Ch 8: models of clinical supervision Flashcards

1
Q

nature and purpose of clinical supervision

A

essential role in development of counselors in training
facilitates the process of learning how to competently practice and the acquisition of professional attitudes foundational to ethical practice throughout a counselors career
helps you better understand your values

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2
Q

ACA code of ethics definition of supervision

A

a process in which the supervisor engages in a collaborative relationship with a supervised to promote the growth and development of supervised and evaluate their performance

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3
Q

AASCB clinical supervision includes

A

the supervisors participation in evaluation, diagnosis, development of treatment, clinical documentation, appropriate referral, adherence to legal and ethical practice, and nurturing the counseling process

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4
Q

clinical supervision

A

relational experience between an experienced senior counselor and a less experienced junior counselor designed to facilitate development of the skills, abilities, and personal attributes the junior counselor needs to be an effective clinician

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5
Q

two purposes of clinical supervision/supervisor

A

to support the growth and development of the supervised (create safe holding environment)
protect the welfare of clients receiving services from the supervised (ethical and professional obligation through supervising newbie)

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6
Q

holding environment

A

place for the supervises to share their experience as counselors including their knowledge, skills, fears, struggles, difficulties, and success

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7
Q

model

A

a methodical way in which supervision is applied or practiced

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8
Q

models of supervision

A

developmental models
orientation or theory driven models
integrative models

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9
Q

developmental models

A

based on the idea that supervises develop counseling knowledge, skills, and competence over time and their needs in supervision will be related to their developmental level
EX: integrated developmental model

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10
Q

4 levels of integrated developmental model

A
  1. supervisees motivated to participated and anxious about performance; inexperience
  2. supervises begin to function more independently and focus on client; motivation fluctuates from great need for supervision to little perceived need
  3. supervises have gained experience and developing strong professional identity; continue to be motivated in supervision
  4. begin to do things independently
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11
Q

orientation-specific models

A

operates from a counseling theory framework and typically focuses on the supervises adherence or fidelity to the theory in counseling sessions
include adlerian, cognitive, beahvioral, person-centered, etc.

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12
Q

Four orientation-specific models of supervision

A

person-centered
cognitive behavioral
psychodynamic
narrative

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13
Q

person-centered

A

based on person-centered theory by Carl Rogers
core conditions of empathy, congruence, and unconditional positive regard are the foundation
see supervises as ppl with the capacity for growth

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14
Q

cognitive-behavioral

A

supervisors operating from this perspective view cognitions or thoughts as driving force of supervises beliefs, feelings, and behaviors

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15
Q

psychodynamic

A

focuses on supervises resistance, defense mechanisms, transference, and countertransference (between them and the supervisor)

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16
Q

Narrative

A

assume that people are natural storytellers and have a generated story about themselves
supervisors maintain a positive of curiosity and pose questions to the supervised that help to write the story of who and how they are as a counselor (supervisor as editor)

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17
Q

integrative models

A

when more than one distinct model of counseling or supervision are combined OR

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18
Q

technical eclecticism

A

a combination of supervisory approaches without full endorsement of the theories that inform those approaches

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19
Q

Two examples of integrative models

A

discrimination model
microskills supervision

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20
Q

discrimination model (Bernard 1970s)

A

an atheoretical model of supervision based on technical eclecticism
the supervisor individualizes their responses, in other words discriminates, to meet the needs of the supervised
three areas of supervised skills

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21
Q

three areas of supervisee skills

A

process
conceptualization
personalization

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22
Q

Three roles supervisor can assume

A

teacher
counselor
consultant

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23
Q

process skills

A

include greeting the client, pacing the counseling, and closing the session

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24
Q

conceptualization skills

A

include the supervises ability to navigate content provided by the client to identify client themes or patterns and case conceptualize

