A single-case research design was conducted to evaluate a reality therapy driven model of clinical supervision as an effective modality for increasing supervisee report of counseling skill use and counseling self-efficacy. Three white, female participant supervisees from the United States received reality therapy driven site supervision during part of a nine-week clinical field experience. The findings indicated that for two of the three participants, self-report of skills and self-efficacy significantly increased during the reality therapy driven supervision phase, while accounting for the supervisees’ predicted growth trend. The third participant did not have a significant change in self-report of skills or self-efficacy; however, all three participants evaluated the reality therapy driven supervision process positively, stating that the model promoted self-evaluation and accountability. The results indicate that reality therapy driven supervision may be an effective model for some supervisees. Discussion includes implications for supervision practice and future research.
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Appel, P. B. (1985). Using reality therapy in counselor supervision. Journal of Reality Therapy, 4(2), 16–22.
Bambling, M., & King, R. (2014). Supervisor social skill and supervision outcome. Counselling and Psychotherapy Research, 14, 256–262. https://doi.org/10.1080/14733145.2013.835849.
Barnett, J. E., Erickson Cornish, J. A., Goodyear, R. K., & Lichtenberg, J. W. (2007). Commentaries on the ethical and effective practice of clinical supervision. Professional Psychology: Research and Practice, 38(3), 268–275. https://doi.org/10.1037/0735-7028.38.3.268.
Bernard, J. M. (1979). Supervisor training: A discrimination model. Counselor Education and Supervision, 19, 60–68. https://doi.org/10.1002/j.1556-6978.1979.tb00906.x.
Bernard, J. M., & Goodyear, R. K. (2014). Fundamentals of clinical supervision (5th ed.). Boston: Pearson.
Bernard, J. M., & Luke, M. (2015). A content analysis of 10 years of clinical supervision articles in counseling. Counselor Education & Supervision, 54, 242–257. https://doi.org/10.1002/ceas.12024.
Cashwell, T. H., & Dooley, K. (2001). The impact of supervision on counselor self-efficacy. The Clinical Supervisor, 20, 39–47. https://doi.org/10.1300/J001v20n01_03.
Corey, G., Haynes, R., Moulton, P., & Muratori, M. (2021). Clinical supervision in the helping professions: A practical guide (3rd ed.). American Counseling Association.
Duncan, B., & Miller, S. (2000). The client’s theory of change: consulting the client in the integrative process. Journal of Psychotherapy Integration, 10, 169–187. https://doi.org/10.1023/A:1009448200244.
Eriksen, K., & McAuliffe, G. (2003). A measure of counselor competency. Counselor Education and Supervision, 43, 120–133. https://doi.org/10.1002/j.1556-6978.2003.tb01836.x.
Fall, M., & Sutton, Jr., J. M. (2004) Clinical supervision: A handbook for practitioners. Pearson.
Gast, D.L., & Spriggs, A. D. (2014). Visual analysis of graphic data. In D.L. Gast & J.R. Ledford (eds.). Single case research methodology: Applications in special education and behavioral sciences (pp. 176–210). Routledge.
Gast, D.L., Lloyd, B.P., & Ledford, J.R. (2014). Multiple baseline and multiple probe designs. In D.L. Gast & J.R. Ledford (eds.). Single case research methodology: Applications in special education and behavioral sciences (pp. 251–296). Routledge.
Glasser, W. (2000). Reality therapy in action. New York: Harper Collins.
Goodyear, R. K., & Bernard, J. M. (1998). Clinical supervision: lessons from the literature. Counselor Education and Supervision, 38, 6–22. https://doi.org/10.1002/j.1556-6978.1998.tb00553.x.
Heppner, P. P., & Roehlke, H. J. (1984). Differences among supervisees at different levels of training: implications for a developmental model of supervision. Journal of Counseling Psychology, 31, 76–90. https://doi.org/10.1037//0022-0126.96.36.199.
Holahan, W., & Galassi, J. P. (1986). Toward accountability in supervision: a single-case illustration. Counselor Education and Supervision, 25, 166–174. https://doi.org/10.1002/j.1556-6978.1986.tb00664.x.
Kazdin, A. E. (2011). Single-case research designs: Methods for clinical and applied settings (2nd ed.). New York: Oxford University Press.
Kilminster, S. M., & Jolly, B. C. (2000). Effective supervision in clinical practice settings: a literature review. Medical Education, 34, 827–840. https://doi.org/10.1046/j.1365-2923.2000.00758.x.
Kottler, J. A., & Balkin, R. S. (2017). Relationships in counseling and the counselor's life. American Counseling Association.
Kottler, J. A. (2018). The secrets of exceptional counselors. American Counseling Association.
Lenz, A. S. (2013). Calculating effect size in single-case research: a comparison of nonoverlap methods. Measurement and Evaluation in Counseling and Development, 46, 64–73. https://doi.org/10.1177/0748175612456401.
Lenz, A. S. (2015). Using single-case research designs to demonstrate evidence for counseling practices. Journal of Counseling & Development, 93, 387–393. https://doi.org/10.1002/jcad.12036.
Melchert, T. P., Hays, V. L., Wiljanen, L. M., & Kolocek, A. K. (1996). Testing models of counselor development with a measure of counseling self-efficacy. Journal of Counseling & Development, 74, 640–644. https://doi.org/10.1002/j.1556-6676.1996.tb02304.x.
Milne, D. L., & Westerman, C. (2001). Evidence-based clinical supervision: rationale and illustration. Clinical Psychology & Psychotherapy, 8, 444–457. https://doi.org/10.1002/cpp.297.
