Ertl Melissa M, Ellis Michael V, Peterson Lawrence P
Department of Psychiatry, HIV Center for Clinical and Behavioral Studies at Columbia University and New York State Psychiatric Institute, New York, NY, United States.
Department of Educational and Counseling Psychology, University at Albany-State University of New York, Albany, NY, United States.
Couns Psychol. 2023 May;51(4):590-620. doi: 10.1177/00110000231159316. Epub 2023 Mar 3.
Given that half or more of supervisees (therapist trainees) never have their clinical work monitored or observed, supervisees who withhold salient information in clinical supervision compromise supervisors' ability to monitor client welfare and promote supervisees' professional development. Attempting to further understand the factors explaining supervisee nondisclosure, we tested the supervisory working alliance as a mediator of the hypothesized inverse relations of cultural humility and collaborative supervision with supervisee nondisclosure (supervision-related and clinically-related nondisclosure) among a diverse sample of 214 supervisees in applied psychology and allied mental health programs. Results supported the hypotheses that (1) descriptively, supervision-related nondisclosure was more prominent than clinically-related nondisclosure, (2) cultural humility substantially inversely predicted supervisee nondisclosure, and (3) the supervisory working alliance fully mediated the inverse relations of cultural humility and collaborative supervision with supervisee nondisclosure. Understanding the mechanisms underlying supervisee nondisclosure have broad implications for clinicians and researchers alike.
鉴于一半或更多的被督导者（实习治疗师）从未有人对其临床工作进行监测或观察，在临床督导中隐瞒重要信息的被督导者会损害督导者监测来访者福祉以及促进被督导者专业发展的能力。为了进一步了解解释被督导者不披露行为的因素，我们在一个由214名应用心理学及相关心理健康项目的被督导者组成的多样化样本中，检验了督导工作联盟作为文化谦逊和协作督导与被督导者不披露行为（与督导相关的不披露和与临床相关的不披露）之间假设的反向关系的中介变量。结果支持了以下假设：（1）从描述性角度来看，与督导相关的不披露比与临床相关的不披露更为突出；（2）文化谦逊与被督导者不披露行为呈显著负相关；（3）督导工作联盟完全中介了文化谦逊和协作督导与被督导者不披露行为之间的反向关系。理解被督导者不披露行为背后的机制对临床医生和研究人员都具有广泛的意义。
