Supervisor Cultural Humility and Supervisee Nondisclosure: The Supervisory Working Alliance Matters.

Melissa M Ertl, Michael V Ellis, Lawrence P Peterson
Author Information
  1. Melissa M Ertl: Department of Psychiatry, HIV Center for Clinical and Behavioral Studies at Columbia University and New York State Psychiatric Institute, New York, NY, United States.
  2. Michael V Ellis: Department of Educational and Counseling Psychology, University at Albany-State University of New York, Albany, NY, United States.
  3. Lawrence P Peterson: Department of Educational and Counseling Psychology, University at Albany-State University of New York, Albany, NY, United States.

Abstract

Given that half or more of supervisees (therapist trainees) never have their clinical work monitored or observed, supervisees who withhold salient information in clinical supervision compromise supervisors' ability to monitor client welfare and promote supervisees' professional development. Attempting to further understand the factors explaining supervisee nondisclosure, we tested the supervisory working alliance as a mediator of the hypothesized inverse relations of cultural humility and collaborative supervision with supervisee nondisclosure (supervision-related and clinically-related nondisclosure) among a diverse sample of 214 supervisees in applied psychology and allied mental health programs. Results supported the hypotheses that (1) descriptively, supervision-related nondisclosure was more prominent than clinically-related nondisclosure, (2) cultural humility substantially inversely predicted supervisee nondisclosure, and (3) the supervisory working alliance fully mediated the inverse relations of cultural humility and collaborative supervision with supervisee nondisclosure. Understanding the mechanisms underlying supervisee nondisclosure have broad implications for clinicians and researchers alike.

Keywords

References

  1. J Couns Psychol. 2019 Jan;66(1):114-121 [PMID: 30070561]
  2. J Couns Psychol. 2010 Jan;57(1):1-10 [PMID: 21133556]
  3. Am Psychol. 2019 Jan;74(1):128-142 [PMID: 30652905]
  4. Adm Policy Ment Health. 2019 Jul;46(4):488-497 [PMID: 30810850]
  5. Am Psychol. 2013 Sep;68(6):455-66 [PMID: 24016116]
  6. Psychother Res. 2014;24(1):42-51 [PMID: 23883333]
  7. J Couns Psychol. 2017 Mar;64(2):192-205 [PMID: 27918171]
  8. J Couns Psychol. 2013 Jul;60(3):353-366 [PMID: 23647387]
  9. J Subst Abuse Treat. 2013 May-Jun;44(5):528-33 [PMID: 23312873]
  10. Behav Res Methods. 2009 May;41(2):486-98 [PMID: 19363189]
  11. J Marital Fam Ther. 2020 Jan;46(1):62-80 [PMID: 31106870]
  12. Br J Math Stat Psychol. 2014 Nov;67(3):496-513 [PMID: 25286229]

Grants

  1. T32 MH019139/NIMH NIH HHS

Word Cloud

Created with Highcharts 10.0.0nondisclosuresupervisionsuperviseeculturalhumilitysuperviseesclinicalsupervisoryworkingalliancecollaborativeinverserelationssupervision-relatedclinically-relatedSuperviseeGivenhalftherapisttraineesneverworkmonitoredobservedwithholdsalientinformationcompromisesupervisors'abilitymonitorclientwelfarepromotesupervisees'professionaldevelopmentAttemptingunderstandfactorsexplainingtestedmediatorhypothesizedamongdiversesample214appliedpsychologyalliedmentalhealthprogramsResultssupportedhypotheses1descriptivelyprominent2substantiallyinverselypredicted3fullymediatedUnderstandingmechanismsunderlyingbroadimplicationscliniciansresearchersalikeSupervisorCulturalHumilityNondisclosure:SupervisoryWorkingAllianceMatterssupervisor

Similar Articles

Cited By

No available data.