Professional Documents
Culture Documents
to the supervision competency. Results from student-reported perceptions of the exercise are presented,
This document is copyrighted by the American Psychological Association or one of its allied publishers.
including the impact of the exercise on students’ desire to provide clinical supervision during their career.
Training in clinical supervision is a growing area of professional extended the principles of this competency to a set of guidelines that
psychology. Indeed, through the transition to competency-based promote competent supervision.
education in professional psychology, providing clinical supervi- The exercise described here aims to develop the professional
sion has been identified as a core competency by every major knowledge, skills, and attitudes of clinical supervision through a
competency initiative throughout their brief histories (Schaffer, time-limited applied experience. By involving the students at var-
Rodolfa, Hatcher, & Fouad, 2013). Additionally, the accrediting ious levels through several components of the exercise (i.e., as a
bodies of both the American Psychological Association and the supervisor, supervisee, consultant, and observer), students may be
Canadian Psychological Association have supervision as one of able to learn about supervision processes that may otherwise go
the core competencies required of all accredited programs. It has unnoticed when simply receiving supervision or learning about it
been stated that simply having the experience of being supervised didactically. These subtle processes that embody the critical and
or being a good clinician does not necessarily make one an analytical thinking aspect of the supervision competency can in-
effective supervisor (Falender et al., 2004). Given that clinical clude the microinteractional processes that elicit the supervisee’s
supervision plays a primary role in the training of psychologists, it personal struggles, the application of specific supervision models,
is appropriate that the field continues to study how this compe- and the behaviors that contribute to a strong supervisory alliance.
tency is best developed in our students. The benefit of experiential activities in training the supervision
The earliest definitions of the supervision competency placed it competency has been noted by many authors (e.g., Falender et al.,
within the context of management, noting that supervision was one of 2004), yet the research on models that extend beyond didactic
the activities that “direct, organize, and control the services of psy- training is exceptionally scarce. One of the more common methods
chologists and others” that are rendered to the greater community is supervision of supervision, whereby a training supervisor will
(McHolland, 1992, p. 165). As a more focused aspect of management, receive her or his own supervision that is extended over a period
competency in supervision should involve the teaching of core knowl- of time (see Power, 2013). This technique may be more typical for
edge in supervision research and methods, skills in moving trainees training supervisors who are not licensed, such as predoctoral
toward clinical and professional competence, and professional atti- interns or postdoctoral fellows supervising practicum students. In
tudes such as accountability and integrity that can be modeled (Bent, these cases, the training supervisor and trainee are both working
Schindler, & Dobbins, 1992; Malloy, Dobbins, Ducheny, & Winfrey, under the license of and responsible to a primary supervisor.
2009). Recently, the American Psychological Association (2014) has Another common model is the case conference model, or peer
consultation, where supervisors may meet and consult on super-
visees in the same way that clinicians might consult on clinical
cases (Granello, Kindsvatter, Granello, Underfer-Babalis, &
This article was published Online First December 22, 2014. Moorhead, 2008; Powell, 1996). As there are not typically any
RYAN N. SHARMA received his MA in clinical psychology from Pepper- licensure relationships between participants in peer consultation,
dine University and his PsyD in clinical psychology from the University of proponents of the model argue that being able to select from a
Denver. He is currently an assistant professor and the director of clinical
diversity of perspectives is particularly valuable in developing
training at California Lutheran University. His areas of professional inter-
critical thinking, self-awareness, and professional development
est include clinical training, multicultural psychology and ethnic identity
development, behavioral therapies, and treatments for anxiety disorders. (Granello et al., 2008).
