This study aimed to explore the experiences of supervisees who completed a metacommunication intervention in supervision.
Forty-eight supervisees completed the supervisory intervention and gave post-intervention written feedback. Their responses were thematically analysed.
Overall, supervisees responded positively to the intervention, with high willingness to engage in metacommunication again in supervision. Thematic analysis of the reflective written responses completed post-intervention revealed a rich array of supervisee experiences of the metacommunication exercise. Supervisees spoke of anticipated/intended impacts on supervision and their therapy practice, including: greater depth of reflection, attending to parallel process, discussion of roles, increased closeness, improved openness, and increased confidence in metacommunication. In regard to challenges associated with the supervisory intervention, participants reflected on difficulties with timing, experiences of discomfort and concerns about potential negative reactions from the supervisor, and consideration of power dynamics in supervision.
This study shows promising preliminary results of the acceptability and perceived impacts of an experiential intervention involving the use of metacommunication in supervision.
CONFLICT OF INTEREST
- 2014). Achieving saturation in thematic analysis: Development and refinement of a codebook. Comprehensive Psychology, 3, 1–7. https://doi.org/10.2466/03.CP.3.4
- 2006). Using thematic analysis in psychology. Qualitative Research in Psychology, 3, 77–101. https://doi.org/10.1191/1478088706qp063oa
- 2016). Dialogical reflexivity in supervision: An experiential learning process for enhancing reflective and relational competencies. The Clinical Supervisor, 35, 1–21. https://doi.org/10.1080/07325223.2015.1135840
- Improvements in psychologists' metacommunication self-efficacy, willingness and skill following online training and a supervision exercise. Journal of Clinical Psychology.
- 2018). Supervisee perceptions of the use of metacommunication in the supervisory relationship. Psychotherapy Research. Advanced online publication. https://doi.org/10.1080/10503307.2018.1524169
- 1960). A coefficient of agreement for nominal scales. Educational and Psychological Measurement, 20, 37–46. https://doi.org/10.1177/001316446002000104
- 2006). How many interviews are enough? An experiment with data saturation and variability. Field Methods, 18, 59–82. https://doi.org/10.1177/1525822X05279903
- 2004). Immediacy. In C. Hill (Ed.), Helping skills: Facilitating exploration, insight, and action ( 2nd ed., pp. 283–297). Washington, DC: American Psychological Association.
- 2014). To be or not to be immediate with clients: The use and perceived effects of immediacy in psychodynamic/interpersonal psychotherapy. Psychotherapy Research, 24, 299–315. https://doi.org/10.1080/10503307.2013.812262
- 2018). The use of immediacy in supervisory relationships. In O. Tishby & H. Wiseman (Eds.), Developing the therapeutic relationship: Integrating case studies, research, and practice. Washington, DC: American Psychological Association.
- 2009). Processing the therapeutic relationship. Psychotherapy Research, 19, 13–29. https://doi.org/10.1080/10503300802621206
- 2008). Therapist immediacy in brief psychotherapy. Case study II. Psychotherapy: Theory, Research, Practice, Training, 45, 298–315. https://doi.org/10.1037/a0013306
- 2016). Reflective dialogue in clinical supervision: A pilot study involving collaborative review of supervision videos. Psychotherapy Research, 26, 263–278. https://doi.org/10.1080/10503307.2014.996795
- 2011). Effects of transference work in the context of therapeutic alliance and quality of object relations. Journal of Consulting & Clinical Psychology, 79, 697–706. https://doi.org/10.1037/a0024863
- 2008). A competency-based approach to supervision. In C. A. Falender & E. P. Shafranske (Eds.), Casebook for clinical supervision: A competency- based approach (pp. 39–56). Washington, DC: American Psychological Association.
- 1988). Therapeutic metacommunication: Therapist impact disclosure as feedback in psychotherapy. Palo Alto, CA: Consulting Psychologists Press.
- 1996). Contemporary interpersonal theory and research: Personality, psychopathology, and psychotherapy. New York, NY: Wiley.
- 2011). Exploring in-session focus on patient-therapist relationship: Patient characteristics, process and outcome. Clinical Psychology and Psychotherapy, 19, 187–202. https://doi.org/10.1002/cpp.743
- 1977). The measurement of observer agreement for categorical data. Biometrics, 33, 159–174. https://doi.org/10.2307/2529310
- 2017). Agreement and discrepancy between supervisor and clinician alliance: Associations with clinicians' perceptions of psychological climate and emotional exhaustion. Administration and Policy in Mental Health and Mental Health Services Research, 45, 505–517. https://doi.org/10.1007/s10488-017-0841-y
- 2012). Therapeutic immediacy across long-term psychodynamic psychotherapy: An evidence-based case study. Journal of Counseling Psychology, 59, 27–40. https://doi.org/10.1037/a0026087
- 2011). Interpersonal process in therapy: An integrative approach. Belmont, CA: Brooks/Cole.