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CBT Supervision: From Reflexivity to Specialization

Published online by Cambridge University Press:  01 November 2008

Derek Milne
Derek Milne*
Affiliation:
University of Newcastle upon Tyne, UK
*
Reprint requests to Derek Milne, Doctorate in Clinical Psychology, 4th Floor, Ridley Building, Newcastle University, Newcastle Upon Tyne NE1 7RU, UK. E-mail: d.l.milne@newcastle.ac.uk
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Abstract

Cognitive-behavioural therapy (CBT) supervision has traditionally been presented as an extension of the therapy, a reflexive strategy that includes a commendable commitment to a principled approach. However, a critical review suggests that this strategy has not been implemented with fidelity. Furthermore, this strategy overlooks potentially valuable ideas from the wider field of clinical supervision, runs counter to CBT's empirical roots, and under-values supervision as a discrete professional specialization. For these reasons, it is argued that new developments should be grafted onto the current approach. In future, this augmented version of CBT supervision should be subjected to the same kinds of research and development (R&D) activity as CBT. Initially, this could include developing a manual to specify and operationalize this innovative approach, evaluation of manual-based training, and N = 1 research to assess its effectiveness. Examples of preliminary work are provided, and future R&D directions identified.

Keywords

Evidence-based clinical supervisionimproving CBT supervision
Type
Process Issues
Information
Behavioural and Cognitive Psychotherapy , Volume 36 , Issue 6: Developments in the Theory and Practice of Cognitive and Behavioural Therapies , November 2008 , pp. 779 - 786
Copyright
Copyright © British Association for Behavioural and Cognitive Psychotherapies 2008

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