Supervisão Clínica, Outcomes Clínicos e Autoeficácia em Psicólogos Estagiários: Uma Revisão Sistemática

Inês Bessa-Silva, Diogo Lamela, Inês Jongenelen

Abstract


A investigação tem demonstrado que a supervisão clínica está associada aos outcomes clínicos nos clientes e autoeficácia terapêutica em psicólogos estagiários e terapeutas no inicio da profissão. O objetivo desta revisão sistemática foi sumariar os resultados-chave de estudos empíricos que testaram a associação entre qualidade da supervisão e outcomes clínicos nos clientes e/ou preditores de autoeficácia no estagiário e terapeutas inexperientes e seus moderadores. Foram triados estudos de uma base de dados (PsycInfo), publicados entre janeiro de 2007 e maio de 2016. Os títulos, resumos e as palavras-chave das citações geradas foram independentemente analisados por dois investigadores para selecionar consensualmente os artigos que cumpriram os critérios de inclusão. Dos 1081 artigos triados, 11 cumpriram os critérios de inclusão. Foram encontradas associações significativamente positivas entre a qualidade da supervisão clínica, outcomes clínicos no cliente e dimensões especificas da autoeficácia no estagiário e terapeutas inexperientes. Implicações para a supervisão clínica são discutidas.


Keywords


Supervisão clínica; outcome clínico; autoeficácia; estagiários; terapeutas inexperientes; qualidade da supervisão

References


American Psychological Association. (2014). Guidelines for Clinical Supervision in Health Service Psychology. Retrived from http://apa.org/about/policy/guidelinessupervision.pdf.

Bambling, M., King, R., Raue, P., Schweitzer, R., & Lambert, W. (2006). Clinical supervision: Its influence on client-rated working alliance and client symptom reduction in the brief treatment of major depression. Psychotherapy Research, 16(3), 317-331.

Bandura, A. (1982). Self-efficacy mechanism in human agency. American Psychologist, 37, 122-147.

Bandura, A. (1986). Social foundations of thought and action. Englewood Cliffs, NJ: Prentice-Hall.

Bandura, A. (1993). Perceived self-efficacy in cognitive development and functioning. Educational Psychology, 28, 108-119.

Beinart, H., & Clohessy, S. (2009). Supervision. In H.Beinart, P.Kennedy, & S. Llewelyn (Eds.), Clinical psychology in practice (pp. 319-335). Chichester: British Psychology Society/Blackwell.

Beinart, H. (2012). Models of supervision and the supervisory relationship. In I. Fleming, & L. Steen (Eds.), Supervision and clinical psychology: Theory, practice and perspectives (pp. 36-50). Hove: Brunner Routledge.

Bernard, J. M., & Goodyear, R. K. (2009). Fundamentals of clinical supervision (4th ed.). Boston, MA: Allyn and Bacon.

Britt, E., & Gleaves, D. H. (2011). Measurement and prediction of clinical psychology students’ satisfaction with clinical supervision. The Clinical Supervision, 30(2), 172-182.

Bordin, E. S. (1983). A working alliance based model of supervision. The Counseling Psychologist, 11(1), 35-42.

Cashwell, T. H., & Dooley, K. (2001). The impact of supervision on counselor self-efficacy. Clinical Supervisor, 20(1), 39-47.

Cheon, H. S., Blumer, M. L., Shih, A. T., Murphy, M. J., & Sato, M. (2009). The influence of supervisor and supervisee matching, role conflict, and supervisory relationship on supervisee satisfaction. Contemporary Family Therapy, 31(1), 52-67.

Cliffe, T., Beinart, H., & Cooper, M. (2014). Development and validation of a short version of the supervisory relationship questionnaire. Clinical psychology & psychotherapy, 23(1), 77-86.

Datu, J. A. D., & Mateo, N. J. (2016). Perceived autonomy support moderates the relations between counseling self-efficacy and flow among Filipino counselors. Current Psychology, 35(1), 69-76.

Efstation, J. F., Patton, M. J., & Kardash, M. (1990). Measuring the working alliance in counsellor supervision. Journal of Counseling Psychology, 37(3), 322-329.

