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| It’s the Relationship! A Facilitative Approach to Clinical Supervision |
| Columns - Clinical Supervision | |
| Tuesday, 30 September 2003 | |
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Imagine a counselor whose supervisor, though an excellent therapist, provides a sterile, perhaps rote kind of supervision characterized by insensitivity and criticism. This is a supervisor who seems to lack a generative spirit and fails to appropriately utilize the relational aspects of supervision.
Contrast this with a supervisor who makes the most
of the supervisory relationship by becoming a facilitator who sees the
significance in utilizing the dynamics of the relationship while honestly
exploring issues and problems.
Not too many would argue with the assertion that one of the most critical factors in clinical supervision is the supervisor/supervisee relationship. Carl Rogers’s three therapeutic attributes of congruence, unconditional positive regard, and accurate empathic understanding are back in vogue. Not only are they recognized in current theoretical thinking as significant therapeutic growth factors, but as primary precepts in a successful clinical supervisory relationship. When supervisors recognize these principles and focus on the counselor as a person, the supervisee is given the opportunity to expand on his or her definition of self and more clearly identify salient relationship issues with clients. Furthermore, the facilitative supervisor acknowledges the emotionally laden issues that provoke countertransferential reactions by the supervisee and provides a forum for apposite exploration. Such issues often reveal a supervisee’s own humanity and frailty and can be effectively and aptly dealt with in supervision. This can occur when the supervisor has fashioned an atmosphere of confidence and trust. A supervisee who is shown congruence, unconditional positive regard, and empathic understanding is one who is more likely to be honest, confiding, respectful, and self-appraising.
A matter of personal
style This style of supervision can impact professional growth by acknowledging the internal processes of the counselor. These may include, for instance, one’s philosophical approach to counseling, level of intuition, and the appropriate use of self in clinical relationships. Supervision that fosters such growth also tends to be isomorphic in nature. In other words, it presents a relational framework that recognizes the similarities of two different relationships both shared by the supervisee: counseling and supervision. The isomorphic quality of the supervisory relationship produces a parallel replication whereby the effective structures in one relationship are duplicated by the supervisee in the other relationship. The alliance developed in the supervisory relationship leads to collaboration toward change, for both the supervisee and his or her clients. Like that in the counseling relationship, the bond between the supervisor and supervisee is a significant factor in precipitating change.
Many question the ethics of supervision that
includes self-exploration and increased self-awareness. Supervisees often
welcome a therapeutic-like experience in supervision, but supervisors must avoid
crossing the fine line that takes them into unethical territory. However, when
personal issues in supervision are only dealt with as they impact the work the
individual is doing with clients and the discussion ends at that point, the line
has not been crossed.
Fruits of the facilitative
approach The supervisor who makes the most of the supervisory relationship by facilitating self-discovery is not directing a course of action for the counselor. Rather, he or she is assisting the counselor in acquiring a deeper understanding of human experience and hence, therapeutic possibilities. This is a supervisor who does not tell the counselor what to do, but guides the individual toward self-discovery as a means of enhancing clinical acumen. Unlike the relationship formed by the supervisor who is critical and insensitive, the facilitative supervisor adds depth to the relationship. It’s the relationship that becomes a central growth-enhancing component for discovery and development. Thomas G. Durham, PhD, LADC, is Project Director of the Clinical Preceptorship Program at Danya International (www.danya.com) where he coordinates a worldwide program of clinical supervision to drug and alcohol counselors in the U.S. Navy and Marine Corps. As a certified clinical supervisor, he frequently conducts training workshops and is an adjunct faculty member at Tunxis Community College in Connecticut, where he teaches courses in counseling. He can be reached at This e-mail address is being protected from spam bots, you need JavaScript enabled to view it This article is published in Counselor,The Magazine for Addiction Professionals, October 2003, v.4, n.5, pp. 56-57. |
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