Philippa Perry MAHPP UKCP

Supervisor

Philippa Perry - image    link back to main page

 

If you would like to consider me as a supervisor for you, please contact me by telephone 020 7713 0030 or email philippaperry@aol.com. We can then have a meeting to see whether we want to work together.  There would be no charge for that initial meeting.  My charges for supervision are £50.00 with concession of £40.00 for trainees.

 

First of all, here are some quotes that sum up the essence of what supervision is for me:

“Formative: is educational, developing skill, and understanding. Restorative: is the provision of a safe place for the professional to be restored, through expression of and a meeting of their needs. (Avoiding Burnout)Normative: The structural component, monitoring and evaluating work and normalising best practice.”  Proctor (Quoted in Hawkins and Shohut l989),  

“A quintessential interpersonal interaction with the general goal that one person, the supervisor, meets with another, the supervisee, in order to make the latter more effective in helping people.”  Hess (1990)

“Ultimately you cannot learn how to do psychotherapy by reading a book, working on a computer, watching a video or participating in a bureaucracy; you must learn it intimately from other people”. (Smith 1990, cited in Gestalt Review Vol. 4 2000)

“Supervision, the foundation of clinical development, is one of the most important and influential processes in the personal and professional growth of a clinician.  Every psychotherapist can benefit from supervision, not only in the early years, but also throughout his/her career”. Resnick & Estrup Gestalt Review, Vol. 4 2000 p. 121- 137).

 “Flying with the eagles eye was a concept I developed while contemplating the idea of supervision, as I drove along watching a buzzard high in the sky watching the movement below. This seemed to be a great metaphor for the role of the supervisor, providing a meta-perspective, super-vision.” Dave Spenceley

I believe the primary value of supervision comes from having a safe and supportive environment in which the supervisee can build on their own skills and insights as a practitioner, and in which the supervisee can reflect on any aspect of their profession and their client relationships.

In my view, the ultimate aim of supervision is to enable supervisees to safeguard and enhance the service they offer to clients, to safeguard and enhance the supervisee’s own well being while doing it and to provide reflective space and stimulus for professional growth and learning. 

In terms of subject matter, the primary focus of the supervision process is the supervisee and the therapeutic process unfolding between them and their clients. 

I believe for a supervisee to feel free enough to fully explore their feelings about their practice they experience a type of holding from the supervisor.  A feeling of being held comes from trusting that the supervisor is aiming to understand the situation from the supervisee’s perspective as well as from the ultimate client’s perspective and their own perspective. 

 

Gilbert & Evans - diagram

This meta systems prospective is illustrated by the above diagram in Gilbert and Evans’ book , Psychotherapy Supervision, ( 2000, p. 8).

Holding also comes from the contract between the Supervisor and Supervisee.  Broadly speaking, there are three types of contract.  Firstly, there is the formal arrangement between them encompassing, frequency, times, place, professional membership requirements, and code or codes of ethics.  Secondly there can be mutually agreed long term goals for the supervisee’s professional development and thirdly, the short-term goals for any particular piece of work that the Supervisor and Supervisee contract to undertake together.

Holding does not come from a supervisor having all the answers or the “right” solution to the supervisee’s dilemmas.  However, the supervisor can model resourcefulness, and can facilitate the supervisee’s exploration.  

As a relational supervisor, I aim to offer supervisees the same attunement, congruence, connected relating and a safe environment which characterize my psychotherapy practice.  Just as I want a client to find his/her real self and have the courage to fully realise that self, in my supervisory practice my wish is not to sculpt and shape the clinical practice of a supervisee according to my own preferences, but rather to foster an environment in which the supervisee can build, develop, and shape their practice for themselves. Although I may make my own preferences, beliefs, and experience available as a resource, they are not the driving force of a supervisee’s development. 

A tool that is useful when reflecting on and evaluating my supervisory work is Clarkson’s Supervision Brief check list.  When reviewing a piece of work with a supervisee she suggests looking specifically under six different headings:  

Contract – was it fulfilled?

Key Issues – were they identified?

Possibility of Harm to client – was it reduced?

Developmental direction of supervisee – was it increased?

Process – was it modeled by supervisor?

Relationship – was it equal?

I believe that ethical issues or concerns could be added to this list.  According to Page and Woskett in “Supervising the Counsellor” (1994), the key ethical issues are:

Fidelity… being faithful to promises made.
Justice
/equality… ensuring benefits are distributed fairly.
Beneficence - working for the benefit of others.
Non-
malfeasance - do no harm to others."

As well as working within the guide lines of an established Code of Ethics, e.g. B.A.C.P.

To sum up, on my Supervision Diploma course at Metanoia we did a brain storm session of what good supervision is and what it is not and this is what I chose from what our group and the course leader Paul Hitchings came up with:

Good Supervision is:

A formal arrangement

Boundaried

Protected time

Contractual and collaborative

Regular

Usually given by amore senior person (but could be equal consultative supervision)

Furthering of the development of the supervisee

Protection of recipients of services

Contained in a relationship conducive to learning

Sensitive to the needs of the supervisee

Attentive to feelings and thinking

Good modeling - congruent with the process and content with respect to the issue at hand

A balance of support and challenge

Encouraging the supervisee to self assess

Characterised by mutual respect for competence, differing values, non-exploitation and good modelling 

Constructive feedback which enables effective monitoring, maintaining and extending of levels of effectiveness

Learning through facilitated reflection

Contextualised within an ethical code

Relevant to other professional tasks e.g. research, programme development etc.

Time appropriately structured by Supervisor

Helping being practitioners to find their own way

Evaluating fairly and according to agreed criteria

Adapted to individual differences

Supported by training as supervisors

Having access to a variety of supervisory interventions

Giving feedback clearly, directly and constructively.

 

Good Supervision is not:

'Overseeing'

Therapy

Formal appraisal (except when supervision reports are required for students)

Primarily teaching

The feeding of set answers

Primarily managerial

Over or under structured

Insisting on one answer

Role locked

Poor negotiation

Seeing no reason to train as supervisors

Having a limited repertoire of supervisory interventions

Giving no feedback, vague feedback or punitive feedback

Seeing supervision as a low priority

Allowing interruptions/distractions during the supervisory time

Seeing supervision as only necessary for crises