Managing supervisory drift in cognitive behavioral therapy: A narrative review with case vignettes.

Neuro endocrinology letters Pub Date : 2024-11-28
Jan Prasko, Jakub Vanek, Ilona Krone, Marija Abeltina, Julija Gecaite-Stonciene, Marie Ociskova, Tomas Sollar, Milos Slepecky, Alicja Juskiene, Erika Jurisova
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Abstract

Drift is a phenomenon that can occur in cognitive-behavioral supervision, where core components of supervision are omitted, avoided, or deprioritized. This narrative review explores the signs, reasons, and impact of supervisory drift at the experiential, cognitive, and emotional levels for both the supervisor and the supervisee. Additionally, the article presents potential solutions for preventing and addressing supervisory drift, such as staying on track, anticipating problems before they arise, adapting supervision to the supervisee's needs, using active supervision methods to understand drift better, engaging in Supervision of Supervision (SoS), and using alliance measures. Through the use of case vignettes, we illustrate the potential solutions. We aim to provide a comprehensive understanding of supervisory drift and offer practical strategies for its prevention and management.

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管理认知行为疗法中的监督偏差:通过案例小故事进行叙事回顾。
漂移是认知行为督导中可能出现的一种现象,在这种现象中,督导的核心内容被省略、回避或置于次要地位。这篇叙述性综述从督导者和被督导者的经验、认知和情感层面探讨了督导漂移的迹象、原因和影响。此外,文章还提出了预防和解决督导漂移问题的潜在解决方案,如保持正确方向、在问题出现之前进行预测、根据被督导者的需求调整督导方式、使用积极督导方法以更好地了解漂移情况、参与督导的督导(SoS)以及使用联盟措施。通过使用案例小故事,我们说明了潜在的解决方案。我们旨在提供对督导漂移的全面理解,并提供预防和管理漂移的实用策略。
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