Exploring Group Clinical Supervision: Enhancing Professional Awareness and Unity in a Single-Group Case Study
Abstract
Background: Clinical supervision serves as a collaborative reflection mechanism, enabling clinicians to enhance their cognitive and emotional awareness of their practice. It establishes a “safe environment” wherein professionals may freely express their deepest thoughts, feelings, doubts, and emotions, receiving support and guidance to redirect their treatment approaches.
Methods: Our exploratory research is specifically centered on group supervision, involving a team of professionals (i.e., psychologists and pedagogists), with the primary objective of facilitating the disclosure of emotional difficulties and concerns in order to develop new meanings. It aims to describe the group supervision process, comprehensively understanding its structural and dynamic facets, while concurrently identifying clinical concepts and actions for future research. The study included the videotaping and verbatim transcription of five two-hour supervision sessions featuring a supervisor and nine professionals. Through a qualitative approach and a computer-assisted word-driven tool (T-LAB), a linguistic analysis was conducted on participants’ discourse during the group supervision sessions.
Results: Our findings revealed that the main objective of the supervision process is the enhancement of professionals’ awareness, and analysis of group dynamics showed the pivotal role of the supervisor as a facilitator of group exchanges and meaning making. Additionally, we highlighted a sense of unity within the group, denoted by a collective “we-ness” and cohesion recognizable in mutual proximity to the experiences, feelings, and difficulties shared and discussed during the sessions.
Conclusion: This study has broadened the comprehension of the group processes that define a group supervision by focusing on the relational and emotional dynamics as well as the transformational mechanisms that group supervision implies.
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Ancona, L., Battacchi, M. W., Corrao, F., Di Maria, F., Fornari, F., Lo Verso, G. & Spaltro, E. (1983). Il piccolo gruppo. Verso una fondazione epistemologica. Roma: Bulzoni Editore.
Barletta, J. (2009). Introduction to Clinical Supervision. In: J. Barletta, N. Pelling, P. Armstrong (Ed.), The Practice of Clinical Supervision. Australia: Australian Academic Press.
Berman, E. (2000). Psychoanalytic Supervision: the Intersubjective Development. International Journal of Psychoanalysis, 81, 273-290. https://doi.org/10.1516/0020757001599762
Bernard, J. M., & Goodyear, R. (2014). Fundamentals of Clinical Supervision (5th ed.). Boston, MA: Allyn & Bacon.
Bion, W. R. (1961). Experiences in Groups. Tavistock Publications, London.
Bordin, E. S. (1983). A Working-Alliance Based Model of Supervision. The Counseling Psychologist, 11, 35-41. https://doi.org/10.1177/0011000083111007
Carli, R., & Paniccia, R.M. (2002). L’analisi Emozionale del Testo. Milano: Franco Angeli.
Cigoli, V. (2006). L’albero della discendenza: clinica dei corpi familiari. Milano: Franco Angeli.
Falender, C. A. & Shafranske E. P. (2014). Clinical Supervision: The State of the Art. Journal of Clinical Psychology: In Session, 70 (11), 1030-1041. https://doi.org/10.1002/jclp.22124
Falender, C. A., Erikson Cornish J. A., Goodyear R., Hatcher R., Kaslow N.J., Leventhal G., Shafranske E.P. & Sigmon S.T. (2004). Defining Competencies in Psychology Supervision: A Consensus Statement. Journal of Clinical Psychology, 60 (7), 771-785. https://doi.org/10.1002/jclp.20013
Falender, C. A. (2018). Clinical supervision—the missing ingredient. American Psychologist, 73(9), 1240–1250. https://doi.org/10.1037/amp0000385
Fernández-Alvarez, H. (2016). Reflections on Supervision in Psychotherapy. Psychotherapy Research, 26(1), 1-10. https://doi.org/10.1080/10503307.2015.1014009
Ferro, A., & Basile R. (2009). The Analytic Field: A Clinical Concept. London, UK: Karnac Books.
Foulkes, S. H. (1964). Psicoterapia e analisi di gruppo. Torino: Boringhieri, 1967.
Foulkes, S. H. (1973). Il gruppo come matrice della vita mentale e individuale. In: L.R. Wolberg, E.K. Schwartz (Ed.), Terapia di gruppo: una rassegna. Il Pensiero Scientifico, Roma, 1974.
Hunter, S. V. & Bowers, R. (2009). Modes of Supervision. In: J. Barletta, N. Pelling, P. Armstrong (Ed.), The Practice of Clinical Supervision. Australia: Australian Academic Press.
