预持医师临床监督中故意不披露的发生率

Ryan M. Cook, Laura E. Welfare, Connie T. Jones
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引用次数: 4

摘要

本研究调查了研究生、预持执照的辅导员在申请执照时接受监督的故意不披露的发生率,这在以前没有被调查过。通过对107名预持咨询师的调查,我们发现95.3%的人对他们的主管隐瞒了一定程度的信息,53.3%的人对他们的主管完全隐瞒了他们的担忧。参与者完全隐瞒与主管有关的事件(例如,对主管的负面反应,质疑主管的能力)比他们隐瞒与客户有关的事件(例如,临床错误,个人问题)的频率更高。我们为预先获得执照的咨询师、主管、咨询师教育者和咨询师资格认证机构提供策略,以减少故意隐瞒。这些策略包括创造协作环境、制定监管合同和关注监管中的权力差异。
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Incidence of Intentional Nondisclosure in Clinical Supervision by Prelicensed Counselors
This study examined the incidence of intentional nondisclosure by postgraduate, prelicensed counselors receiving supervision as they pursue licensure, which has not been previously examined. Examining the responses of 107 prelicensed counselors, we found that 95.3% reported withholding some degree of information from their supervisors, and 53.3% completely withheld a concern from their supervisors. Participants completely withheld supervision-related incidents (e.g., negative reactions to supervisor, questioning supervisor’s competency) more frequently than they withheld client-related incidents (e.g., clinical mistakes, personal issues). We offer strategies for prelicensed counselors, supervisors, counselor educators, and counselor credentialing bodies to reduce intentional nondisclosure. These strategies include creating a collaborative environment, developing supervision contracts, and attending to power differentials in supervision.
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