Hostname: page-component-76c49bb84f-rx8cm Total loading time: 0 Render date: 2025-07-10T22:44:37.154Z Has data issue: false hasContentIssue false
  • English
  • Français

Ten steps to cognitive behavioural supervision

Published online by Cambridge University Press:  19 October 2012

P. Kenneth Gordon
P. Kenneth Gordon*
Affiliation:
Department of Psychology, University of Southampton, Southampton, UK
*
*Address for correspondence: Dr P. K. Gordon, Department of Psychology, University of Southampton, Shackleton Building, Highfield, Southampton SO17 1BJ, UK (email: P.K.Gordon@soton.ac.uk or info@ken-gordon.co.uk)
Get access Rights & Permissions [Opens in a new window]

Abstract

Clinical supervision is recognized as essential for CBT therapists, both during training and in subsequent practice, and there has been a rapidly growing demand for accredited therapists to become supervisors. However, this can be a daunting prospect. Supervision is a highly complex activity with several overlapping purposes, in which the supervisor must enact multiple roles and use varied modes of activity. Research on the process has been limited, but a consensus on good practice and evidence-based procedures is beginning to emerge. Against this backdrop, a sequence of steps to be taken within any CBT supervision session is presented here. The structure is applicable across all levels of expertise. The purpose is to give clear and accessible guidance to supervisors to ensure they adhere to best practice and manage sessions in an efficient, helpful and well-focused style.

Keywords

Clinical supervisioncognitive behavioural therapytraining

Information

Type
Education and supervision
Information
the Cognitive Behaviour Therapist , Volume 5 , Issue 4 , December 2012 , pp. 71 - 82
Copyright
Copyright © British Association for Behavioural and Cognitive Psychotherapies 2012 

