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Ertl MM, Ellis MV, Peterson LP. Supervisor Cultural Humility and Supervisee Nondisclosure: The Supervisory Working Alliance Matters. COUNSELING PSYCHOLOGIST 2023; 51:590-620. [PMID: 37635847 PMCID: PMC10457092 DOI: 10.1177/00110000231159316] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 08/29/2023]
Abstract
Given that half or more of supervisees (therapist trainees) never have their clinical work monitored or observed, supervisees who withhold salient information in clinical supervision compromise supervisors' ability to monitor client welfare and promote supervisees' professional development. Attempting to further understand the factors explaining supervisee nondisclosure, we tested the supervisory working alliance as a mediator of the hypothesized inverse relations of cultural humility and collaborative supervision with supervisee nondisclosure (supervision-related and clinically-related nondisclosure) among a diverse sample of 214 supervisees in applied psychology and allied mental health programs. Results supported the hypotheses that (1) descriptively, supervision-related nondisclosure was more prominent than clinically-related nondisclosure, (2) cultural humility substantially inversely predicted supervisee nondisclosure, and (3) the supervisory working alliance fully mediated the inverse relations of cultural humility and collaborative supervision with supervisee nondisclosure. Understanding the mechanisms underlying supervisee nondisclosure have broad implications for clinicians and researchers alike.
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Affiliation(s)
- Melissa M Ertl
- Department of Psychiatry, HIV Center for Clinical and Behavioral Studies at Columbia University and New York State Psychiatric Institute, New York, NY, United States
| | - Michael V Ellis
- Department of Educational and Counseling Psychology, University at Albany-State University of New York, Albany, NY, United States
| | - Lawrence P Peterson
- Department of Educational and Counseling Psychology, University at Albany-State University of New York, Albany, NY, United States
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Seabrook M. ‘The Golden Question’. Addressing supervisee self‐care in clinical supervision. COUNSELLING & PSYCHOTHERAPY RESEARCH 2022. [DOI: 10.1002/capr.12543] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/06/2022]
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Teichman Y, Berant E, Shenkman G, Ramot G. Supervisees' perspectives on the contribution of supervision to psychotherapy outcomes. COUNSELLING & PSYCHOTHERAPY RESEARCH 2022. [DOI: 10.1002/capr.12540] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/11/2022]
Affiliation(s)
- Yona Teichman
- Baruch Ivcher School of Psychology Reichman University Herzliya Israel
| | - Ety Berant
- Baruch Ivcher School of Psychology Reichman University Herzliya Israel
| | - Geva Shenkman
- Baruch Ivcher School of Psychology Reichman University Herzliya Israel
| | - Guy Ramot
- Baruch Ivcher School of Psychology Reichman University Herzliya Israel
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Son E, Ellis MV, Hutman H. Supervisees’ Nondisclosure in South Korea and the United States: A Cross-Cultural Comparison. COUNSELING PSYCHOLOGIST 2022. [DOI: 10.1177/00110000221074625] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022]
Abstract
This study investigated the effects of supervisee characteristics (rejection attachment), the supervisory relationship (supervisory working alliance, role conflict), and Asian cultural values on supervisee nondisclosure (clinically related and supervision related nondisclosures) for South Korean and U.S. American supervisees. Participants were 474 predominantly female supervisees in counseling and clinical psychology programs (227 South Korean, 247 U.S. American). Three major findings emerged: (a) the four predictors collectively predicted both types of supervisee nondisclosure jointly in both countries, (b) the supervisory working alliance predicted the two types of supervisee nondisclosure jointly in both countries, and (c) post hoc tests suggested that the supervisory working alliance mediated the relations of role conflict and rejection attachment with supervisee nondisclosure in both countries, and the relation of Asian cultural values with supervisee nondisclosure for South Korean supervisees. Implications for theory, research, and practice are discussed.
