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舒适与挑战:女性临床医生督导体验的主题分析。

Comfort and challenge: a thematic analysis of female clinicians' experiences of supervision.

机构信息

Department of Psychology, School of Health & Social Sciences, Middlesex University, The Burroughs, Hendon, London, UK.

出版信息

Psychol Psychother. 2013 Sep;86(3):334-51. doi: 10.1111/j.2044-8341.2012.02063.x. Epub 2012 Apr 17.

Abstract

OBJECTIVE

The supervision of counsellors, counselling psychologists, and psychotherapists is generally perceived to be an invaluable component of training and practice. The present study analysed this process to explore the meanings of supervision and to consider implications for clinical practice and training.

DESIGN

This study presents the accounts of 19 psychological therapists who experienced supervision while working at a London-based women's therapy centre.

METHOD

Demographic information was collected by questionnaire, and semi-structured interviews were conducted to explore aspects of the supervisory experience. The qualitative data were thematically analysed.

RESULTS

Supervision has complex and paradoxical meanings, and it impacts on clinical counselling practice in multifarious ways. Dominant themes highlighted were the usefulness of supervision, specifically support, empowerment, and joining; fear of exposure in supervision versus gaining new information; the comfort versus the challenge of supervision; and supervision as a containing space.

CONCLUSIONS

An experiential model of supervision was developed from the data. This model complements existing models in the field. It could be evaluated and used alongside existing models in various training and supervision contexts. Findings are discussed in relation to the literature on clinical supervision.

摘要

目的

咨询师、咨询心理学家和心理治疗师的监督通常被认为是培训和实践中非常宝贵的组成部分。本研究分析了这一过程,以探讨监督的意义,并考虑其对临床实践和培训的影响。

设计

本研究介绍了 19 名在伦敦妇女治疗中心工作的心理治疗师在接受监督时的经历。

方法

通过问卷调查收集人口统计学信息,并进行半结构化访谈,以探讨监督经验的各个方面。对定性数据进行主题分析。

结果

监督具有复杂和矛盾的含义,并以多种方式影响临床咨询实践。突出的主题包括监督的有用性,特别是支持、赋权和参与;监督中暴露的恐惧与获得新信息;监督的舒适与挑战;以及监督作为一个容纳空间。

结论

从数据中开发了一个监督的体验模型。该模型补充了该领域现有的模型。它可以在各种培训和监督环境中与现有的模型一起进行评估和使用。研究结果结合了关于临床监督的文献进行了讨论。

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