video database of therapy masters working with participants on problems related to either anxiety or depression. Thirty-four APA master sessions were included. Therapist primary orientation included Cognitive–Behavioral (CB), Psychodynamic–Relational (P/R), and Person Centered-Experiential (PC/E), the last of which served as a comparison group to contrast the former 2 samples. All sessions were evaluated using the Comparative Psychotherapy Process Scale (CPPS) by 4 independent clinical raters who demonstrated excellent (>.75; Fleiss, 1981) reliability in the rating of these sessions. Results demonstrated significant differences on the CPPS Psychodynamic-Interpersonal (CPPS-PI) and Cognitive-Behavioral (CPPS-CB) subscales in the expected directions between the APA master CB and P/R sessions. APA master PC/E sessions did not rate as highly on either CPPS-PI or CPPS-CB subscales than therapists from the respective modalities. A subsample Integrative (IN) group was created using APA master therapist secondary orientation to further analyze the relationship between technique use and integration. Findings demonstrated that IN master therapists utilized significantly more CPPS-CB techniques than P/R therapists, and significantly more CPPS-PI techniques than CB therapists, supporting the IN orientation. Further, CB-3rd wave (Schema, ACT, Mindfulness) APA master therapist sessions demonstrated a significantly greater integration (i.e., use) of CPPS-PI items, particularly those related to participant emotional expression and exploration, identifying patterns of experience, and facilitating insight, than the traditional CB APA master therapist sessions. Clinical implications with regard to training and practice will be discussed.

show abstract

“…Several authors have already identified the promising potential of DP for psychodynamic supervision (e.g., Hilsenroth & Diener, 2017; Miller et al, 2008; Rousmaniere et al, 2017; Tracey et al, 2014), proving the time psychotherapists spend engaged in DP significantly predicts better treatment outcomes (Chow et al, 2015). Nevertheless, despite longstanding efforts to implement DP and other competency-based models in clinical settings, researchers continuously point to the fact that it has yet to become a standard practice in the real world (e.g., Falender & Shafranske, 2017; Hutman et al, 2021).…”

Section: Discussionmentioning

confidence: 99%

The MATRIX: A deliberate practice approach for clinical supervision in the public sector.

Bar¹,

Doron²,

Bronstein³

et al. 2023

Psychological Services

View full text Add to dashboard Cite

Clinical supervision is an essential component of psychotherapeutic practice. However, the literature suggests that the provision of supervision in the public sector has been declining significantly over the past two decades, suggesting that many health care professionals are receiving neither the guidance nor support needed to deliver safe and effective care. Identifying the distinct challenges of supervision in the public sector and proposing prospective solutions is, therefore, a burning issue. In this article, we introduce a novel analytical framework for clinical supervision-the MATRIX-striving to address the unique demands of psychotherapy in the public sector. Various applications of this framework are thoroughly presented and further exemplified using a case illustration. We conclude by discussing the contribution of MATRIX-aided supervision to the acquisition of expert performance in psychotherapy, while also addressing its limitations. Impact StatementMost mental health care systems around the world are facing a chronic lack of resources and are struggling to provide their employees with appropriate supervision. Hence, there is a growing concern that many health care professionals are not receiving the support needed to deliver safe and effective treatment. This article introduces a novel aiding tool for clinical supervision-the MATRIX, striving to optimize the cost-effectiveness of supervisory process. Various applications of this tool are presented, as well as its unique benefits for psychotherapy in public settings.

show abstract

Some Effective Strategies for the Supervision of Psychodynamic Psychotherapy

Cited by 4 publications

References 64 publications

Psychotherapy students' experiences of supervisee‐centred supervision based on deliberate practice, feedback‐informed treatment and self‐compassion

Psychotherapy students' experiences of supervisee‐centred supervision based on deliberate practice, feedback‐informed treatment and self‐compassion

Therapeutic technique of APA master therapists: Areas of difference and integration across theoretical orientations.

The MATRIX: A deliberate practice approach for clinical supervision in the public sector.

Contact Info

Product

Resources

About