CORRESPONDENCE CONCERNING THIS ARTICLE should be addressed to One model that is more psychodynamically oriented is group
Ryan N. Sharma, California Lutheran University, 2201 Outlet Center supervision of supervision. This model extends the peer consulta-
Drive, Suite 600, Oxnard, CA, 93036. E-mail: rnsharma@callutheran.edu tion model described above by including process discussions
183
184 SHARMA
around the members’ development as clinical supervisors (DiMino exercises during the course will be equivalent to the number of
& Risler, 2012; Yerushalmi, 1999). Involving both didactic and students in the class. This author has conducted the exercise in classes
experiential components, the group supervision of supervision as small as five students and as large as 16 students, though the
format allows training supervisors to develop deeper awareness of observation team and observation papers were omitted in the smaller
relational processes that are foundational to the supervisory alli- class sizes. More than eight students in either the consultation or
ance, including the cultivation of attunement that will assist su- observation team could overwhelm the training supervisor with feed-
pervisors in meeting the unique needs of their supervisees. back. The students who are not participating as the supervisor or
These particular models may challenge doctoral programs in supervisee are divided into two teams: a consultation team and an
professional psychology wanting to provide students with intro- observation team. Planning at the beginning of the course can ensure
ductory exposure to clinical supervision. First, it is questionable to that students have equal experiences of being in both teams. The
assume that doctoral students— even when advanced—would be instructor, who should be a licensed psychologist, is always in the
skilled and knowledgeable enough for assuming formal and on- consultation team. The physical arrangement of the classroom in-
going supervisory relationships. Indeed, according to the compe- cludes the supervisor and supervisee at the front of the room, the
This article is intended solely for the personal use of the individual user and is not to be disseminated broadly.
tency benchmarks (Fouad et al., 2009), students who are ready for consultation team forming a half circle in front of the supervisor and
This document is copyrighted by the American Psychological Association or one of its allied publishers.
internship are only expected to have the foundational knowledge supervisee, and the observation team at desks behind the consultation
of supervisory roles, models, and techniques. Second, there may be team. In sum, each student will be a supervisor once, a supervisee
limited resources of practice supervisees, such as junior practicum once, and will then split the remaining exercises equally between the
students or paraprofessionals. Some programs may also struggle consultation team and the reflecting team.
with using students within a program for both training supervisor The exercise runs approximately 45 min, with an additional 10
and supervisee since this has the potential to lead to dual relation- to 15 min reserved for discussion and debriefing. The number of
ships and boundary blurring between peers. exercises during any class session is at the discretion of the
Coursework appears to be the most common method of teaching instructor, though this author planned one exercise per class ses-
supervision in professional psychology doctoral programs. An sion. To keep the experience realistic, the supervisee in the exer-
early survey of APA-accredited doctoral programs found that 64% cise is instructed to present a case with which they are currently
had supervision training somewhere in their coursework (Scott, working in their practicum placement. Practicum site agreements
Ingram, Vitanza, & Smith, 2000). A similar rate of 65% was found include permission to use client material in educational activities.
in CPA-accredited doctoral programs (Hadjistavropoulos, Kehler, Additionally, all identifying information is changed or masked to
& Hadjistavropolous, 2010). A survey by the National Council of protect client confidentiality. Student supervisees are instructed to
Schools and Programs in Professional Psychology (NCSPP) found discuss any recommendations or insights with their primary su-
that 80% of member programs included a course in supervision pervisor as the exercise itself serves only a consultation function;
(Paszkiewicz, 2006). the professional and legal responsibility to the client remains with
At the level of providing experiences within academic courses, the primary supervisor in the practicum placement.
it is recommended that students engage in learning about their own
experiences as supervisees, apply models of supervision to their
Process
supervisors, and engage in direct practice of supervision through
role plays (Malloy et al., 2009). Newman (2013) offers several The supervisor provides supervision with the support of the
examples of class activities such as a role-play involving the consultation team; if the supervisor gets stuck or is unsure of how
instructor as the client, having the students supervise the instructor to proceed, she or he may “pause” the supervision session and use
on her or his recorded session, and self-reflection exercises. An- the consultation team for advice. Additionally, the consultation
other example was self-supervision, whereby the students will team can interrupt and pause the supervision session and provide
supervise themselves through the analysis of one of their own suggestions for the supervisor. During the 45-min exercise, the
recorded therapy sessions. instructor should ensure that there are at least three or four pauses.
The exercise described here itself has gone through four revi- The observation team is instructed to write observation papers
sions over four years, culminating in the design below. All of the on the processes that they observe in the supervision session. Clear
iterations share some parallels with what was described as meta- instructions are given that they are not to write evaluative com-
supervision by Newman (2013), who describes a professional ments; rather, they are to comment on the behaviors and interac-
providing expert consultation to the supervisor without any legal tions that they observe occurring between the supervisor and
responsibility to the client. Key differences between this assign- supervisee and to highlight principles or techniques stemming
ment and Newman’s model are that this exercise is performed from the supervision models or processes that they have been
simultaneously with the supervision session, includes multiple learning (e.g., noting when and how a supervisor validates the
participant consultants, and requires written analysis. supervisee and how the supervisee responds). The observation
papers are submitted to the instructor at the end of the exercise.
