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Training and Education in Professional Psychology © 2014 American Psychological Association

2015, Vol. 9, No. 2, 183–186 1931-3918/15/$12.00 http://dx.doi.org/10.1037/tep0000078

Experiential Exposure to the Supervision Competency


in Graduate Education
Ryan N. Sharma
California Lutheran University

Training in clinical supervision is increasingly emphasized as a core competency in professional


psychology, yet methods for providing students with an initial training experience as supervisors in
graduate programs are limited. This article describes an experiential supervision exercise that can be
incorporated into a graduate class in clinical supervision, providing students with introductory exposure
This article is intended solely for the personal use of the individual user and is not to be disseminated broadly.

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.

Keywords: supervision, professional supervision, competency, graduate psychology education, clinical


psychology graduate training

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.

individually for further support and direction. To further mitigate


Additionally, multiple areas of knowledge and skills in training
This document is copyrighted by the American Psychological Association or one of its allied publishers.

discomfort, the instructor may also consider allowing students to


and mentoring are elicited by this experiential exercise. Students choose their partners, use a fictionalized case, or opt for an alternative
begin to explore their multiple roles as supervisors as they are assignment. The exercise may be contraindicated for cohorts that are
pulled to help their peers in novel ways. They must also work struggling with ruptures in trust, low morale, or intragroup conflict.
quickly to build a supervisory alliance, attend to the differences
between themselves and their supervisees, and apply their knowl-
edge of research and training to help the supervisee solve a Measure and Sample
problem. It is also during this time that students learn to incorpo- Because the specific aspects of this supervision assignment were
rate the feedback from the consultation team while also getting not included in the end of course evaluation, a separate question-
feedback from their peers through the process papers. naire was created to assess the students’ perception of the super-
Lastly, in the ethics domain of the supervision competency, vision exercise and its components. Because these data were
supervisors and the consultation team must maintain awareness of sought outside of routine educational evaluation, approval from an
the legal and ethical issues relevant to the cases being discussed as institutional review board was obtained.
well as the appropriate professional boundaries that circumscribe The self-created questionnaire consisted of 10 items, all of
various treatment settings. Some of the more common questions which gathered responses on a Likert scale. The first seven items
that supervisors ask the consultation team revolve around their were rated on a 4-point scale (1 ⫽ strongly agree, 2 ⫽ agree, 3 ⫽
lack of content knowledge specific to the case or setting, indicating disagree, and 4 ⫽ strongly disagree) and asked both general and
that they are aware of their own limits in supervisory skills. specific questions about the exercise activities. The last three items
There are also several logistical benefits to this in-class exercise. asked respondents to report their interest in becoming a clinical
The student supervisor has direct oversight of a licensed psychologist, supervisor, the influence of the supervision exercise on their desire
who can mediate the appropriate depth of the time-limited experience. to become a clinical supervisor, and the influence of the class as a
The student supervisor also has real-time access to the instructor and whole on their desire to become a clinical supervisor. Because of
the consultation team, who can offer multiple perspectives and op- threats to anonymity, no narrative responses were solicited.
tions for moving forward. The consultation team becomes an active Even though the exercise itself has undergone four successive
participant in the supervision, giving them additional indirect experi- iterations through four cohorts of students, the most recent itera-
ence. Lastly, as students naturally develop their own unique models tion was the only one that included the observation papers. As
and styles of supervision, the class is able to observe these in their such, only students from the most recent class were invited to
peers in a serial fashion, allowing them to learn from and select the submit responses. Ten of the 12 students who took the class
techniques that may work for them. submitted responses (83.3%). All students were in their third year
of a doctoral program in clinical psychology and had at least one
Considerations
and a half years of practicum training.
Some considerations regarding the implementation of the assign-
ment are worth noting. First, there can be a tendency for the consul-
Results and Discussion
tation team to overfocus on the supervisee, creating a climate where
the supervisees feel that their clinical work is being scrutinized or Overall, all of the students either agreed (5/10) or strongly agreed
criticized. This may be due to how students are typically trained to (5/10) that “the supervision exercise was a valuable experience.”
participate in case conference. The class needs to be reminded that the There was also high agreement that the consultation team aspect of
focus of the exercise is on the supervisor and that the consultation the exercise was useful from both vantage points: being part of the
team is there to support the supervisors in their training. This includes team offering consultation (3/10 strongly agreeing and 7/10 agreeing)
moderating the comments of the consultation team and instructing the as well as having the consultation team available while playing the
students to direct their feedback to the supervisor only. role of the supervisor (3/10 strongly agreeing and 7/10 agreeing).
Second, some students may feel uncomfortable either performing Overall, the study finds that students extracted value from the super-
supervision in front of their peers or disclosing personal issues that vision exercise and found it useful to their learning.
may come up in their clinical work as the supervisee. This is amplified Perceptions on the observation papers were a little more mixed,
when it is being done in front of an entire class, though it can be though most students agreed (6/10) or strongly agreed (1/10) that
186 SHARMA

