Article |

Supervision of the Psychotherapeutic Process

Edward K. Silberman, MD; Maj Dominic Mazza, MC, USAF
Arch Gen Psychiatry. 1985;42(7):739-740. doi:10.1001/archpsyc.1985.01790300107019.
Text Size: A A A
Published online

To the Editor.—  In a recent article, Chevron and Rounsaville1 demonstrated the high rate of nonconcordance between different methods of evaluating psycotherapists' skills. The authors were surprised to find that traditional methods of supervision (therapists presenting process notes to supervisors) predicted therapeutic outcome better than assessment of videotaped therapy sessions.The authors offered the hypothesis that in traditional supervisory sessions, patient behaviors and progress, rather than therapist interventions, are focused on, and consequently this method, although a better predictor of therapeutic outcome, is a less accurate assessment of clinician therapeutic expertise. They suggested that patient variables, ie, "motivation and aptitude for psychotherapy," were not controlled for and may have been the determining factors in treatment outcome, although no data were presented to support this hypothesis.There are other possible explanations of the finding that the traditional method of supervision is the best predictor of therapeutic outcome. A very disconcerting


Sign In to Access Full Content

Don't have Access?

Register and get free email Table of Contents alerts, saved searches, PowerPoint downloads, CME quizzes, and more

Subscribe for full-text access to content from 1998 forward and a host of useful features

Activate your current subscription (AMA members and current subscribers)

Purchase Online Access to this article for 24 hours

First Page Preview

View Large
First page PDF preview





Meets CME requirements for:
Browse CME for all U.S. States
Accreditation Information
The American Medical Association is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. The AMA designates this journal-based CME activity for a maximum of 1 AMA PRA Category 1 CreditTM per course. Physicians should claim only the credit commensurate with the extent of their participation in the activity. Physicians who complete the CME course and score at least 80% correct on the quiz are eligible for AMA PRA Category 1 CreditTM.
Note: You must get at least of the answers correct to pass this quiz.
You have not filled in all the answers to complete this quiz
The following questions were not answered:
Sorry, you have unsuccessfully completed this CME quiz with a score of
The following questions were not answered correctly:
Commitment to Change (optional):
Indicate what change(s) you will implement in your practice, if any, based on this CME course.
Your quiz results:
The filled radio buttons indicate your responses. The preferred responses are highlighted
For CME Course: A Proposed Model for Initial Assessment and Management of Acute Heart Failure Syndromes
Indicate what changes(s) you will implement in your practice, if any, based on this CME course.
Citing articles are presented as examples only. In non-demo SCM6 implementation, integration with CrossRef’s "Cited By" API will populate this tab (http://www.crossref.org/citedby.html).
Submit a Comment


Some tools below are only available to our subscribers or users with an online account.

Sign In to Access Full Content

Related Content

Customize your page view by dragging & repositioning the boxes below.