The instructor then edits the papers by removing any comments
The Assignment Design
that are negatively evaluative or critical, comments that seem to
This ungraded assignment was designed to be embedded within a give advice, or comments that are focused on the supervisee.
required, third-year graduate course in clinical supervision so that Moreover, the papers from the observation team are reduced to
there would be foundational clinical and didactic training that can be process comments and supervision principles as well as any pos-
subsequently integrated into the exercise. Because each student will itive feedback for the training supervisor. The feedback is then
rotate through being a supervisor in the exercise once, the number of returned to the supervisor in anonymous form.
EXPERIENTIAL EXPOSURE TO SUPERVISION COMPETENCY 185
Rationale mediated by the level of class cohesion and mutual trust. Other factors
such as the vulnerability of students in the numerical minority (e.g.,
Within the supervision competency defined by the NCSPP students of color) can also contribute to the likelihood of negative
developmental achievement levels (Malloy et al., 2009), the do- experiences that may detract from learning. The instructor should be
mains of assuring client and organizational welfare, training and sensitive to the level of comfort of the participants and assist in
mentoring, and ethics are captured in part by the various compo- moderating the level of supervisory depth. The debriefing period that
nents of the assignment. In assuring client and organizational follows the exercise should attend to any anxiety experienced by
welfare, students learn about the models of supervision as they either the supervisor or supervisee by allowing them the opportunity
apply their own working models as a supervisor. The observation to talk about their experience in the exercise. The debriefing should
papers also help students learn and apply the principles and tech- include normalizing clinical and supervisory development while pro-
niques of the supervision models to what they observe in the viding both validation and positive feedback. Since some students
exercise. With the consultation team present and providing direc- may not feel comfortable making disclosures or processing their
tion (both solicited and unsolicited), the student supervisor begins experience with the entire class, the instructor should be available
to learn when extra supervision is warranted.
This article is intended solely for the personal use of the individual user and is not to be disseminated broadly.
writing them “helped [them] understand supervision on a different supervision competency. In R. L. Peterson, J. D. McHolland, R. J. Bent,
level.” Three students disagreed that writing the observation pa- E. Davis-Russel, G. E. Edwall, K. Polite, . . . G. Stricker (Eds.), The core
pers helped them understand supervision on a different level. curriculum in professional psychology (pp. 121–126). Washington,
When asked about the usefulness of receiving the observation D.C.: American Psychological Association. http://dx.doi.org/10.1037/
10103-014
papers as feedback, there was a wider spread of responses across
DiMino, J. L., & Risler, R. (2012). Group supervision of supervision: A
the scale, with 2/10 strongly agreeing, 5/10 agreeing, 2/10 dis-
relational approach for training supervisors. Journal of College Student
agreeing, and 1/10 strongly disagreeing. Because a few students Psychotherapy, 26, 61–72. http://dx.doi.org/10.1080/87568225.2012
expressed disagreement with the utility of the observation papers, .633050
more inquiry should be performed to understand the unique com- Falender, C. A., Cornish, J. A., Goodyear, R., Hatcher, R., Kaslow, N. J.,
plaints of this exercise component. For instance, it is unknown if Leventhal, G., . . . Grus, C. (2004). Defining competencies in psychol-
the observation papers to these students were experienced as ogy supervision: A consensus statement. Journal of Clinical Psychology,
critical, cursory, or simply cumbersome. 60, 771–785. http://dx.doi.org/10.1002/jclp.20013
The questionnaire also assessed the students’ perceived level of Fouad, N. A., Grus, C. L., Hatcher, R. L., Kaslow, N. L., Hutchings, P. S.,
This article is intended solely for the personal use of the individual user and is not to be disseminated broadly.
comfort during the exercise for both the role of the supervisor and Madson, M., . . . Crossman, R. E. (2009). Competency benchmarks: A
model for understanding and measuring competence in professional
This document is copyrighted by the American Psychological Association or one of its allied publishers.