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Psychotherapy: Theory, Research, Practice, Training Copyright 2008 by the American Psychological Association

2008, Vol. 45, No. 1, 111–116 0033-3204/08/$12.00 DOI: 10.1037/0033-3204.45.1.111

BRIEF REPORT

THE SUPERVISION GENOGRAM: A TOOL FOR PREPARING


SUPERVISORS-IN-TRAINING

JAMIE D. ATEN AND SANDRA JOHNSTON KRUSE


MICHAEL B. MADSON Chicago Area Christian Training
The University of Southern Mississippi Consortium
This article is intended solely for the personal use of the individual user and is not to be disseminated broadly.
This document is copyrighted by the American Psychological Association or one of its allied publishers.

The purpose of this article is to intro- sional psychology training, supervisors-


duce the supervision genogram as a in-training, supervision training
training tool that can be implemented
in supervisor training. The supervision Supervision is becoming a prominent role
genogram is a unique training tool that among professional psychologists in academic
may be used to enhance supervisors’- and practice settings (Goodyear & Guzzardo,
in-training self-awareness and under- 2000; Watkins, 1997) and is considered a func-
standing of the supervisory process. tional competency of professional practice
Psychological trainers who are respon- (Falender et al., 2004; Rodolfa, Bent, Eisman,
Nelson, Rehm, & Ritchie, 2005). Psychologists-
sible for training supervisors may also in-training are often encouraged to assess their
find that the supervision genogram can reasons for becoming a therapist, skill level, past
aid them in assessing the needs of experiences, and identify training needs and goals
supervisors-in-training and in creating (Madson, Chapman, & Wood Barcalow, 2005).
corresponding supervisory environ- Supervisors-in-training should be encouraged to
do the same. Hawkins and Shohet (2000) state
ments and experiences. A detailed ac- that a necessary first step in the process of be-
count of how to develop and process coming a supervisor is self-assessment with a
the supervision genogram is given. An specific emphasis on reflecting on past experi-
overview of supervision genogram sym- ences. This reflection can include thinking about
bols and a completed supervision geno- the relationship between feelings as a new super-
gram are also provided. Implications visor and those associated with the first clinical
experience as well as reviewing one’s various
for training, such as flexibility of appli- supervision experiences as a trainee or profes-
cation, ethical and professional issues, sional under supervision.
and developmental considerations for Several tools have been used to aid self-
using this tool are discussed. reflection of psychology trainees. For example,
the genogram has begun to be used in training
psychotherapists (Magnuson & Shaw, 2003) to
Keywords: clinical supervision, profes- develop cultural awareness and sensitivity
sional psychology education, profes- (Hardy & Laszloffy, 1995), explore ethical deci-
sion making processes (Peluso, 2003), and en-
hance comfort in working with spirituality (Wig-
Jamie D. Aten and Michael B. Madson, Department of gins Frame, 2001). Despite the advances that
Psychology, The University of Southern Mississippi, Hatties-
burg, Mississippi; and Sandra Johnston Kruse, Chicago Area
have been made in applying the genogram in the
Christian Training Consortium, Carol Stream, Illinois. training and supervision of psychotherapists, lit-
Correspondence concerning this article should be addressed to tle emphasis has been placed on using the geno-
Jamie D. Aten, The University of Southern Mississippi, Depart- gram in preparing supervisors-in-training. Thus,
ment of Psychology, 118 College Drive #5025, Hattiesburg, MS the purpose of this article is to introduce the
39406. E-mail: Jamie.Aten@usm.edu supervision genogram as a training tool.

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Brief Report

The Supervision Genogram where the supervisor-in-training will feel com-


fortable sharing and discussing his or her expe-
The supervision genogram is a symbolic rep- riences. Instructions and expectations for com-
resentation of supervisees’ supervision relation- pleting the supervision genogram are articulated
ships and experiences. The goal of the genogram at the onset of the exercise. A facilitator needs to
is to highlight complex patterns and influences, be prepared and available to answer questions,
which may promote self-reflection and self- consult on the construction of the supervision
awareness as well as understanding of the super- genogram, and to help process any negative emo-
visory process. More specifically, this training tions that might surface. Similarly, the facilitator
tool may help supervisors-in-training recognize may help the supervisor-in-training make mean-
the influences and impact of their prior supervi- ing and interpretations of the supervision geno-
This article is intended solely for the personal use of the individual user and is not to be disseminated broadly.

sion relationships on their current professional gram and apply insights garnered to current or
This document is copyrighted by the American Psychological Association or one of its allied publishers.

roles and relationships. future supervision relationships.