Eikeseth, S., Hayward, D., Gale, C., Gitlesen, J. P., & Eldevik, S. (2009). Intensity of supervision and outcome for preschool aged children receiving early and intensive behavioral interventions: A preliminary study. Research in Autism Spectrum Disorders, 3(1), 67-73.

Fernando, D. M. (2013). Supervision by doctoral students: A study of supervisee satisfaction and self-efficacy, and comparison with faculty supervision outcomes. The Clinical Supervisor, 32(1), 1-14.

Figueiredo, A., Fernandes, S., Martins, C., & Ramalho, V. (2007). Supervisão: estilos, satisfação e sintomas depressivos em estagiários de psicologia. Psico-USF, 12(2), 239-248.

Fleming, I., & Steen, L. (2012). Supervision and clinical psychology: Theory, practice and perspectives. Hove: Brunner Routledge.

Freitas, G. J. (2002). The impact of psychotherapy supervisiono on client outcome: A critical examination of two decades of research. Psychotherapy: Theory, Research, Practice, Training, 39, 354-367.

Goodyear, R. K., & Bernard, J. M. (1998). Clinical supervision: Lessons from the literature. Counselor Education and Supervision, 38(1), 6-22.

Goreczny, A. J., Hamilton, D., Lubinski, L., & Pasquinelli, M. (2015). Exploration of Counselor Self-Efficacy Across Academic Training. The Clinical Supervisor, 34(1), 78-97.

Guest, P. D., & Beutler, L. E. (1988). Impact of psychotherapy supervisiono on therapist orientation and values. Journal of Consulting & Clinical Psychology, 56(5), 653-658.

Hansen, J. C., Robins, T. H., & Grimes, J. (1982). Review of research on practicum supervision. Counselor Education and Supervision, 22(1), 15-23.

Hill, C. E., Sullivan, C., Knox, S., & Schlosser, L. Z. (2007). Becoming psychotherapists: Experiences of novice trainees in a beginning graduate class. Psychotherapists: Theory, Research, Practice, Training, 44(4), 434.

Kilminster, S. M., & Jolly, B. C. (2000). Effective supervision in clinical practice settings: A literature review. Medical Education, 34(10), 827-840.

Holloway, E. L., & Wampold, B. E. (1984). Patterns of verbal behavior and judgment of satisfaction on the supervisor interview. Journal of Counseling Psychology, 30, 227-234.

Kissil, K., Davey, M., & Davey, A. (2013). Foreign-born therapists in the United States: Supervisors’ multicultural competence, supervision satisfaction, and counseling self-efficacy. The Clinical Supervisor, 32(2), 185-211.

Kissil, K., Davey, M., & Davey, A. (2015). Foreign-born therapists: How acculturation and supervisors’ multicultural competence are associated with clinical self-efficacy. Journal of Multicultural Counseling and Development, 43(1), 38-57.

Kozina, K., Grabovari, N., Stefano, J. D., & Drapeau, M. (2010). Measuring changes in counselor self-efficacy: Further validation and implications for training and supervision. The Clinical Supervisor, 29(2), 117-127.

Ladany, N., Ellis, M. V., & Friedlander, M. L. (1999). The supervisory working alliance, trainee self-efficacy and satisfaction. Journal of Counseling and Development, 77, 447-455.

Ladany, N., Lehrman-Waterman, D., Molinaro, M., & Wolgast, B. (1999). Psychotherapy supervisor ethical practice: Adherence to guidelines, the supervisory working alliance, and supervisee satisfaction. The Counseling Psychologist, 27, 443-475.

Ladany, N., Walker, J. A., Pate-Carolan, L., & Gray Evans, L. (2008). Experiencing counseling and psychotherapy: Insights from psychotherapy trainees, their clients, and their supervisors. New York: Taylor & Francis.

Lambert, M. J, & Ogles, B. M. (1997). The effectiveness of psychotherapy supervision. In C. Watkins (Ed.), Handbook of psychotherapy supervision (pp. 421-446). New York: John Wiley & Sons Inc.

