Ohio University, Athens, 45701, USA.
J Clin Psychol. 2012 Sep;68(9):972-88. doi: 10.1002/jclp.21879. Epub 2012 Jul 9.
To identify the effectiveness of psychotherapy supervision on therapists' immediate (next session) and long-term (1 year) adherence to time-limited dynamic psychotherapy (TLDP).
Sixteen therapists from the Vanderbilt II psychotherapy project were assigned new cases in pretraining, training, and booster/posttraining year-long cohorts. Technical adherence to the manual, as well as general therapeutic relational processes, were rated for clinical supervisory sessions in which the third therapy session was discussed. The therapy sessions immediately before and after the supervisory sessions were also rated for technical adherence and relational processes.
Postsupervision adherence increased from the presupervision session during the training cohort. In supervision, therapists' discussion of techniques and strategies from the manual in supervision was significantly related to technical adherence in the session prior to (but not after) supervision. However, supervisors' discussion of specific techniques predicted therapists' total technical adherence in the therapy session after (but not before) supervision. In terms of the type of techniques, supervisors' influenced postsupervision therapy adherence on TLDP's unique approach to formulation, the cyclical maladaptive pattern, but did not influence technical adherence on the therapeutic relationship.
In supervision, therapists tend to focus on how they adhered to techniques from the previous session, whereas supervisors' comments about specific techniques predicted how the therapist would adhere to techniques in the next therapy session. The findings provide support for the immediate effects of supervision in shaping therapist techniques as well as highlighting the challenges of altering common relational processes through technical training.
确定心理治疗监督对治疗师即时（下一次治疗）和长期（1 年）遵循限时动力心理治疗（TLDP）的效果。
范德比尔特 II 心理治疗项目的 16 名治疗师在培训前、培训中和强化/培训后为期一年的队列中被分配了新的病例。在讨论第三次治疗的临床监督会议中，对技术遵守手册以及一般治疗性人际关系过程进行了评估。在监督会议之前和之后的治疗会议也对技术遵守和关系过程进行了评估。
在培训队列中，监督后的遵守情况比监督前的会议有所增加。在监督中，治疗师在监督中讨论手册中的技术和策略与监督前（但不是监督后）的治疗会议中的技术遵守显著相关。然而，治疗师在监督中讨论具体技术预测了治疗师在监督后（但不是监督前）的治疗会议中的总体技术遵守。就技术类型而言，监督者影响了 TLDP 独特的制定方法、循环适应不良模式后的监督治疗遵守情况，但并没有影响治疗关系方面的技术遵守。
在监督中，治疗师倾向于关注他们在上一次治疗中如何遵守技术，而治疗师对特定技术的评论则预测了他们在下一次治疗中遵守技术的情况。这些发现为监督对治疗师技术的即时影响提供了支持，同时强调了通过技术培训改变常见关系过程的挑战。