The supervision genogram originally evolved
out of a 2-day supervision continuing education
training seminar with therapists. The first author, Instructions for Completing the Supervision
while leading the seminar, noted that throughout Genogram
the first day of training, the majority of partici- Facilitators can instruct that the exercise and
pants frequently discussed the influence of their subsequent discussion be completed in a time-
previous supervisors on their emerging roles as limited manner (e.g., 30 minutes for construc-
supervisors. This led him to study of several tion and 30 minutes for discussion) or leave the
training genogram articles after the training (e.g., exercise open-ended. All professional psychol-
Wiggins Frame, 2001) and adaptation of similar ogy supervision relationships are to be noted.
protocols, symbols, and self-reflection questions Time should be taken to discuss how the vari-
for supervision. The training tool was introduced ous components of the supervision genogram
during the subsequent training day and was met could be diagrammed (e.g., symbols and super-
with enthusiasm from participants. Since that ini- visor demographic information). A brief writ-
tial application 3 years ago, we have personally ten summary, overview genogram symbols, or
found the supervision genogram to be helpful in example of a completed supervision genogram
a number of different training settings, including: can be given as handouts. Facilitators should also
(a) supervision courses, (b) individual supervi- inform the supervisor-in-training that he or she
sion of supervision, (c) group supervision of su- would be asked to reflect upon and to discuss his or
pervision, and (d) supervision training seminars her drawing to identify themes and patterns across
(e.g., continuing education seminars). supervisory relationships and experiences. To avoid
Approximately 40 supervisors-in-training have potentially awkward situations (e.g., hearing nega-
been trained with this approach. Their anetodal tive comments directed toward a named colleague),
feedback has been largely positive, and may give the facilitator may choose to ask the supervisor-in-
some insight into why this approach appears ef- training to use pseudonyms for former supervisors.
fective. Most reported that this training tool
helped them gain greater insight into how their
past experiences have shaped the way they con- Components and Symbols of the Supervision
ceptualize and approach supervision. These Genogram
supervisors-in-training have stated that complet- The process of constructing a supervision
ing the drawing helped them to form visual con- genogram begins by drawing a horizontal line
ceptualizations, allowing them to more readily across the page, which denotes a timeline of
identify and connect themes and patterns across training experiences listed in chronological or-
their experiences. der. Practicum supervisors can be drawn above
the horizontal timeline and work supervisors
Role of the Facilitator below the timeline. The supervision genogram
also utilizes symbols to describe aspects related
The facilitator of the supervision genogram to persons and relationships, such as demo-
process should attempt to create an open and graphic information of supervisors (e.g., race/
supportive environment (e.g., Peluso, 2003) ethnicity). The nature of the supervisory alli-

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Brief Report

ance can be denoted through lines (e.g., two derstanding of diverse supervisory processes),
solid lines for a close relationship). The dates at minimum, a timeline, deomographic infor-
in which the supervisory relationship occurred mation of supervisors, and nature of supervi-
should be written along the timeline (e.g., sory relationships should be noted.
8/05– 6/06). Additionally, the type of setting
and city and state where supervision took place Reflection Questions
should be noted (e.g., “CMHC, Chicago” for a
Chicago community mental health center). The After completing the basic structure of the
supervisor-in-training may also list all modes genogram as indicated above, the facilitator may
of supervision and indicate the frequency of discuss the supervision genogram with the
supervision (e.g., “1x/wk” for weekly). De- supervisor-in-training. Examples of questions
This article is intended solely for the personal use of the individual user and is not to be disseminated broadly.

scriptors regarding the supervisor’s style (e.g., that facilitators might find helpful include: (a)
This document is copyrighted by the American Psychological Association or one of its allied publishers.

level of directiveness) and evaluation process What factors largely shaped the focus of your
(e.g., gave structured feedback) can similarly supervision experiences (e.g., case presenta-
be noted. Contextual variables, such as critical tions)?; (b) What personal/professional character-
events that may have influenced the supervi- istics of your supervisors do you admire and want
sion experience and/or the supervisory alliance to emulate or dislike and do not wish to emulate?;
(positive or negative) must also be taken into (c) How were differences in opinion and/or con-
account (e.g., supervisor medical illness im- flicts between supervisor and supervisee han-
pacted quality supervision). See Table 1 for dled?; (d) How did these particular supervisory
further details on symbols. Though we would experiences add to your developing/emerging
recommend that the majority of these symbols model of yourself as a therapist and/or supervi-
and components be utilized (e.g., because they sor?; (e) How did culture impact your supervi-
may give supervisors-in-training a broader un- sory relationships (e.g., race/ethnicity, gender,