Milne, D., Reiser, R., Cliffe, T., & Raine, R. (2011). SAGE: preliminary evaluation of an instrument for observing competence in CBT supervision. The Cognitive Behaviour Therapist, 4(4), 123–138. https://doi.org/10.1017/S1754470X11000079.
Morris, S., & Morris, J. (2003). Leadership simple: Leading people to lead themselves. Santa Barbara: Imporex International.
Mullen, M. R., Uwamahoro, O., Blount, A. W., & Lambie, G. W. (2015). Development of counseling students’ self-efficacy during their preparation program. The Professional Counselor, 5(1), 175–184. https://doi.org/10.15241/prm.5.1.175.
Parker, R. I., Vannest, K. J., Davis, J. L., & Sauber, S. B. (2011). Combining nonoverlap and trend for single case research: Tau-U. Behavior Therapy, 42, 284–299. https://doi.org/10.1016/j.beth.2010.08.006.
Paul, G. (1967). Strategy of outcome research in psychotherapy. Journal of Consulting Psychology, 31, 109–118. https://doi.org/10.1037/h0024436.
Pearson, Q. M. (2006). Psychotherapy-driven supervision: integrating counseling theories into role-based supervision. Journal of Mental Health Counseling, 28, 241–252. https://doi.org/10.17744/mehc.28.3.be1106w7yg3wvt1w.
Peterson, A. V., & Parr, G. D. (1989). Five cycle process of practicum supervision. Journal of Reality Therapy, 9(1), 68–71.
Ray, D. C. (2015). Single-case research design and analysis: counseling applications. Journal of Counseling & Development, 93, 394–402. https://doi.org/10.1002/jcad.12037.
Robey, P. A., & Cosentino, A. R. (2012). Choice theory and reality therapy in counselor supervision. International Journal of Choice Theory and Reality Therapy, 31(2), 31–41.
Schaefle, S., Smaby, M. H., Maddux, C. D., & Cates, J. (2005). Counseling skills attainment, retention, and transfer as measured by the Skilled Counseling Scale. Counselor Education and Supervision, 44, 280–292. https://doi.org/10.1002/j.1556-6978.2005.tb01756.x.
Smaby, M. H., Maddux, C. D., LeBeauf, I., & Packman, J. (2008). Evaluation counseling process and client outcomes. In G. R. Walz, J. C., Bleuer, & R. K. Yep (Eds.), Compelling counseling interventions: Celebrating VISTAS’ fifth anniversary (pp. 229–238). Counseling Outfitters.
Spence, S. H., Wilson, J., Kavanagh, D., Strong, J., & Worrall, L. (2001). Clinical supervision in four mental health professions: a review of the evidence. Behaviour Change, 18(3), 135–155. https://doi.org/10.1375/bech.18.3.135.
Tincani, M., & De Mers, M. (2016). Meta-analysis of single-case research design studies on instructional pacing. Behavior Modification, 40, 799–824. https://doi.org/10.1177/0145445516643488.
Urbani, S., Smith, M. R., Maddux, C. D., Smaby, M. H., Torres-Rivera, E., & Crews, J. (2002). Skills-based training and counselor self-efficacy. Counselor Education and Supervision, 42, 92–106. https://doi.org/10.1002/j.1556-6978.2002.tb01802.x.
Vannest, K. J., & Ninci, J. (2015). Evaluating intervention effects in single-case research designs. Journal of Counseling & Development, 93, 403–411. https://doi.org/10.1002/jcad.12038.
Vannest, K.J., Parker, R.I., Gonen, O., & Adiguzel, T. (2016). Single Case Research: web based calculators for SCR analysis. (Version 2.0) [Web-based application]. College Station: Texas A&M University. Available from singlecaseresearch.org
Wampold, B. E., & Imel, Z. E. (2015). The great psychotherapy debate: The evidence for what makes psychotherapy work (2nd ed.). New York: Routledge.
Watkins, C. E., Jr. (2011). Does psychotherapy supervision contribute to patient outcomes? Considering thirty years of research. The Clinical Supervisor, 30, 235–256. https://doi.org/10.1080/07325223.2011.619417.
Watkins, C. E., Jr. (2012). Psychotherapy supervision in the new millennium: competency-based, evidence-based, particularized, and energized. Journal of Contemporary Psychotherapy, 42, 193–203. https://doi.org/10.1007/s10879-011-9202-4.
Watkins, C. E., Jr., & Scaturo, D. J. (2013). Toward an integrative, learning-based model of psychotherapy supervision: supervisory alliance, educational interventions, and supervisee learning/relearning. Journal of Psychotherapy Integration, 23, 75–95. https://doi.org/10.1037/a0031330.
Westefeld, J. S. (2009). Supervision of psychotherapy: models, issues, and recommendations. The Counseling Psychologist, 37, 296–316. https://doi.org/10.1177/0011000008316657.
Whalon, K. J., Conroy, M. A., Martinez, J. R., & Werch, B. L. (2015). School-based peer-related social competence interventions for children with autism spectrum disorder: a meta-analysis and descriptive review of single case research design studies. Journal of Autism and Developmental Disorders, 45, 1513–1531. https://doi.org/10.1007/s10803-015-2373-1.
Wheeler, S., & Richards, K. (2007). The impact of clinical supervision on counsellors and therapists, their practice and their clients. A systematic review of the literature. Counselling and Psychotherapy Research, 7, 54–65. https://doi.org/10.1080/14733140601185274.
Wubbolding, R. E. (2011). Reality therapy. Washington, DC: American Psychological Association.
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Hunter, Q. Initial Investigation of a Reality Therapy Model of Clinical Supervision. Int J Adv Counselling (2021). https://doi.org/10.1007/s10447-021-09428-y
- Clinical supervision
- Reality therapy
- Theory based supervision