Kühne, F., Maas, J., Wiesenthal, S., & Weck, F. (2019). Empirical research in clinical supervision: a systematic review and suggestions for future studies. BMC psychology, 7(1), 54. https://doi.org/10.1186/s40359-019-0327-7
Ladany, N. (2004). Psychotherapy Supervision: What Lies Beneath. Psychotherapy Research, 14 (1), 1-19. https://doi.org/10.1093/ptr/kph001
Lai, G. (1993). Conversazionalismo, le straordinarie avventure del soggetto grammaticale. Torino: Bollati Borringhieri.
Lancia, F. (2004). Strumenti per l’analisi dei testi. Introduzione all’uso di T-LAB. Milano: FrancoAngeli.
Lansen, J., & Haans, T. (2004). Clinical Supervision for Trauma Therapists. In: J. P. Wilson & B. Drozdek (Ed.), In: Broken Spirits: The Treatment of Traumatized Asylum Seekers, Refugees and War and Torture Victims. New York: Brunner-Routledge.
Martin, P., Lizarondo, L., Kumar, S., & Snowdon, D. (2021). Impact of clinical supervision on healthcare organisational outcomes: A mixed methods systematic review. PloS one, 16(11), e0260156. https://doi.org/10.1371/journal.pone.0260156
Mastoras, S. M., & Andrews, J. J. W. (2011). The Supervisee Experience of Group Supervision: Implications for Research and Practice. Training and Education in Professional Psychology, 5(2), 102–111. https://doi.org/10.1037/a0023567
McMain, S. F., Boritz, T. Z. & Leybman M. J. (2015). Common Strategies for Cultivating a Positive Therapy Relationship in the Treatment of Borderline Personality Disorder. Journal of Psychotherapy Integration 25(1), 20-29. https://doi.org/10.1037/a0038768
McWilliams, N. (2022). La supervisione. Teoria e pratica psicoanalitiche. Milano: Raffaello Cortina Editore.
Milne, D. L. (2007). An Empirical Definition of Clinical Supervision. British Journal of Clinical Psychology, 46, 437–447. https://doi.org/10.1348/014466507X197415
Mutual Recognition Agreement of the Regulatory Bodies for Professional Psychologists in Canada. (2004, June). Retrieved from http://www.cpa.ca/documents/MRA.pdf
Neri, C. (1995). Pensiero di gruppo. Koinos Quaderni, 2, pp.73-85.
Neri, C. (2003). Gruppo. Roma: Edizioni Borla.
O’Connell, E. L., Langborne, S., Habib, G., Davis, A., & Wong, D. (2023). Early career psychologists “muddling through the same challenges”: how the experience of structured group supervision can support the transition to work. Clinical Psychologist, 27(1), 95-103. https://doi.org/10.1080/13284207.2022.2120385
Rothwell, C., Kehoe, A., Farook, S. F., & Illing, J. (2021). Enablers and barriers to effective clinical supervision in the workplace: a rapid evidence review. BMJ open, 11(9), e052929. https://doi.org/10.1136/bmjopen-2021-052929
Schonfield, T. (2001). Supervision in Team Work. In: J.H. Berke (Ed.), Beyond Madness: Psychosocial Interventions in Psychosis. London: Jessica Kingsley Publishers.
Snowdon, D. A., Sargent, M., Williams, C. M., Maloney, S., Caspers, K., & Taylor, N. F. (2019). Effective clinical supervision of allied health professionals: a mixed methods study. BMC health services research, 20(1), 2. https://doi.org/10.1186/s12913-019-4873-8
Sorge, A., De Luca, L., Tamanza, G., & Saita, E. (2021). Ward Staff as a Tool to Promote Wellbeing among Prison Employees. Sustainability, 13(18), 10392. https://doi.org/10.3390/su131810392
Vagnini, D., Lamperti, N., Molgora, S., Barile, F., Facchin, F., Mazza, U., & Saita, S. (2023). Mental Health Issues as a Consequence of the Pandemic: Group Psycho-Educational Intervention to Support Patients Recovered from COVID-19 Infection. International Journal of Environmental Research and Public Health, 20(12), 6105. https://doi.org/10.3390/ijerph20126105
Valentino, A. L., LeBlanc, L. A., & Sellers, T. P. (2016). The Benefits of Group Supervision and a Recommended Structure for Implementation. Behavior analysis in practice, 9(4), 320–328. https://doi.org/10.1007/s40617-016-0138-8
Vannucci, M. J., Whiteside, D. M., Saigal, S., Nichols, L., & Hileman, S. (2017). Predicting Supervision Outcomes: What is Different about Psychological Assessment Supervision? Australian Psychologist, 52(2), 114–120. https://doi.org/10.1111/ap.12258
DOI: https://doi.org/10.13129/2282-1619/mjcp-4288
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