Explore the 5 Main Influences in Clinical Supervision  Philosophical foundation  Descriptive dimensions  The supervisor’s stage of development  The supervisee’s stage of development  Contextual factors including personal characteristics and setting/environment Listen to the presentation for FREE on the Counselor Toolbox podcast or watch the video on our youtube channel https://youtube.com/allceuseducation. Sign up for Counseling CEU webinars at https://www.allceus.com/live-interactive-webinars/

1. 5 Main Influences in
Clinical Supervision
Instructor: Dr. Dawn-Elise Snipes, PhD
Executive Director: AllCEUs.com, Counselor Education and Training
Podcast Host: Counselor Toolbox & Happiness Isn’t Brain Surgery
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2. Objectives
 Explore the 5 Main Influences in Clinical
Supervision
 Philosophical foundation
 Descriptive dimensions
 The supervisor’s stage of development
 The supervisee’s stage of development
 Contextual factors including personal characteristics
and setting/environment
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3. Answer The Following Questions
 How do I believe change occurs?
 What are the crucial variables in training and
supervision?
 How do I measure success in supervision?
 How do I contribute to that success?
 What learning objectives do I have for
supervision?
 What techniques will I apply to measure/ensure
learning objectives are met?
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4. 4 Factors That Affect Change
 Extra therapeutic factors which are all factors
related to client (supervisee) and not the actions of
the therapist (supervisor)
 Relationship factors, the single most significant issue
in the therapy outcome, including caring, empathy,
warmth, acceptance, mutual affirmation, and
encouragement of risk taking
 Placebo factors, such as hope and expectancy
 Technique factors, account for only 15% of
therapeutic change
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5. Supervision Layers
 Supervision will be impacted by 5 main
influences:
 Philosophical foundation
 Descriptive dimensions
 The supervisor’s stage of development
 The supervisee’s stage of development
 Contextual factors including personal characteristics
and setting/environment
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6. The Philosophical Layer
 Basic beliefs about how we know what we know,
what motivates people and how people change
 How do you know what you know?
 Where does mental illness come from?
 What do you believe motivates people?
 How does change occur?
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7. Descriptive Layer: 10 Dimensions
 Influential
 Symbolic
 Structural
 Replicative
 Counselor in treatment
 Information gathering
 Jurisdictional
 Relationship
 Strategy
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8. Descriptive Layer cont…Influential
 Determines whether the client and supervisee are
influenced at an affective or cognitive level
 What does this mean? (Thinking vs. Feeling)
 What does it look like/sound like if they are being
influenced at an affective level? Cognitive?
 Are you typically influenced at an affective or cognitive
level?
 How do you keep supervisees motivated who are
influenced at an affective level? Cognitive?
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9. Descriptive Layer cont…Symbolic
 Deals with whether latent or manifest content is
addressed in counseling and supervision
 What do you typically focus on—the seen or the unseen
When Sue gets frustrated with a client it manifests in
lack of attention and irritability.
 Do you help Sue learn to deal with her frustration and
identify it as possibly a projection?
 Do you teach Sue that she will get frustrated, but she has
to learn to control how it manifests
 Do you do something else?
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10. Descriptive Layer cont…Structural
 Describes whether therapy and supervision are
spontaneous or planned
 Discuss the benefits and drawbacks of daily, brief
supervision
 Discuss the benefits and drawbacks of weekly hour-long
supervision
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11. Descriptive Layer cont…Replicative
 Refers to the extent to which the supervisor sees
observed interactions as representations of
isomorphic processes
 What the client does in counseling, she does in “real
life”
 What the supervisee does in supervision represents
what she does in session and in real life
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12. Descriptive Layer cont…Counselor in Treatment
 Has to do with whether training and personal
therapy are viewed as related or unrelated
activities
 What is the purpose of therapy?
 What is the purpose of training?
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13. Descriptive Layer cont…Information Gathering
 Contrasts indirect methods of obtaining information
with direct observation of therapy sessions
 Indirect
 Process notes
 Supervisee reports
 Client interviews
 Direct
 Live observation
 Co-Facilitation
 Video observation
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14. Descriptive Layer cont…Jurisdictional
 Concerns who is responsible for client care
 Supervisor
 Supervisee
 Client
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15. Descriptive Layer cont…Relationship
 Determines whether the counselor or supervisor
functions at the facilitative or hierarchical role
with respect to the client or supervisee
 How do facilitative and hierarchical differ?
 Discuss the benefits of facilitative
 Discuss the benefits of heirarchical
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16. Descriptive Layer cont…Strategy
 Highlights the teaching of theory versus technique
in supervision
 Theory teaches when and why
 Technique teaches how
 How much theory do you teach?
 How much technique do you teach?
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17. The Stage of Development Layer
 Includes the development (Child, Adolescent,
Adult) of
 The supervisee
 The supervisor not only as a clinician, but also as a
supervisor
 We will discuss this next session
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18. The Contextual Factors Layer
 5 Categories
 Training: How and where training occurs
 Out of client and supervision sessions (homework, case
preparation)
 In client sessions– Learning what works and how to present it
 In supervision sessions
 Modeling/experiential
 Direct instruction
 Role playing
 Philosophy:
 Of counseling
 Of recovery/mental health
 Of training
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19. The Contextual Factors Layer
 5 Categories
 Demographic characteristics of supervisor, supervisee and
clients
 Ethnicity
 SES
 Age
 Gender
 Setting
 Rural/Urban
 Clinic/home
 School
 Clinical issues
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20. Summary
 5 main influences on supervision
 Philosophical foundation
 Basic beliefs about how we know what we know, what motivates
people and how people change
 Descriptive dimensions
 How you describe the therapeutic/supervisory process
 Influential– What influences change/behavior
 Symbolic- Latent or manifest content
 Structural- Spontaneous or planned
 Replicative – is therapy/supervision a replication of “outside” life
 Counselor in treatment- Are supervision and therapy related
 Information gathering- Direct or indirect
 Jurisdictional-Who is responsible for client care (client, counselor,
supervisor)
 Relationship- facilitative or heirarchical
 Strategy—Theory (why) or technique (how)
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21. Summary
 5 main influences on supervision
 The supervisor’s stage of development
 The supervisee’s stage of development
 Contextual factors including
Personal characteristics
Setting/environment
AllCEUs Unlimited CEUs $59 | Addiction Counselor Certificate Training $149 | Specialty Certificates $89 21