Larson, L. M., Suzuki, L. A., Gillespie, K. N., Potenza, M. T., Bechtel, M. A., & Toulouse, A. L. (1992). Development and validation of the counseling self-estimate inventory. Journal of Counseling Psychology, 39, 105-120.

Larson, L. M., & Daniels, J. A. (1998). Review of the counseling self-efficacy literature. The Counseling Psychologist, 26, 179-218.

Leherman-Waterman, D., & Ladany, N. (2001). Development and validation of the evaluation process within supervision inventory. Journal of Counseling Psychology, 48(2), 168-177.

Lent, R. W., Hill, C. E., & Hoffman, M. A. (2003). Development and validation of the Counselor Activity Self-Efficacy Scales. Journal of Counseling Psychology, 50, 97-108.

Marmarosh, C. L., Nikityn, M., Moehringer, J., Ferraioli, L., Kahn, S., Cerkevich, A., Choi, J., & Reisch, E. (2013). Adult attachment, attachment to the supervisor, and the supervisory alliance: How they relate to novice therapists’ perceived counseling self-efficacy. Psychotherapy, 50(2), 178.

Mehr, K. E., Ladany, N., & Caskie, G. I. (2015). Factors influencing trainee willingness to disclose in supervision. Training and Education in Professional Psychology, 9(1), 44.

Milne, D., & James, I. (2000). A systematic review of effective cognitive-behavioural supervision. British Journal of Clinical Psychology, 39 (Pt 2), 111-127.

Milne, D. L., Pilkington, J., Gracie, J., & James, I. (2003). Transferring skills from supervision to therapy: A qualitative and quantitative N /1 analysis. Behavioural and Cognitive Psychotherapy, 31, 193-202.

Milne, D. (2007). An empirical definition of clinical supervision. British Journal Of Clinical Psychology, 46(4), 437-447.

Milne, D. (2009). Evidence-based clinical supervision. Chichester: BPS Blackwell.

O’Donovan, A., & Kavanagh, D. J. (2014). Measuring Competence in Supervisees and Supervisors. In C. Watkins and D. Milne (Eds.), The Wiley international handbook of clinical supervision (pp. 458-467). Oxford: John Wiley & Sons Ltd.

Palomo, M., Beinart, H., & Cooper, M. J. (2010). Development and validation of the Supervisory Relationship Questionnaire (SRQ) in UK trainee clinical psychologists. British Journal of Clinical Psychology, 49(2), 131-149.

Steinhelber, J., Patterson, V., Cliffe, K., & LeGoullon, M. (1984). An investigation of some relationships between psychotherapy supervision and patient change. Journal of Clinical Psychology, 40(3), 1346-1353.

Strozier, A. L., Kivlinghan, D. M., & Thoreson, R. W. (1993). Supervisor intentions, supervisee reactions and helpfulness: A case study of the processo f supervision. Profissional Psychology: Research and Practice, 24(1), 13-19.

Tracey, T. J., Bludworth, J., & Glidden-Tracey, C. E. (2012). Are there parallel processes in psychotherapy supervision? An empirical examination. Psychotherapy, 49(3), 330.

Tsong, Y., & Goodyear, R. K. (2014). Assessing supervision’s clinical and multicultural impacts: The supervision outcome scale´s psychometric properties. Training and Education in Professional Psychology, 8(3), 189.

Vallance, K. (2004). Exploring counsellor perceptions of the impacto f counselling supervisiono n clients. British Journal of Guidance and Counselling, 32(4), 559-574.

Watkins, C. E. (2011). Does psychotherapy supervision contribute to patient outcomes? Considering thirty years of research. The Clinical Supervisor, 30, 235-256.

Wheeler, S., & Richards, K. (2007). The impact of clinical supervisiono n counsellors and therapists, their practice and their clients. A systematic review of the literature. Counselling and Psychotherapy Research, 7(1), 54-65.




DOI: http://dx.doi.org/10.30849/rip/ijp.v51i3.351

Refbacks

  • There are currently no refbacks.


Copyright (c) 2018 Inês Bessa-Silva, Diogo Lamela, Inês Jongenelen

Creative Commons License
This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.