Eskenazi Health, Sandra Eskenazi Mental Health Center.
Department of Psychiatry, Indiana University School of Medicine.
Psychol Serv. 2023 May;20(2):326-334. doi: 10.1037/ser0000677. Epub 2022 May 23.
Despite its importance in the provision of mental health treatment, the availability of high-quality clinical supervision faces numerous threats in the public sector. Access to high-quality supervision may be especially important for therapists providing services to persons with psychosis. Here, we detail one supervisory approach that has been developed with these considerations in mind; namely, the supervision approach associated with the recovery-oriented integrative therapy metacognitive reflection and insight therapy. We detail three aspects of this approach that have broad appeal and could be easily incorporated into other psychotherapy approaches which include (a) reflecting with supervisees about their experience of the patient, themselves, and the therapeutic relationship, (b) helping supervisees respond to patients' pain and fragmentation with interventions that promote challenge and joint meaning-making, and (c) dealing with threats to this process from both internal pressures within supervisees as well as those posed externally from their agencies. Limitations of this approach and future directions are discussed. (PsycInfo Database Record (c) 2023 APA, all rights reserved).
尽管在提供心理健康治疗方面非常重要，但高质量的临床监督在公共部门面临着许多威胁。对于为精神病患者提供服务的治疗师来说，获得高质量的监督可能尤为重要。在这里，我们详细介绍了一种考虑到这些因素的监督方法；即与以康复为导向的整合治疗元认知反射和洞察疗法相关的监督方法。我们详细介绍了这种方法的三个方面，这些方面具有广泛的吸引力，可以很容易地纳入其他心理治疗方法中，包括：（a）与被监督者一起反思他们对患者、自己和治疗关系的体验；（b）帮助被监督者用促进挑战和共同意义构建的干预措施来回应患者的痛苦和分裂；（c）应对来自被监督者内部压力和来自其机构外部的威胁。讨论了这种方法的局限性和未来方向。（PsycInfo 数据库记录（c）2023 APA，保留所有权利）。
