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Principles of supervision
Therapeutic relationship in counselling
Reflection essay on clinical supervision
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Recommended: Principles of supervision
Boundary
In psychotherapy boundaries refer to as the therapeutic relationship between supervisor / supervisees and clients. In the therapeutic relationship, some boundaries issues may create concerns. For example: receiving gifts from clients, inappropriate use of language, confidentiality, and physical contact are disallowed. In the supervisiory relationship, supervisors are responsible for determining the limits of boundaries and take action when the boundaries are crossed and violated. In psychotherapy, there is a difference between boundary crossing and boundary violation. Gutheil & Gabbard (1998) stated “the boundary violations occur when therapists cross the line of decency and violate their patients, but boundary crossing
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In this way, the supervision follows the framework of psychotherapy. Trainees during practicum or internship must learn skills and knowledge from supervisors. Observing can help trainees to develop skills and become a good therapist themselves. In an effort of becoming skilled therapists, trainees must learn the foundation of different supervision models.
Cal D. Stoltenberg, Ursula Delworth, and Brian McNeill published a book:. ( IDM Supervision: An Integrated Developmental Model for Supervising Counseling and Therapists.) In this book, the authors outlined stages that the trainees must experience to gain confidence as a good therapist and how supervisors can assist supervisees to increase their confidence and how the issue of diversity can effect the supervisory relationship. The integrated model: outlined three stages of developmental plan trainees must follow to increase their confidence in therapeutic
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That way their relationship becomes more collaborative. The author, Stoltenberg stated trainees practicing these stages may be fall at stage three when working with mentally ill clients, and at the same time on stage one when working with family therapy. Supervisors must be aware of the different stages of developmental models. Cognitive Behavior Supervision: based on techniques and theoretical orientation. Including the agenda to use in supervision sessions. For example, supervisors assigned homework to trainees, role playing, and practice CBT techniques. This way they develop supervisory relationship and conceptualizations. The supervisor may ask trainees to present clients’ problems and history of diagnoses. Assist the trainee about treatment plans and
Another problem with supervision is power which comes affects the relationship between the supervisor and supervisee. Factors like social position, race, gender, social class and sexuality, Issues of subordinate positions of women affect the supervisory relationship. To solve this problem it has been advocated that someone with a similar background should do the supervisory job.(White, E. & Winstanley, J. 2010). APPLICATION OF THE CONCEPT TO CURRENT JOB (CLINICAL SUPERVISION):
The developmental model, summarized in an article by Stoltenberg (2005), summarizes a supervision approach that uses developmental framework in clinical supervision. The author, Stolenberg (2005) and Ursula Delworth created a developmental model titled Integrated Developmental Model of supervision (IDM). IDM provided specific details about the changes in the supervisee throughout their time in clinical supervision. It also provided specific details on the types of supervision environments and supervisor intervention for each level of development (Stoltenberg, 2005).
Hanna, F. J., & Bemak, F. (1997). The quest for identity in the counseling profession. Counselor Education and Supervision, 36(3), 194. Retrieved from http://search.proquest.com.library.capella.edu/docview/201301734?accountid=27965
Setting limits (building a boundary) and explaining the importance of boundaries to your client should be part of the initial assessment with the him/her. The worker should inform the client that boundaries, as well as confidentiality,
G.P. Koocher & P. Kieth-Spiegel (1998) pointed out many conflict of dual and multiple role including personal, client/therapist, therapist/supervisor and therapist/colleague, and how they can improve and complicate the counselling process. Boundaries and competence runs along side one another, which made come to conclusion that if the therapist is considering breaking them s/he should know what they breaking and how to break them ethically. Sometimes the outcome of ethical dilemma can only be “determined by the client and counsellor at that time” which could enable the therapist to change the priorities of Ethical principles and modify his/her actions according to the client’s circumstances (T. Bond, 2000:62).