TABLE 1. Supervision Genogram Symbols

Demographic information of supervisor

Gender: Female Male


Nature of supervisory alliance
_______________
Normal
Close
Conflictual

Distant/poor ---------
Terminated prematurely - - - - - -/ /- - - - - -
Professional context (where supervision occurred)
ACAD Academic department
CMHC Community mental health center or agency
HOSP Hospital/VA hospital
UNIV University counseling center
PRIV Private practice
UTC University training clinic
RES Residential treatment facility
COR Correctional facility
MIL Military medical center
MED Medical center/clinic
SCHL School district/system
Modes of supervision utilized
IND Individual supervision
GRP Group supervision
CO-TX Co-therapy
A/V Review of audio/video taped tx sessions
LIVE Live supervision or shadowing
PRES Case presentations
SUP Supervision of supervision

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Brief Report

age, sexual orientation, religion, socioeconomic their clients from their theoretical orientations
status, etc.)? whereas challenging them to expand their clinical
conceptualizations. We went on to discuss and
Clinical Supervision Case Example process his other reactions, explore the impact of
prior supervision experiences, and discuss what
I introduced the supervision genogram to Wil- he hoped to gain from our supervision of super-
liam, an advanced doctoral student, during our vision relationship.
initial supervision of supervision session. I pro- Over the course of the semester William and I
vided instructions, examples, and prompts (e.g., worked together, we frequently referred back to
“What role did culture play?”) to help him com- his experience of creating and discussing his su-
plete his supervision genogram. Once his super- pervision genogram. On the whole, the supervi-
This article is intended solely for the personal use of the individual user and is not to be disseminated broadly.

vision genogram was complete (see Figure 1), I sion genogram provided William and I with a
This document is copyrighted by the American Psychological Association or one of its allied publishers.

asked him to take a few moments and reflect on strong foundation for our supervisory relation-
his genogram, and then share his initial reactions. ship and helped us begin to navigate the nuances
As he described his previous supervision rela- of supervision.
tionships I was able to gain insight into his prior
experience and understanding of supervision. For
instance, he brought attention to the fact that most Implications for Training
of his supervisors were “cognitive therapists,” but Self-Awareness and Self-Reflection
did so with some hesitancy in his voice. I found
that his primary therapeutic theoretical orienta- The supervision genogram provides supervisors-
tion was psychodynamic and he was concerned in-training with a symbolic representation of their
that I may discourage him from sharing his psy- supervision experiences, and may help promote
chodynamic conceptualizations with supervisees. self-reflection and self-awareness that could po-
At this point, I was able to discuss my therapeutic tentially facilitate the integration of previous su-
theoretical orientation (reality therapy) and to pervisory experiences. This exercise might also
assure him that both perspectives would be re- provide supervisors-in-training with an opportu-
spected. I also used this moment to help William nity to critically examine and decide which char-
see how he could help his supervisees discuss acteristics, behaviors, and techniques imple-

Professional Collaborative Critical Open


Emphasis on Open Unsupportive Caring
Technique Supportive Rigid Supportive
Serious Knowledgeable Closed Off Empowering
Busy Paradoxical
CMHC
SCH IND
IND A/V
1x/WK 38 1x/WK CMHC CMHC 53
ACAD ACAD 62 IND 40 IND
GRP GRP A/V A/V
1x/WK 1x/wk 1x/WK 1x/WK

Caucasian Caucasian Caucasian Bi-Racial


Cognitive Adlerian Cognitive Interpersonal
Behavioral Behavioral

Lack of Disclosure
Unstructured
Little Guidance

COR
IND 37
1x/WK

Caucasian
Cognitive
Behavioral

FIGURE 1. Supervision genogram.

