Adams Lynette J, MacLean R Ross, Portnoy Galina A, Beauvais John, Stacy Meaghan A
VA Connecticut Healthcare System.
Psychol Serv. 2023;20(Suppl 1):78-85. doi: 10.1037/ser0000643. Epub 2022 Mar 21.
The development and dissemination of multicultural competence in the field of clinical psychology is garnering increased attention. Providing multicultural supervision enhances multicultural competence and benefits the supervisor, supervisee, and client. However, there is little research on how multicultural supervision is provided and how it could be improved. The purpose of this study was to evaluate multicultural supervision and identity-related harassment within two cohorts of interns ( = 18) and 40 psychology supervisors from a large New England Veterans affairs (VA) Healthcare System. Response rates were 72.2% for trainees and 42.5% for supervisors. Respondents indicated there is significant variability across supervisors in the types and frequency of supervision techniques used. Trainees identified behaviors they would like supervisors to offer more; the most common were "discussion of client's cultural or ethnic background as it relates to clinical presentation or client perspective of challenges" and "discuss how aspects of diversity, power, privilege could influence the therapy relationship." Supervisors also indicated what behaviors they would like to offer more, with the most common being "provide examples of conceptualization or theory that directly incorporate identity" and "provide time/opportunity in supervision for my own self-reflection and examination." A majority of trainees and supervisors (76.9% and 68.8%, respectively) reported experiencing harassment based on an aspect of their identity, most commonly originating from clients. We discuss recommendations for improving multicultural supervision and addressing harassment. (PsycInfo Database Record (c) 2023 APA, all rights reserved).
临床心理学领域多元文化能力的发展与传播正受到越来越多的关注。提供多元文化督导可增强多元文化能力,并使督导者、被督导者和来访者都受益。然而,关于多元文化督导的提供方式以及如何改进的研究却很少。本研究的目的是评估来自新英格兰一家大型退伍军人事务(VA)医疗系统的两组实习生(n = 18)和40名心理学督导中的多元文化督导及与身份相关的骚扰情况。实习生的回复率为72.2%,督导者的回复率为42.5%。受访者表示,不同督导者在使用的督导技术类型和频率上存在显著差异。实习生指出了他们希望督导者更多提供的行为;最常见的是“讨论来访者的文化或种族背景与临床表现或来访者对挑战的看法之间的关系”以及“讨论多样性、权力、特权等方面如何影响治疗关系”。督导者也指出了他们希望更多提供的行为,最常见的是“提供直接纳入身份认同的概念化或理论示例”以及“在督导中为我自己提供自我反思和审视的时间/机会”。大多数实习生和督导者(分别为76.9%和68.8%)报告称经历过基于其身份某方面的骚扰,最常见的是来自来访者。我们讨论了改进多元文化督导和应对骚扰的建议。(PsycInfo数据库记录(c)2023美国心理学会,保留所有权利)