...professional functioning and when they can have an impact on clients. If the supervisee asks or the supervisor feels that the supervisee needs counseling, than the supervisor should refer the supervisee to an appropriate counselor.
I choose to complete my second reflection paper on chapter three: Boundary Crossing in Clinical Practice. The author starts the chapter first by mentioning seeing professionals having sexual encounters with their clients. She found it hard to understand how a professional could participate in such acts. As the author began to look at boundary she began to see she was also guilty not as heinous as some of her fellow colleagues by participating in sexual acts but unintentionally crossing certain boundaries that she was unaware to her.
Understanding the counseling session from the client’s perspective is a very important aspect in the development of a therapeutic relationship. A clinician must be an excellent listener, while being to pay attention to the client’s body language, affect and tone. The dynamics in the counseling session that is beneficial to the client include the recognition of the pain that the client is feeling. The detrimental part of this includes a misunderstanding of the real issues, a lack of consideration of the cultural aspects of the client, and a lack of clinical experience or listening skills. In this presentation, we will discuss the positive and negative aspects of the counseling session from the client’s perspective which includes the client’s attitudes, feelings, and emotions of the counseling session. We will next examine the propensity of the client to reveal or not reveal information to the counselor, and how transference, and counter-transference can have an effect on the counselor-client relationship.
The article “Managing boundaries under pressure: A qualitative study of therapists’ experiences of sexual attraction in therapy” states that throughout a lifetime of practice, many therapists don’t cross boundaries and the relationship is strictly professional. That leads to the questions about what strategies they use to help them during difficult situations where boundaries could be crosses. (Martin, Godfrey, Meekums, & Madill
A therapist must be psychologically stable. Inasmuch, analytic mastery is achieved in Qualitative and Quantitative Methods as part of a rigorous curriculum at Walden University. This scientific mindedness is key, recognizing life as an opportunity for experimentation (Kaslow, Grus, Campbell, & Fouad, et al., 2009). Scientific principles I learned in Research Methods and foundation classes in Applied Psychology.... ...
Current research implies that an empathetic clinician-client relationship and interrelated ecosystems play the majority role in the success of therapy (Kilpatrick & Holland, 2009). The clinician’s ability to be present and actively perceive what the client is experiencing is of utmost importance in creating a therapeutic alliance. It is imperative that the clinician gains positive regard towards the client and their environment displaying honest acceptance towards the client no matter what issues are presented in session. This closely relates to a sincere presentation of genuineness that instills a feeling of honesty within the client and clinician (Kilpatrick & Holland, 2009). An experienced clinician builds upon the therapeutic
Developmental Supervision, Supervisor Flexibility, and the Postobservation Conference. Hills, J. (1991). Issues in research on instructional supervision: A contribution to the discussion. Journal Of Curriculum & Supervision, 7(1), 1-12. Jones, N. B. (1995).
This paper will explore the concept of dual relationships between counselors and clients and the ethical implications of such relationships. In addition to presenting several examples of dual relationships, this paper will also explore how ethical decisions must be made to avoid potentially harmful or exploitive relationships in therapy as well understanding how different interactions between counselor and clients can be understood from an ethical standpoint, as well as how reviewing these ethical dilemmas may shape my future career as a counselor.
The basic knowledge about supervision theories and processes would help them transition into a supervisory role. Even at sites that do not ask internship students to be supervisors, they are usually asked to take a part in a supervision group where they hear other clinicians’ cases and give feedback. In such situations, students need to demonstrate interpersonal skills, clinical skills, theoretical knowledge, and skills in giving constructive feedback. I believe that information provided in this course would assist them to be successful in these supervisory and consultant roles at their
In order for physical contacts to be appropriate boundaries have to be set. Boundaries must be set in order to prevent anyone from feeling uncomfortable and to avert any issue from occurring. Some therapist or clients do not like to be touched and they have to make each other aware of that. The best time to set boundaries is in the first session after the therapist explains confidentiality and consent to the client. The client should set their boundaries and ask the client if they have any boundaries of their own.