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Brief Report

mented by former supervisors they found helpful training, the facilitator, or both. Ellis (2006) sug-
and wish to adopt as supervisors. This is espe- gested that facilitators might expect critical su-
cially important as past supervision experiences pervision incidents such as relationship topics,
have been found to affect how a supervisor pro- feelings of competence, and personal issues to
vides supervision (Pranata, 2006). The supervi- surface. Though in some situations it may not be
sion genogram could possibly also be used to possible to mask the identity of a supervisor, it is
avoid problematic situations by identifying neg- recommended that supervisors-in-training use
ative supervision experiences (e.g., supervisor pseudonyms or initials for the supervisors de-
tried to conduct therapy instead of supervision picted in their supervision genogram. Similarly,
with a supervisee) and for providing corrective the potentially revealing nature and potential
experiences. Negative supervision experiences risks (e.g., becoming aware of perceived negative
This article is intended solely for the personal use of the individual user and is not to be disseminated broadly.

have been shown to affect supervision relation- information about oneself) of this exercise need
This document is copyrighted by the American Psychological Association or one of its allied publishers.

ships, including supervisees’ clinical skills, train- to be disused from the onset. To reduce potential
ing satisfaction, and career aspirations (Ramos- problems, the facilitator may find it helpful to
Sanchez, Esnil, Goodwin, et al., 2002). Examples obtain both verbal and written consent.
of counterproductive supervision experiences If ethical violations are reported, the facilitator
identified in the literature include supervisors: (a) should attempt to collect more information, consult
dismissing supervisees’ ideas and emotions the American Psychological Association (2002)
(Gray, Ladany, Walker, & Ancis, 2001), (b) not Ethical Principles of Psychologists and Code of
being invested in the supervisory alliance, (c) Conduct, and seek consultation for developing a
avoiding responsibility for conflictual actions plan for addressing such issues. Further, Ramos-
(Nelson & Friedlander, 2001), and (d) displaying Sanchez, Esnil, Goodwin, et al., (2002) suggest
racial microaggressions (Constantine & Sue, “. . . [ethical, legal, and multicultural] violations be
2007). Further, such experiences have been found handled swiftly by the training director or program
to have an impact on future supervision experi- director who has the authority to help the student
ences (Burkard, Johnson, Madson et al., 2006), and remediate the situation” (p. 201). Use of the
and therefore, need to be explored in new super- genogram can raise ethical issues such as dual re-
vision situations. lationship and confidentiality issues. Therefore,
when ethical issues arise, it will be vital that the
Flexibility of Application facilitator model ethical behavior for this supervisee
(Barnett, 2007).
Another potential strength of using the super-
vision genogram is that it may be applied to a Developmental Considerations
number of different training scenarios, such as
one-on-one situations, group situation, or “home- There is evidence that the acquisition of super-
work” situations (e.g., the exercise is completed vision skills is a developmental process (Bernard
on supervisor-in-training own time). Likewise, & Goodyear, 2004; Steven, Goodyear, & Robert-
the instructions, components, and reflection ques- son, 1998; White, 1998). As a result, those train-
tions are highly adaptable, and can be modified ing supervisors will need to consider the appro-
and changed as needed. For instance, a priate application of the supervision genogram
supervisor-in-training could be asked to only di- across the developmental process of becoming a
agram cross-cultural supervision experiences to supervisor. For example, Stoltenberg and col-
highlight a lack of diversity experiences. leagues (1998) suggested that beginning supervi-
sors are often at more advanced developmental
Ethical and Professional Issues stages as a counselor, and depend highly on their
recent or current supervision experiences. In
There appear to be some salient ethical and these situations, use of the supervision genogram
professional issues to bear in mind to maximize may facilitate the trainee’s understanding of their
the use of this tool. It is possible that, in the supervision experiences and how these experi-
course of completing their supervision genogram, ences are shaping how he or she provides super-
sensitive information may arise about supervi- vision; important information for supervisors-in-
sors, training locations and the like. If this occurs, training to be aware of (Campbell, 2006). Still, on
it may create discomfort for the supervisor-in- the whole, the supervision genogram will likely be

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Brief Report

most optimally used with supervisors-in-training HAWKINS, P., & SHOHET, R. (2000). Supervision in the help-
who are in more advanced stages of their training or ing professions. Buckingham, UK: Open University Press.
MADSON, M. B., CHAPMAN, L. K., & WOOD BARCALOW,
program of study (e.g., upper level doctoral stu- N. L. (2005). Determining what type of site you want.
dents, predoctoral interns or postdoctoral interns) In Madson, M. B., Chapman, L. K., Wood Barcalow,
because of the fact they likely have had a variety of N. L., & Williams Nickelson, C (Eds.). Succeeding in
training experiences on which to reflect. practicum: An APAGS resource guide. Washington,
DC: American Psychological Association of Graduate
Students.
MAGNUSON, S., & SHAW, H. E. (2003). Adaptations of the
References multifaceted genogram in counseling, training, and su-
pervision. The Family Journal: Counseling and Therapy
American Psychological Association. (2002). Ethical for Couples and Families, 11, 45–54.
This article is intended solely for the personal use of the individual user and is not to be disseminated broadly.

