Perspectives on supervision in cognitive therapy

Abstract

Supervision is often a neglected clinical area. Frequently, supervisors view supervision as an epiphenomenon of clinical work rather than a central feature. This article emphasizes the importance of supervision in cognitive therapy. Teaching novice professionals to skillfully apply cognitive conceptualizations and interventions is a challenging and difficult task. It is argued that fostering a learning alliance in supervision forms the basis for acquisition of pivotal cognitive therapy competencies. Various impediments to productive learning alliances are discussed and ways to obviate these obstacles are suggested. Further, issues related to technical interventions, relationship processes, and case conceptualizations are discussed. Finally, ways to augment trainees' skills in these fundamental areas are delineated.