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Excellent Supervision

The Residents' Perspective

Received September 13, 1999; revised August 8, 2000; accepted August 24, 2000. From the Department of Psychiatry, University of Texas Health Science Center at San Antonio, Texas. Address correspondence to Dr. Shanfield, Department of Psychiatry, The University of Texas Health Science Center at San Antonio, Mail Code 7792, 7703 Floyd Curl Drive, San Antonio, TX 78229-3900. E-mail: shanfield{at}uthscsa.edu

Former residents rated their videotaped psychotherapy supervision sessions on how helpful their supervisors were as teachers during the session. Residents' and experts' ratings of the same videotape were compared and found to have no significant correlation. However, male residents were less critical than either female residents or experts. Former residents were also interviewed. Supervisors were rated as excellent when they were accepting and also when they provided guidance about highly charged clinical dilemmas. Discussion of the impact of the residents' personal experiences on the clinical encounter was also rated high and is best understood from an adult developmental perspective. The findings reveal the lasting value of sympathetic supervisors acknowledging personal concerns and are likely mirrored in all clinical settings.

Key Words: Psychotherapy Training and Supervision • Gender • Perceptions of Supervisors by Residents