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25
personalization skills
comrprises the unique elements the supervised brings to the counseling decision (personality, beliefs, values, etc)
26
micro counseling supervision model (Russell-chapin and Ivey 2004)
integrative model microskills; the basic and foundational skills used by the counselors in session EX: open questions, closed questions, reflection of feeling and content, paraphrasing, summarizing
27
three stages of microcounseling skills
reviewing microskills with intention classifying skills with mastery processing supervisory needs
28
Counseling Interview rating form (CIRF)
provides a format for baseline and follow-up evaluation of the supervises use of microskills in session
29
practices
set of techniques, methods, or guidelines that represent the most efficient or prudent course of action set forth by an authority organization
30
effective supervisors...
address diversity at the onset of the supervisor supervises relationship address diversity issues brought forth by the supervised in supervision work with supervisee to create goals adhere to ethical codes and professional standards
31
informed consent process
done on the onset of supervision gives supervised information about what to expect out of supervision
32
gatekeeping
term used to describe the supervisors responsibility to intervene with supervises who are clinically impaired or engage in conduct that would be detrimental to the client
33
2 supervision systems
dyadic systems triadic systems
34
dyadic systems
1. the client and the counselor supervisors do not directly participate in this one 2. counselor/supervisee and the supervisor; client does not participate
35
triadic system
client, counselor/supervisee, and supervisor the supervisor and supervise have a relationship centered around the supervises relationship with the client parallel processes and isomorphism can occur
36
parallel processes
rooted in the psychoanalytic concepts of transference and countertransference
37
supervision transference
occurs when counselors/supervisees reenact with their supervisors what their clients have enacted with them outside of supervisee awareness
38
countertransference in supervision
when the supervisor then responds to the supervise/counselor similarly to the way the counselor responds to the client *supervision session parallels counseling session
39
isomorphism
roots in mathematics and systems theory the map of supervision is qual in form to the map of counseling combines the mapping element from math and the interrelation element from systems their a repeated, bidirectional relational pattern that occurs in counseling or supervision
40
triangle
origins in Bowenian family therapy a way to conceptualize relationships two persons are likely to be in coalition with each other, leaving the third person alienated: during conflict, third person is recruited to take sides
41
Triangle in supervision
includes the client, counselor/supervisee, and supervisor and is a dynamic inherent in the supervisory process 2 parties (supervised and supervisor), meet regularly to discuss the third party, the client
42
qualities of effective supervisors
exhibit high levels of empathy understanding unconditional positive reward flexibility concern attention investment curiosity openness sense of humor respect effective on supervisor tasks competent in the clinical areas to be supervised
43
effective supervisor tasks
appropriately strutting supervision providing clear, direct, and constructive feedback, evaluating fairly and on agreed upon criteria navigating among roles accessing a variety of supervisor interventions adapting to individual differences of the supervised model self-care
44
Supervisor competence (9)
ethics and professional practice knowledge of the profession diversity reflective practice supervisory alliance structuring supervision supervision research/theoru learning evaluation
45
How supervisors gain competence
engage in meta-competence the ability to asses what one knows and doesn't know continue education engage in consultation and supervision feedback from mentors reflect on continued learning and effectiveness
46
technique or intervention
method or skill used by the supervisor to produce a desired result in supervision
47
forms of supervision
live supervision recordings recall supervision
48
live supervision
the supervised is the counselor in session and the supervisor observes the session pros: supervisor can intervene through mic and live; cons: the logistics or scheduling needed
49
recordings
captures both the sound and picture of the counseling session and are played during the supervision session pros: can be paused, reviewed, and reminded cons: technology can fail
50
recall supervision
occurs when a supervised recalls a counseling session that already occurred pros: supervisor can have them recall specific things, free, does not rely on tech cons: reliance on memory and observation
51
formats of supervision
individual triadic group team
52
individual supervision
occurs with one supervisor and one supervisee
53
triadic supervision
includes a supervisory relationship between one supervisor and two supervisees
54
group supervision
includes a supervisory relationship between more than two supervisees
55
team supervision
includes a team, typically of supervisees peers and a supervisor
56
peer supervision
includes a group of peers who meet regularly for mutual benefit to discuss and receive feedback no defined leader
57
synchronous technology
products allow for back and forth interaction between supervises and their supervisor in real time (EX: video call)
58
asynchronous technology
involves a delay in response time between the initiation of contact and a reply (text or email)
59
benefits of technology-enhanced supervision
better access to services seek out specialists better and smoother communication between supervised and supervisor
60
risk of technology enhanced supervision
messages may not be sent on time or taken the wrong way platform selection