200 likes | 588 Views
Foci of Clinical Supervision. MonitoringTeachingEthical knowledge and behaviorClinical competencePersonal functioningAttention to client welfare. Research Supervision. Ethical knowledge and behaviorResearch competencePersonal functioningAttention to participant welfareAttention to institutional review boards and federal regulationsData integrity.
E N D
1. Ethical Issues in Supervision Gerald P. Koocher, Ph.D., ABPP
2. Foci of Clinical Supervision Monitoring
Teaching
Ethical knowledge and behavior
Clinical competence
Personal functioning
Attention to client welfare
3. Research Supervision Ethical knowledge and behavior
Research competence
Personal functioning
Attention to participant welfare
Attention to institutional review boards and federal regulations
Data integrity
4. Supervisory Roles Teacher
Mentor
Evaluator
Facilitator of self-awareness and personal exploration
5. Positive Supervisory Traits Competence
Fairness
Diligence
Caution
Recognition and respect for power differential
6. Supervisor as Professional Parent Socialization
Professional etiquette
Wisdom
Experience
7. Third Parties in Supervision Clients
Research participants
The agency
The graduate program
The payer
The licensing board
The subsequent employer
8. Significant Conflicts of Interest Self-paying for supervision
Supervising relatives
Sexual intimacies
Other multiple-role conflicts
9. Hazards of Supervision Vicarious liability
Supervision and personal psychotherapy
Oversight and teaching versus voyeuristic gratification
Vulnerabilities of trainees
Devalued, criticized, humiliated, ignored, exploited (sexual and otherwise)
10. Supervisory Feedback Timeliness
Thoughtful presentation
Adequacy
Strengths and weaknesses
Documentation
Oral/written
Acknowledgement of receipt by trainee
11. Points to Remember The person being evaluated is under considerable personal stress
Treat all with fairness and dignity
Allow due process and discussion
Clarify in advance
Outcome goals
Evaluation criteria
Time lines
Penalties/adverse consequences
12. What Do Trainees Want? Expertise
Trustworthiness
Assistance with personal growth
Teaching technical skills
Communication of expectations
Timely feedback
13. What Frustrates Trainees Sexist, authoritarian, or demeaning treatment
Ambiguity in responsibilities and roles
Lack of feedback
14. Contracting for Supervision When?
Where?
How often?
Who pays?
Who gets reports?
What is covered?
Back-up?
15. Issues in Group Supervision Helps with resource drain
Reduces individual attention
Inhibits some disclosures
Privilege alterations and reduced confidentiality
16. Risky Individuals Who are they?
Emotionally unstable or labile
Arrogant and narcissistic
Have critical/hostile personality style
Procrastinate
Display impulsivity
Best strategy: apply standard rules and procedures; avoid emotional response
17. EEOC: Sexual Harassment Unwelcome sexual advances
Requests for sexual favors or physical conduct of a sexual nature that forces submission as an explicit or implicit condition of employment or academic standing
Statements or conduct that create a hostile, intimidating, or offensive learning or work environment
18. Court Decisions on Abuse Behavior Unwelcome = abusive
Quid pro quo (implicit/explicit trading of favors for job benefit or preventing job detriment) = abusive
Hostile work environment =abusive
19. Nature of the Problem 25-90% of women victimized (Koen, 1989)
Mostly unreported (Rubin & Borgers, 1990)
Management tends to deny or minimize
It never happened (denial)
She misunderstood (minimized)
It wasnt intentional (minimized)
She came on to me (blaming)
Complex or difficult grievance process
20. Letters of Reference Never assume confidentiality.
Be honest and direct.
Focus on behavioral indicators and objective evidence, not opinion or innuendo.
When in doubt regarding the value of the letter, discuss it with the candidate.
Just say no.