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Affiliation(s)
- Eunjung Son
- Department of Psychology, College of Social Sciences, Keimyung University, Daegu, South Korea
| | - Michael V Ellis
- Department of Educational and Counseling Psychology, University at Albany, Albany, NY, USA
| | - Heidi Hutman
- Department of Psychological Studies in Education, Temple University, Philadelphia, PA, USA
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Zhu P, Luke MM. A Supervisory Framework for Systematically Attending to Outcomes in Clinical Supervision. INTERNATIONAL JOURNAL FOR THE ADVANCEMENT OF COUNSELLING 2021. [DOI: 10.1007/s10447-021-09455-9] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/24/2022]
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Bradley WJ, Becker KD. Clinical Supervision of Mental Health Services: A Systematic Review of Supervision Characteristics and Practices Associated with Formative and Restorative Outcomes. CLINICAL SUPERVISOR 2021; 40:88-111. [PMID: 34045790 DOI: 10.1080/07325223.2021.1904312] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/21/2022]
Abstract
In this review, the authors examined supervision characteristics and practices associated with formative (e.g., skill development) and restorative (e.g., well-being) provider outcomes. We used qualitative review to summarize supervision characteristics associated with desired outcomes. Then, we applied a distillation approach (Chorpita et al., 2005) to identify practices associated with formative and restorative outcomes. The most common practices for promoting formative outcomes were corrective feedback, discussing intervention, and role play. Findings indicate several supervision strategies have demonstrated empirical support for improving formative outcomes. However, more rigorous research is needed in community settings, particularly for understanding which strategies improve restorative outcomes.
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Foskett AJ, Van Vliet KJ. Understanding supervisee nondisclosures in supervision with videorecording review and interpersonal process recall. COUNSELLING & PSYCHOTHERAPY RESEARCH 2021. [DOI: 10.1002/capr.12306] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/10/2022]
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Khoshfetrat A, Moore G, Kiernan G. What do psychoanalytic supervisees say about good supervision? COUNSELLING PSYCHOLOGY QUARTERLY 2021. [DOI: 10.1080/09515070.2020.1857701] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/22/2022]
Affiliation(s)
- Ali Khoshfetrat
- School of Nursing, Psychotherapy and Community Health, Dublin City University, Dublin, Ireland
| | - Gerry Moore
- School of Nursing, Psychotherapy and Community Health, Dublin City University, Dublin, Ireland
| | - Gemma Kiernan
- School of Nursing, Psychotherapy and Community Health, Dublin City University, Dublin, Ireland
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Knox S, Callender KA, Mak TW, Skaistis S, Knowlton G. How Graduate-student or Recent Graduate Psychotherapists Experience and Manage Errors in Psychotherapy. COUNSELLING PSYCHOLOGY QUARTERLY 2020. [DOI: 10.1080/09515070.2020.1843004] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/23/2022]
Affiliation(s)
- Sarah Knox
- Department of Counselor Education and Counseling Psychology, College of Education, Marquette University, Milwaukee, WI, USA
| | - Karisse A. Callender
- Department of Counselor Education and Counseling Psychology, College of Education, Marquette University, Milwaukee, WI, USA
| | - Tin Weng Mak
- Department of Counselor Education and Counseling Psychology, College of Education, Marquette University, Milwaukee, WI, USA
| | - Shannon Skaistis
- Department of Counselor Education and Counseling Psychology, College of Education, Marquette University, Milwaukee, WI, USA
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Li C, Kemer G, Henson JM. Development and Validation of the Supervisee Disclosure in Supervision Scale. COUNSELOR EDUCATION AND SUPERVISION 2020. [DOI: 10.1002/ceas.12172] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/12/2022]
Affiliation(s)
- Chi Li
- Department of Counseling, Educational Psychology and ResearchUniversity of Memphis
| | - Gülşah Kemer
- Department of Counseling and Human ServicesOld Dominion University