principles of psychologists and code of conduct. Wash- NELSON, M. L., & FRIEDLANDER, M. L. (2001). A close look
This document is copyrighted by the American Psychological Association or one of its allied publishers.

ington, DC: Author. at conflictual supervisory relationships: The trainee’s per-


BARNETT, J. E. (2007). In search of the effective super- spective. Journal of Counseling Psychology, 48, 384 –395.
visor. Professional Psychology: Research and Practice, PELUSO, P. R. (2003). The ethical genogram: A tool for
38, 268 –272. helping therapists understand their ethical decision-
BERNARD, J. M., & GOODYEAR, R. K. (2004). Fundamentals making styles. The Family Journal: Counseling and
of clinical supervision (3rd ed.). New York: Pearson. Therapy for Couples and Families, 11, 286 –291.
BURKARD, A. W., JOHNSON, A. J., MADSON, M. B., PRUITT, PRANATA, H. (2006). Facilitating reflective practice in
N. T., CONTRERAS-TADYCH, D. A., KOZLOWSKI, J. M., clinical supervision. Dissertation Abstracts Interna-
ET AL. (2006). Supervisor cultural responsiveness and un- tional, 66 (11-B).
responsiveness in cross-cultural supervision. Journal of RAMOS-SANCHEZ, L., ESNIL, E., GOODWIN, A., RIGGS, S.,
Counseling Psychology, 53, 288 –301. TOUSTER, L. O., WRIGHT, L. K., ET AL. (2002). Negative
CAMPBELL, J. M. (2006). Essentials of clinical supervision. supervisory events: Effects on supervision and supervi-
Hoboken, NJ: Wiley. sory alliance. Professional Psychology: Research and
CONSTANTINE, M. G., & SUE, D. W. (2007). Perceptions Practice, 33, 197–202.
of racial microaggression among black supervisees in RODOLFA, E., BENT, R., EISMAN, E., NELSON, P., REHM,
cross-racial dyads. Journal of Counseling Psychology, L., & RITCHIE, P. (2005). A cube model for competency
54, 142–153. development: Implications for psychology educators
ELLIS, M. V. (2006). Critical incidents in clinical supervi- and regulators. Professional Psychology: Research and
sion and in supervisor supervision: Assessing Supervi- Practice, 36, 347–354.
sory issues. Training and Education in Professional Psy- STEVEN, D. T., GOODYEAR, R. K., & ROBERTSON, P.
chology, S, 122–132. (1998). Supervisor development: An exploratory study
FALENDER, C. A., ERICKSON CORNISH, J. A., GOODYEAR, in changes in stance and emphasis. Clinical Supervisor,
R., HATCHER, R., KASLOW, N., LEVENTHAL, G., ET. AL. 16, 73– 88.
(2004). Defining competencies in psychotherapy super- STOLTENBERG, C. D., MCNEILL, B., & DELWORTH, U.
vision: A consensus statement. Journal of Clinical Psy- (1998). IDM Supervision: An Integrated Developmental
chology, 60, 771–785. Model for Supervising Counselors and Therapists. San
GOODYEAR, R. K., & GUZZARDO, C. R. (2000). Psycho- Francisco: Jossey-Bass.
therapy supervision and training. In Brown, S. D., & WATKINS, C. E. (1997). Defining psychotherapy supervi-
Lent, R. W. (Eds.). Handbook of counseling psychol- sion and understanding supervisor functioning. In
ogy (3rd ed., pp. 83–108). New York: Wiley. Watkins, C. E. (Ed.). Handbook of psychotherapy su-
GRAY, L. A., LADANY, N., WALTER, J. A., & ANCIS, J. R. pervision. New York: Wiley.
(2001). Psychotherapy trainees’ experience of counter- WHITE, K. E. (1998). Becoming a supervisor: An inten-
productive events in supervision. Journal of Counseling sive study of the early development of clinical supervi-
Psychology, 48, 371–383. sors. (Doctoral dissertation, University of Manitoba,
HARDY, K. V., & LASZLOFFY, T. A. (1995). The cultural 1998). Dissertation Abstracts International, 58, 11B.
genogram: Key to training culturally competent family WIGGINS FRAME, M. (2001). The spiritual genogram in
therapists. Journal of Marital and Family Therapy, 21, training and supervision. The Family Journal: Counsel-
227–237. ing and Therapy for Couples and Families, 9, 109–115.

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