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Healthcare Training Institute - Quality Education since 1979CE for Psychologist, Social Worker, Counselor, & MFT!!

Section 12
Resistance in Supervisees
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In the last section, we proposed a five-step method of
resolving conflict: observation; thoughts; feedback; desires; and next time
In
this section, we will examine the various types of supervisees that are resistant
to improvement: the "Yeah, but" supervisee; the silent supervisee; the "I'll
try" supervisee; and the irrelevant supervisee.
4 Types of Supervisees that are Resistant to Improvement
♦ Type # 1 -
The "Yeah, but" Supervisee
I have found one of the most challenging supervisee
is known as the "yeah, but" supervisee. You may have encountered him or her in your
own work as a supervisor. These are the supervisees who give the answer, "yeah
but" to most pieces of advice you give to them.
You might say, "Cheryl,
you have to complete your client progress notes by the end of the week" and
Cheryl might say, "Yeah, but, it's just so difficult for me to grasp the key
points of what happened during the session." After we review a couple sessions,
Cheryl would state something like, "Yeah, but, it's just hard for me to find
the time to do them." As you can see, this type of supervisee can easily
turn a conversation into a never ending cycle of "yeah, buts."
♦ Solution for "Yeah, but" Supervisees, 2 Parts
Here's
a two part solution to your "yeah, but" supervisee.
Part 1: To address this problem,
acknowledge the problem that the supervisee faces and
Part 2: place the responsibility
of solving that conflict back onto the supervisee.
For example, you might say,
"You're right, Cheryl, that is a problem. When I first started out, it was
difficult for me to get the hang of writing progress notes as well. So how are
you planning to handle that situation so that you can meet your responsibility
of completing your work?"Should Cheryl respond with, "I have no idea",
you might consider saying, "Well, you need to think about that carefully."
As you can see, the key here with your "yeah, but" supervisee is placing the responsibility back on to the supervisee, you leave no opportunity open for a "yeah, but" to sneak
in. How? You ask for their solution. If they come back with a "yeah, but," you tell
them to think about it, it's their responsibility. Sound like this will work for
you and your "yeah-butter"? In summary, the key with your "yeah, but" supervisee is to
place responsibility back on them by asking them to think of a solution.
♦ Type # 2 -
The Silent Supervisee
The second type of difficult supervisee is the silent
supervisee. First of all, you have to divide your silent supervisee into one of
two different categories. Ask yousrself, is he or she silent because they are
timid? Or are they using intimidation?
Obviously, the silent
supervisee is one who either cannot or will not respond to questions regarding
their performance. Sometimes, more timid supervisees, when confronted with inadequacy,
might feel anxious about discussing their competency and understandably freeze.
This type of silent treatment can be easily rectified by asking gently after a
silence, "Are you feeling OK?" or, "Do you need a minute?"
This will let your supervisee know that you're not trying to be intimidating and
that you do care about his or her wellbeing.
On the other
hand, some supervisees fall into the second category and might use silence as
an intimidation tactic. The supervisee deliberately remains silent as a visible
act of defiance. I feel such passive-aggressive behavior must be addressed and,
if necessary, reprimanded, in order to facilitate a productive working relationship.
Marilyn, a supervisee, was not convinced of the importance of the family systems
model used by the out-patient facility. Marilyn continually needed to be coached
about the use of the genogram and continually had to be reminded to add a genogram
to her clients' records.
As you know, a genogram is a diagram used in family therapy
to depict family relationships extended over at least three generations. Here's
what would happen. Marylin continually needed to be reminded regarding simple
facts such as the diagram used circles to represent females and squares to represent
males with horizontal and vertical lines connecting accordingly. When her supervisor,
Carl addressed Marilyn about this problem, Marilyn refused to answer.
After several
questions regarding her behavior negligence in either completing a genogram or
completing it incorrectly without a response, Carl asked, "Is there a problem?
I need your agreement that you will remedy this behavior."
When Marilyn still
refused to answer, Carl said, "If you are refusing to discuss this situation
with me, it is a very serious matter." Finally, as a last resort, Carl asked
one more time, "Are you refusing to respond to my question?" After Marilyn
still refused to respond, Carl explained that within twenty-four hours, he was
going to have to note Marilyn's behavior in her upcoming supervisee assessment
and that any chance Marilyn had of remaining at the facility would probably be
slim.
He ended by saying, "I hope we can resolve whatever it is that is causing
you lack of response and I hear from you within twenty-four hours." So with
the silent passive-aggressive supervisee, a time limited ultimatum seems to be
an effective strategy. In summary with your silent type, if timid, provide support;
if passive-aggressive, end with an ultimatum.
♦ Type # 3 - The "I'll
Try" Supervisee
In addition to "yeah, but" and silent supervisees, the
third type of difficult supervisee is the "I'll try" supervisee. Know
the difference between "I'll try" and "I will." The "I'll
try" type of supervisee might enthusiastically agree to your request, however,
when the time comes to actually change, the same behavior is repeated. But "they
state that they tried!" Here's what I do when a supervisee who has not followed
through in the past replies "I'll try" to a request for action.