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Cook RM, Welfare LE, Sharma J. Exploring supervisees’ in-session experiences of utilizing intentional nondisclosure. CLINICAL SUPERVISOR 2019. [DOI: 10.1080/07325223.2019.1608344] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/26/2022]
Affiliation(s)
- Ryan M. Cook
- Educational Studies in Psychology, Research Methodology, The University of Alabama, Tuscaloosa, Alabama, USA
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Grunhaus CML, Tuazon VE, Gonzalez E, Wagner NJ. A Counselor Education Case Study: The Counselor Values-Based Conflict Model in Action. COUNSELING AND VALUES 2018. [DOI: 10.1002/cvj.12086] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/08/2022]
Affiliation(s)
| | - Victor E. Tuazon
- Department of School Psychology and Counselor Education; College of William & Mary
| | - Edith Gonzalez
- Department of School Psychology and Counselor Education; College of William & Mary
| | - Nathaniel J. Wagner
- Department of School Psychology and Counselor Education; College of William & Mary
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Cook RM, Sackett CR. Exploration of Prelicensed Counselors’ Experiences Prioritizing Information for Clinical Supervision. JOURNAL OF COUNSELING AND DEVELOPMENT 2018. [DOI: 10.1002/jcad.12226] [Citation(s) in RCA: 8] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/08/2022]
Affiliation(s)
- Ryan M. Cook
- Department of Educational Studies in Psychology, Research Methodology, and Counseling; The University of Alabama
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McKibben WB, Cook RM, Fickling MJ. Feminist supervision and supervisee nondisclosure: The mediating role of the supervisory relationship. CLINICAL SUPERVISOR 2018. [DOI: 10.1080/07325223.2018.1509756] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/28/2022]
Affiliation(s)
- W. Bradley McKibben
- Department of Counseling, Nova Southeastern University, Fort Lauderdale, FL, USA
| | - Ryan M. Cook
- Department of Educational Studies in Psychology, Research Methodology, and Counseling, The University of Alabama, Tuscaloosa, AL, USA
| | - Melissa J. Fickling
- Department of Counseling, Educational Psychology and Research, The University of Memphis, Memphis, TN, USA
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Cook RM, Welfare LE. Examining Predictors of Counselor-in-Training Intentional Nondisclosure. COUNSELOR EDUCATION AND SUPERVISION 2018. [DOI: 10.1002/ceas.12111] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/09/2022]
Affiliation(s)
- Ryan M. Cook
- Department of Educational Studies in Psychology, Research Methodology, and Counseling, The University of Alabama
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Kemer G, Pope AL, Neuer Colburn AA. Expert site supervisors’ cognitions when working with counselor trainees. CLINICAL SUPERVISOR 2017. [DOI: 10.1080/07325223.2017.1305937] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/19/2022]
Affiliation(s)
- Gülşah Kemer
- Counseling and Human Services, Old Dominion University, Norfolk, Virginia, United States
| | - Amber L. Pope
- Clinical Mental Health Counseling, Hodges University, Fort Myers, Florida, United States
| | - Anita A. Neuer Colburn
- Clinical Mental Health Counseling, Walden University, Minneapolis, Minnesota, United States
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Dunn R, Callahan JL, Farnsworth JK, Watkins CE. A proposed framework for addressing supervisee-supervisor value conflict. CLINICAL SUPERVISOR 2017. [DOI: 10.1080/07325223.2016.1246395] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/20/2022]
Affiliation(s)
- Rose Dunn
- Department of Psychology, University of North Texas, Denton, Texas, United States
| | - Jennifer L. Callahan
- Department of Psychology, University of North Texas, Denton, Texas, United States
| | - Jacob K. Farnsworth
- Denver VA Eastern Colorado Health Care System, Denver, Colorado, United States
| | - C. Edward Watkins
- Department of Psychology, University of North Texas, Denton, Texas, United States
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Watkins CE. On Principles of Educational Change and Principled Action in Psychotherapy Supervision. JOURNAL OF CONTEMPORARY PSYCHOTHERAPY 2016. [DOI: 10.1007/s10879-016-9355-2] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/29/2022]
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