OBJECTIVE: The author's goal was to discover strategies used by
psychotherapy supervisors judged to be excellent teachers. METHOD: In an
earlier study, experienced teachers of psychotherapy rated the level of
excellence of 34 different supervisors in 53 videotaped supervision
sessions. In this study, the authors examined the transcripts of the nine
videotapes assigned the highest ratings as well as three videotapes
assigned mid-level ratings and three videotapes assigned low ratings in the
previous study. In analyzing these transcripts, the authors drew from their
experience with the complete set of videotapes. RESULTS: Supervisors with
high ratings allowed the resident's story about the encounter with the
patient to develop. They consistently tracked the most immediate aspects of
the resident's affectively charged concerns. Most of their comments were
directed toward helping the resident further understand the patient and
were specific to the material presented in the session. The resident was
invited to speculate about the material, and technical words were used
sparsely. Discussions about the relationships between resident and patient
and between supervisor and resident were in the context of the resident's
concerns. Supervisors with mid-level ratings were less disciplined in
tracking the resident's concerns and inhibited the development of the
resident's story. Supervisors with low ratings paid little or no attention
to the resident's issues. CONCLUSIONS: The ability to track residents'
concerns is at the center of supervisory activities rated as excellent. The
resident provides data about what occurred, and new knowledge is
constructed in the supervisory interaction. These findings provide an
empirical basis for orienting supervisors to supervision.
Abstract Teaser