Technique to Address the "I'll
Try" Supervisee, 2 Steps
Step 1: I acknowledge his or her willingness but the important thing here is don't stop here.
Step 2: Follow-up with a question about their specific method of correction.
A good example is found
in Katie. Katie was an "I'll try" type of supervisee. However, her supervisor,
Mitchell, noticed that Katie promised she would try to be more positive during
her co-leading of a Twelve-Step meeting. However, her behavior seemed to not improve.
You might look into your "I'll Try-er's" rational. Katie confided with
Mitchell that her husband had an alcohol problem. However, she felt that her husband
was not an alcoholic. Since she was in denial about her husband's addiction, she
was extremely negative about some of the cornerstones of the twelve step philosophy.
Mitchell congratulated Katie on her self awareness but stated, "Therapists
need to put the clients well-being in the forefront beyond their own need to express
their feelings." During the meeting, she showed negative body language by
folding her arms across her chest, rolling her eyes, and verbalizing a "tsk"
sound of disapproval.
Therefore, when Mitchell told Katie that her body language
needed to be more open by unfolding her arms, Katie stated as she had several
times in the past with no change, "I'll try." Except this time, Mitchell
responded with, "That's great, Katie. I'm glad to hear that, and I'm sure
you will try. But what will you actually do to make sure that you'll be successful
in controlling your body language, facial expressions, and verbalizations during
the meeting?"
Katie thought for a moment and said, "I could lean forward
a little when a client is relating something that is obviously important to them.
Also, I could make more eye contact with them." The next session Katie had
with her group she visibly improved. As you can see, by directly asking them how,
you can be better assure that your "I'll try" supervisee will consider
the situation and a change of behavior more carefully. Thus in summary, the key
with your "I'll try" supervisee is to get specifics by asking "how"
♦ Type #4 -
The Irrelevant Supervisee
In addition to "yeah, but", silent, and "I'll
try" supervisees, the fourth and last type of difficult supervisee I have
found is the irrelevant supervisee. This type of supervisee will try to divert
attention away from their own performance and try and place the blame on an extraneous
person or situation. Strangely enough, I have found that the worst thing to do
when dealing with an irrelevant supervisee is to call their attention to this
behavior. Here's why. In the situations I have experienced, this almost always
leads to a non-productive disagreement.
♦ Technique: "Separately and First"
In your work as a supervisor, have you
ever gone through this cycle of confront, defend, confront, defend yourself? Have
you, also like I, found it unproductive? To move the process forward, I believe
the use of the phrases "Separately and First" are like magic and work
well. This technique involves dismissing their initial attempt to digress and
then redirecting the conversation back to its primary purpose.
Dan was a supervisee
who would divert the topic away from the conversation. Lawrence, his supervisor,
noticed this and employed the use of the phrases "Separately and First"
to cope with Dan's digressions. Here's how it worked. Dan stated, "Preparatory
reviewing? They never taught me that in school. They were too focused on assessments."
In response, Lawrence said, "As far as your college education goes, I'd like
to talk about that separately. However, first, I need for you to agree to begin
to take your own preliminary preparation more seriously."
The important words
here of course are "separately" and "first", hence. Avoid
using the word "later", because, if the topic truly is irrelevant, there
should really be no need to talk about it later. Also, be aware that you don't
dismiss their topic as unimportant or unconnected, as, again, this will only lead
to conflict.
In this section, we have examined various types
of supervisees that are resistant to improvement: the yeahbut supervisee; the
silent supervisee; the "I'll try" supervisee; and the irrelevant supervisee.
Also, we presented various techniques for overcoming difficult conversations with
these supervisees.
In the next section, we will present three
main ethical issues involved in the supervision of a therapist: proper knowledge
and skill; avoiding dual relationships; and fair and balanced assessment evaluations.
Reviewed 2023
Peer-Reviewed Journal Article References:
Amaro, C. M., Mitchell, T. B., Cordts, K. M. P., Borner, K. B., Frazer, A. L., Garcia, A. M., & Roberts, M. C. (2020). Clarifying supervision expectations: Construction of a clinical supervision contract as a didactic exercise for advanced graduate students. Training and Education in Professional Psychology, 14(3), 235–241.
Glickauf-Hughes, C. (1994). Characterological resistances in psychotherapy supervision. Psychotherapy: Theory, Research, Practice, Training, 31(1), 58–66.
Mann, S. T., & Merced, M. (2018). Preparing for entry-level practice in supervision. Professional Psychology: Research and Practice, 49(1), 98–106.
Mitchell, S. M., Taylor, N. J., Jahn, D. R., Roush, J. F., Brown, S. L., Ries, R., & Quinnett, P. (2020). Suicide-related training, self-efficacy, and mental health care providers’ reactions toward suicidal individuals. Crisis: The Journal of Crisis Intervention and Suicide Prevention. Advance online publication.
Tepper, B. J., Duffy, M. K., & Shaw, J. D. (2001). Personality moderators of the relationship between abusive supervision and subordinates' resistance. Journal of Applied Psychology, 86(5), 974–983.
QUESTION 12
What are the four types of supervisees that are resistant to improvement?To select and enter your answer go to .
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