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

Article purchase

Temporarily unavailable

References

Armstrong, PV, Freeston, MH (2006). Conceptualising and formulating cognitive therapy supervision. In: Case Formulation in Cognitive Behaviour Therapy: The Treatment of Challenging and Complex Clinical Cases (ed. Tarrier, N.), pp. 349–371. London: Routledge.Google Scholar
Aveline, M (1997). The use of audiotapes in supervision of psychotherapy. In: Supervision of Psycho-therapy and Counselling (ed. Shipton, G.), pp. 80–92. Buckingham: Open University Press.Google Scholar
Bennett-Levy, J, Thwaites, R (2007). Self and self-reflection in the therapeutic relationship: a conceptual map and practical strategies for the training, supervision and self-supervision of interpersonal skills. In: The Therapeutic Relationship in the Cognitive-Behavioural Psychotherapies (ed. Gilbert, P. and Leahy, R. L.), pp. 255–281. London: Routledge.Google Scholar
Blackburn, I-M, James, IA, Milne, DL, Baker, C, Standart, SH, Garland, A, Reichelt, FK (2001). The Revised Cognitive Therapy Scale (CTS-R): psychometric properties. Behavioural and Cognitive Psychotherapy 29, 431–446.Google Scholar
Blackburn, I-M, James, IA, Milne, DL, Reichelt, FK, Garland, A, Baker, C, Standart, SH, Claydon, A (2000). Cognitive Therapy Scale – Revised (CTS-R). Newcastle upon Tyne, UK (unpublished manuscript).Google Scholar
Bordin, ES (1983). A working alliance based model of supervision. Counseling Psychologist 11, 35–42.CrossRefGoogle Scholar
Butler, G (2005). Improving supervision skills: a cognitive-behavioural perspective. Workshop for the British Association for Cognitive Behavioural therapy, Southern Branch. Southampton, 10 March 2005.Google Scholar
Department of Health (2007). Commissioning a brighter future: improving access to psychological therapies (http://www.iapt.nhs.uk/silo/files/commissioning-a-brighter-future.pdf).Google Scholar
Falender, CA, Cornish, JAE, Goodyear, R, Hatcher, R, Kaslow, NJ, Leventhal, G, Shafranske, E, Sigmon, ST (2004). Delivering competencies in psychology supervision: a consensus statement. Journal of Clinical Psychology 60, 771–785.CrossRefGoogle Scholar
Friedberg, RD, Gorman, AA, Beidel, DC (2009). Training psychologists for cognitive-behavioral therapy in the raw world: a rubric for supervision. Behavior Modification 33, 104–123.Google Scholar
Inskipp, F, Proctor, B (1993). The Art, Craft and Tasks of Counselling Supervision Part 1: Making the Most of Supervision. Twickenham, UK: Cascade.Google Scholar
James, I, Milne, D, Blackburn, I-M, Armstrong, P (2006). Conducting successful supervision: novel elements towards an integrative approach. Behavioural and Cognitive Psychotherapy 35, 191–200.CrossRefGoogle Scholar
Kolb, DA (1984). Experiential Learning: Experience as the Source of Learning and Development. Englewood Cliffs, New Jersey: Prentice Hall.Google Scholar
Lewis, K (2012). Update on supervision developments in behavioural and cognitive psychotherapies – a personal view. CBT Today 40 (Supplement).Google Scholar
Liese, BS, Beck, JS (1997). Cognitive therapy supervision. In: Handbook of Psychotherapy Supervision (ed. Watkins, C.), pp. 114–131. New York: Wiley & Son.Google Scholar
Lombardo, C, Milne, D, Procter, R (2009). Getting to the heart of clinical supervision: a theoretical review of the role of emotions in professional development. Behavioural and Cognitive Psychotherapy 37, 207–219.Google Scholar
Milne, DL (2008). CBT Supervision: from reflexivity to specialization. Behavioural & Cognitive Psychotherapy 36, 779–786.CrossRefGoogle Scholar
Milne, DL (2009). Evidence-based Clinical Supervision. Chichester: BPS/Blackwell.Google Scholar
Milne, DL, Dunkerley, C (2010). Towards evidence-based clinical supervision: the development and evaluation of four CBT guidelines. The Cognitive Behaviour Therapist 3, 43–57.Google Scholar
Milne, DL, James, I (2000). A systematic review of effective cognitive-behavioural supervision. British Journal of Clinical Psychology 39, 111–127.CrossRefGoogle ScholarPubMed
Milne, DL, Reiser, R, Aylott, H, Dunkerley, C, Fitzpatrick, H, Wharton, H (2010). The systematic review as an empirical approach to improving CBT supervision. International Journal of Cognitive Therapy 3, 278–294.Google Scholar
Milne, DL, Sheikh, AI, Pattison, S, Wilkinson, A (2011). Evidence-based training for clinical supervisors: a systematic review of 11 controlled studies. The Clinical Supervisor 30, 53–71.Google Scholar
Newman, CF (1998). Therapeutic and supervisory relationships in cognitive-behavioral therapies: similarities and differences. Journal of Cognitive Psychotherapy: an International Quarterly 12, 96–108.Google Scholar
Overholser, JC (1991). The Socratic method as a technique in psychotherapy supervision. Professional Psychology: Research and Practice 22, 68–74.CrossRefGoogle Scholar
Padesky, CA (1996). Developing cognitive therapist competency: teaching and supervision models. In: Frontiers of Cognitive Therapy (ed. Salkovskis, P.), pp. 266–292. New York: The Guilford Press.Google Scholar
Padesky, CA (2002). Cognitive therapy supervision: principles and practice. Unpublished workshop materials. Huntington Beach, California: Centre for Cognitive Therapy.Google Scholar
Pretorius, WM (2006). Cognitive behavioural therapy supervision: recommended practice. Behavioural and Cognitive Psychotherapy 34, 413–420.CrossRefGoogle Scholar
Ricketts, T, Donohoe, G (2000). Clinical supervision in cognitive behavioural psychotherapy. In: Taking Supervision Forward (ed. Lawton, B. and Feltham, C.), pp. 127–141. London: Sage.Google Scholar
Richards, D, Chellingsworth, M, Hope, R, Turpin, G, Whyte, M (2010). Reach Out: National Programme Supervisor Materials to Support the Delivery of Training for Psychological Wellbeing Practitioners Delivering Low Intensity Interventions. London: Rethink.Google Scholar
Roth, AD, Pilling, S (2008). A Competence Framework for the Supervision of Psychological Therapies. Available for downloading from the CORE website (www.ucl.ac.uk/CORE/)Google Scholar
Safran, JD, Muran, JC (2000). Negotiating the Therapeutic Alliance: a Relational Treatment Guide. Guilford, New York.Google Scholar
Safran, JD, Muran, JC (2001). A relational approach to training and supervision in cognitive psychotherapy. Journal of Cognitive Psychotherapy, an International Quarterly 15, 3–15.Google Scholar
Scaife, J (2009). Supervision in Clinical Practice, 2nd edn. London: Routledge.Google Scholar
Stopa, L (2012). Digging a hole when you need to build a bridge. Obstacles to clinical learning and ways of overcoming these using role play. Paper presented to Annual Conference of the British Association for Behavioural and Cognitive Psychotherapy, Leeds, June 2012.Google Scholar
Townend, M, Iannetta, L, Freeston, M (2002). Clinical supervision in practice: a survey of cognitive behavioural psychotherapists accredited by the BABCP. Behavioural and Cognitive Psychotherapy 30, 485–500.CrossRefGoogle Scholar
Vygotsky, LS (1978). Mind in Society: the Development of Higher Psychological Processes. Cambridge, MA: Harvard University Press.Google Scholar
Waite, S, Gordon, K (2003). A naturalistic study of cognitive therapy supervision activity. Paper presented to Annual Conference of the British Association for Behavioural and Cognitive Psychotherapy, York, July 2003.Google Scholar
Waller, G (2009). Evidence-based treatment and therapist drift. Behaviour Research & Therapy 47, 119–127.Google Scholar
Watkins, C (ed.) (1997). Handbook of Psychotherapy Supervision. New York: Wiley & Son.Google Scholar
Submit a response

Comments

No Comments have been published for this article.