Newcastle University, UK.
Behav Cogn Psychother. 2013 Mar;41(2):210-20. doi: 10.1017/S1352465812000434. Epub 2012 May 28.
Clinical supervision plays an essential role in the development of mental health professionals and is increasingly viewed as a discrete professional specialization. However, research has rarely addressed core issues such as the measurement and manipulation of clinical supervision, so there are very few direct comparisons between the different supervision methods.
To operationalize two related approaches, cognitive-behavioural (CBT) and evidence-based clinical supervision (EBCS), demonstrate their fidelity, and then evaluate their relative effectiveness in facilitating the experiential learning of one supervisee.
Within a multiple-baseline, N = 1 design, we rated audiotapes of supervision on a competence rating scale.
Findings generally favoured the EBCS approach, which was associated with higher fidelity by the supervisor and increased engagement in experiential learning by the supervisee.
This preliminary but novel evaluation indicated that CBT supervision could be enhanced. Implications follow for supervisor training and a more rigorous N = 1 evaluation.
临床监督在心理健康专业人员的发展中起着至关重要的作用,并且越来越被视为一种独特的专业专长。然而,研究很少涉及临床监督的测量和操作等核心问题,因此不同监督方法之间几乎没有直接比较。
操作两种相关方法,认知行为(CBT)和循证临床监督(EBCS),证明其保真度,然后评估它们在促进一名监督者的经验学习方面的相对有效性。
在多项基线、N=1 的设计中,我们使用能力评分量表对监督的录音带进行评分。
研究结果普遍倾向于 EBCS 方法,该方法与监督者的更高保真度和监督者更积极参与经验学习相关。
虽然这是初步但新颖的评估,但表明 CBT 监督可以得到加强。这对主管培训和更严格的 N=1 评估产生了影响。