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.

the supervisee. Overall, most students either agreed or strongly


psychology across training levels. Training and Education in Profes-
agreed that they were comfortable as the supervisor (8/10) and as
sional Psychology, 3, S5–S26. http://dx.doi.org/10.1037/a0015832
the supervisee (9/10). No students strongly disagreed with these Granello, D. H., Kindsvatter, A., Granello, P. F., Underfer-Babalis, J., &
statements regarding comfort. Moorhead, H. J. H. (2008). Multiple perspectives in supervision: Using
Four of the respondents indicated that the exercise increased a peer consultation model to enhance supervisor development. Coun-
their interest in providing clinical supervision during their career selor Education and Supervision, 48, 32– 47. http://dx.doi.org/10.1002/
while the remaining six said that their interest stayed the same. In j.1556-6978.2008.tb00060.x
sum, this suggests that the exercise can influence a core attitude Hadjistavropoulos, H., Kehler, M., & Hadjistavropoulos, T. (2010). Train-
within the training and mentoring domain of the supervision com- ing graduate students to be clinical supervisors: A survey of Canadian
petency: desire to supervise others. professional psychology programmes. Canadian Psychology/Psycholo-
gie canadienne, 51, 206 –212. http://dx.doi.org/10.1037/a0020197
While the above results provide a preliminary perspective into how
Malloy, K. A., Dobbins, J. E., Ducheny, K., & Winfrey, L. L. (2009). The
students experience this exercise, it should be cautioned that the
management and supervision competency: Current and future directions.
conclusions are limited by both the small sample and the subjective In M. B. Kenkel & R. L. Peterson (Eds.), Competency-based education
nature of an evaluation tool administered by the instructor. Regarding for professional psychology (pp. 161–178). Washington, DC: American
this latter point, even though the possibility of student identification Psychological Association.
was completely removed from the survey method, students do gen- McHolland, J. D. (1992). National Council of Schools of Professional
erally aim to please those who are in positions of power over them. Psychology core curriculum conference resolutions. In R. L. Peterson,
Subsequent studies could aim to directly measure the competencies as J. D. McHolland, R. J. Bent, E. Davis-Russel, G. E. Edwall, K. Polite,
developed through the exercise components by the instructor or other D. L. Singer, & G. Stricker (Eds.), The core curriculum in professional
competent professionals. For example, the knowledge of supervision psychology (pp. 155–166). Washington, DC: American Psychological
Association. http://dx.doi.org/10.1037/10103-029
models could be assessed through the observation papers as students
Newman, C. F. (2013). Training cognitive behavioral therapy supervisors:
apply the models to what they observe.
Didactics, simulated practice, and “meta-supervision.” Journal of Cognitive
Psychotherapy, 27, 5–18. http://dx.doi.org/10.1891/0889-8391.27.1.5
Conclusion Paszkiewicz, W. (2006). 2005 NCSPP self study with complementary data.
Paper presented at the meeting of the National Council of Schools of
This preliminary study shows that an experiential exercise for Professional Psychology Conference, Las Vegas, NV.
exposing students to introductory supervision can be feasibly inte- Powell, D. (1996). A peer consultation model for clinical supervision. The
grated into a graduate supervision course and can provide a positive Clinical Supervisor, 14, 163–169. http://dx.doi.org/10.1300/
learning experience for students. Because the exercise relies on a J001v14n02_14
group culture that is conducive to open sharing and support, the level Power, A. (2013). Supervision of supervision: How many mirrors do we
of group cohesion between class members and potential vulnerability need? British Journal of Psychotherapy, 29, 389 – 404. http://dx.doi.org/
10.1111/bjp.12038
of minority students must be taken into account before implementing
Schaffer, J. B., Rodolfa, E. R., Hatcher, R. L., & Fouad, N. A. (2013).
the exercise. This exercise provides students with an opportunity to
Professional psychology competency initiatives: Reflections, contrasts,
understand clinical supervision from multiple perspectives. As a sup- and recommendations for the next steps. Training and Education in
plement to other modes of class instruction on the issues of clinical Professional Psychology, 7, 92–98. http://dx.doi.org/10.1037/a0032038
supervision, this supervision exercise can afford a useful experiential Scott, K. J., Ingram, K. M., Vitanza, S. A., & Smith, N. G. (2000). Training
component to classroom learning. in supervision: A survey of current practices. The Counseling Psychol-
ogist, 28, 403– 422. http://dx.doi.org/10.1177/0011000000283007
Yerushalmi, H. (1999). The roles of group supervision of supervision.
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