|Sponsored by the HealthcareTrainingInstitute.org providing Quality Education since 1979|
Supervision: Enhancing Supervisees Clinical Skills
In Pursuit of Evidence-Based Clinical Training
Adopting an evidence-based foundation for clinical training will require more than just identifying and adopting research results. Counselor educators will need to raise the value of "knowledge" based on scientific method to a primary position within the profession (Heppner et al., 1999). We will need to create a climate that values knowledge developed from clinical research in training and clinical decision making. According to Heppner et al. (1999), that will require us to foster the "scientific thinking" of counseling students, targeting their epistemological paradigm so that knowledge based on science and the systematic thinking processes characteristic of the scientific method become an integral part of the way they approach counseling. In an interesting way, this is a notion that is not unfamiliar to counselor educators. We have historically attempted to help students become "humanistic" thinkers, "behavioral" thinkers, or "systemic" thinkers. To promote "scientific thinking" is a move toward valuing knowledge based on systematic investigation with common methods, and systematic data gathered over time in unbiased ways. Thus, we will need to realize that it may be just as important to think systematically in the research process as it is to have final knowledge, which is the most helpful component of integrating research into practice.
Scientific thinking may have an additional benefit for clinical training. One of the characteristics of a "scientific thinker" is the ability to discover new ideas, systematically test those ideas, and integrate new knowledge into new explanations of phenomena. Thought of in this way, scientific thinking is a valuable component in helping counselors process information about specific clients in complex ways. According to Whiston and Coker, cognitively complex counselors are more effective counselors. There is also a self-corrective element in scientific clinical thinking in that counselors will have a natural inclination to evaluate the outcomes of their work. Those outcomes, whether they are positive or negative, can feed back into practice so that the next client benefits from the one who came before. In fact, Hoshmand and Martin (1995) argue that, with effort and time devoted to therapeutic research training, more innovative and creative counseling methods are very likely to develop.
Adopting an evidence-based approach will not eliminate the ambiguity in clinical training. There are well-documented problems with the research literature (Sexton et al., 1997). For example, adopting only a logical, positivist definition of science based exclusively on traditional quantitative inquiry methods will limit rather than enhance our understanding of human systems (Hoshmand & Martin, 1995). An evidence-based model will need to operationally define science to mean a systematic way of gathering and evaluating information based on diverse methods relevant to the topic (Sexton, 1996).
I would argue that these gaps and deficiencies in the evidence-based knowledge base are normal, to be expected, and therefore a natural state of affairs rather than a reason to avoid research. An evidence-based approach to clinical training does not require a knowledge base that is complete. In fact, given the complexities of human and social interaction we will never fully understand all the variables, mediators, and processes involved in clinical change. If, however, we adopt a pragmatic approach, thinking of research as a probabilistic problem-solving activity that can, along with solid theoretical knowledge and clinical experience, guide practice, we will have an open system in which new knowledge is constantly integrated in training and practice (Sexton et al., 1997).
Reflection Exercise #3
Online Continuing Education QUESTION 10
Others who bought this Supervision Course
Booklet for this course | Supervision
Forward to Section 11
Back to Section 9
Table of Contents
This article includes a review of 100 peer‐reviewed journal articles regarding counselor education and supervision published in 2017. Areas reviewed include supervision, understanding stakeholders, teaching and training, and professional issues. Publications featured a blend of research methodologies, attention to complexity in supervision and teaching, and incorporation of student experiences.
Among a sample of counseling students, results from hierarchical regression and mediation analyses indicated that attachment anxiety led to an increase in use of cognitive distortions, contributing to increased difficulty with corrective feedback during clinical supervision. Findings implicate a need for awareness of attachment patterns among trainees and the possible utility of cognitively focused supervisory interventions.
Thirty‐two master’s students of color reported critical incidents of multicultural learning resistances. Qualitative findings suggest that students attributed resistances to limited program diversity and attention to cultural dynamics. Quantitative analyses indicate a racial difference in how students’ perceptions of peers influenced resistances. Recommendations include increasing educator cultural dialogue facilitation skills.
The authors conducted a qualitative content analysis on the consistency, rigor, and methodological identity of 83 phenomenological (n = 44), grounded theory (n = 25), and consensual qualitative research (n = 14) articles published between 2002 and 2016. The results indicate a distinct pattern of qualitative research practices in professional counseling.
CEU Continuing Education for
Psychology CEUs, Counselor CEUs, Social Worker CEUs, MFT CEUs