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EFFECTS OF THERAPIST FEAR OF NEGATIVE EVALUATION IN SUPERVISION AND SUPERVISORY FOCUS ON THERAPIST AND CLIENT ANXIETY AND ON A MEASURE OF THERAPY EFFECTIVENESS

This study explored the effects of therapist fear of negative evaluation in supervision (FNE-S) and supervisory focus on therapist and client anxiety states and client satisfaction. Thirty clinical psychology graduate student therapists were divided into high and low FNE-S groups, and half of each group was randomly assigned to one of two Ph.D. clinical psychologist supervisors. The procedure encompassed three therapy sessions and two intervening 30 minute individual supervision sessions, during which supervisors maintained the focus on either the therapist or their client. Dependent measures for therapists were the A-state anxiety scale, developed by Spielberger and his colleagues, and Walk's Fear Thermometer (FT). Client dependent measures included the FT, the Counseling Evaluation Inventory of Linden, Stone and Shertzer and the author developed Retrospective Outcome Measure (ROM), completed for a given session just before the subsequent session, thereby allowing more time to process the session. Anxiety measures were completed post and, using a method described by Howard, retrospective-pre. Supervisors also completed a therapist Evaluation Form and a Receptivity to Supervisory Input (RSI) scale, and therapists completed a Supervision Evaluation Questionnaire. / The results showed that compared to low FNE-S therapists, high FNE-S therapists were more anxious before supervision, were more receptive to therapist-focused supervision, and had clients who were more anxious before therapy and less satisfied with therapy. While main effects for focus were not found, several interactions, involving FNE-S and supervisors and affecting client anxiety, therapist receptivity and supervisors' evaluations of trainees, were seen. Other results provided validation for the RSI scale and showed that more receptive trainees were less anxious after supervision than less receptive trainees. / Overall, results suggest that identifying high FNE-S therapists and low RSI therapists may be useful in research and training settings. They also clearly point out that supervisor-therapist interactions are highly complex and dependent on numerous factors. Hence generalization is risky and group studies on supervision may not always be appropriate. / Source: Dissertation Abstracts International, Volume: 44-07, Section: B, page: 2236. / Thesis (Ph.D.)--The Florida State University, 1983.

Identiferoai:union.ndltd.org:fsu.edu/oai:fsu.digital.flvc.org:fsu_75159
ContributorsBRALA, PAUL MICHAEL., Florida State University
Source SetsFlorida State University
Detected LanguageEnglish
TypeText
Format127 p.
RightsOn campus use only.
RelationDissertation Abstracts International

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