Abstract
In this chapter we draw a heuristic parallel between the characteristics defined by attachment theory as optimal for developmental maturation and processes for teaching clinical competence. We have emphasize that creating a safe learning environment, and in particular a secure supervisory relationship, minimizes fear and anxiety in trainees. This safety prevents negative experiences from obstructing the acquisition of new knowledge and capacities for trainees. The modelling of mentalizing by the supervisor – of themselves, of the patient, and of the trainees – in a nonintrusive, respectful manner contributes to the creation of a safe educational base and optimizes the trainee’s competence in understanding their patient’s subjective experience. These attachment principles cut across theoretical perspectives and disciplines to structure and deepen any educational endeavour.
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References
Allen G, Szollos S, Williams B (1986) Doctoral students’ comparative evaluations of best and worst psychotherapy supervision. Prof Psychol: Res Pract 17:91–99
Allen JG, Fonagy P, Bateman A (2008) Mentalizing in clinical practice. American Psychiatric Publishing, Arlington
Aten J, Strain J, Gillespie R (2008) A transtheoretical model of clinical supervision. Train Educ Prof Psychol 2:1–9
Barrett M, Barber J (2005) A developmental approach to the supervision of therapists in training. J Contemp Psychother 35:169–183
Beach MC, Inui T (2006) And the Relationship-Centered Care Research Network Relationship-centered Care, A Constructive Reframing. Gen Intern Med 21:S3–8. doi: 10.1111/j.1525-1497.2006.00302.xJ
Bordin E (1983) A working alliance based model of supervision. Couns Psychol 11(1):35–42
Bush T (2005) Overcoming the barriers to effective clinical supervision. Nurs Times 101(2):38–41 available from: PM:15688921
Castonguay LG (2000) A common factors approach to psychotherapy training. J Psychother Integr 10:263–282
De Oliveira GSJ, Rahmani R, Fitzgerald PC, Chang R, McCarthy RJ (2013) The association between frequency of self-reported medical errors and anesthesia trainee supervision: a survey of United States anesthesiology residents-in-training. Anesth Analg 116(4):892–897 available from: PM:23385057
Donaldson SI, Gooler LE, Scriven M (2002) Strategies for managing evaluation anxiety: toward a psychology of program evaluation. Am J Eval 23(3):261–273
Edmondson AC (2004) Learning from failure in health care: frequent opportunities, pervasive barriers. Qual Saf Health Care 13(Suppl 2):3–9 available from: PM:15576689
Fitch JC, Pistole MC, Gunn JE (2010) The bonds of development: an attachment-caregiving model of supervision. Clin Superv 29(1):20–34
Foster JT, Lichtenberg JW, Peyton V (2007) The supervisory attachment relationship as a predictor of the professional development of the supervisee. Psychother Res 17(3):343–350
Frank JR (2005) The CanMEDS 2005 Physician Competency Framework. Better standards. Better physicians. Better care. The Royal College of Physicians and Surgeons of Canada, Ottawa
Friedlander ML, Keller KE, Peca-Baker TA, Olk ME (1986) Effects of role conflict on counselor trainees’ self-statements, anxiety level, and performance. J Couns Psychol 33(1):73–77
Hafferty FW (2015) The hidden curriculum. In: Dent JA, Harden RM (eds) A practical guide for medical teachers. Elsevier, London
Hantoot MS (2000) Lying in psychotherapy supervision: why residents say one thing and do another. Acad Psychiatry 24(4):179–187
Hunter JJ, Rockman P, Gingrich N, Silveira J, Salach L (2008) Novel network for mentoring family practitioners on mental illness issues utilizing email. Acad Psychiatry 32(6):510–514
Kanno H, Koeske GF (2010) MSW students’ satisfaction with their field placement: the role of preparedness and supervision quality. J Soc Work Educ 46(1):23–38
Kruger J, Dunning D (1999) Unskilled and unaware of it: how difficulties in recognizing one’s own incompetence lead to inflated self-assessments. J Pers Soc Psychol 77:1121–1134
Ladany N (2004) Psychotherapy supervision: what lies beneath. Psychother Res 14:1–19
Ladany N, Friedlander ML (1995) The relationship between the supervisory working alliance and trainees’ experience of role conflict and role ambiguity. Couns Educ Superv 34(3):220–231
Ladany N, Hill CE, Corbett MM, Nutt EA (1996) Nature, extent, and importance of what psychotherapy trainees do not disclose to their supervisors. J Couns Psychol 43(1):10–24
Lambert MJ, Ogles BM (1997) The effectiveness of psychotherapy supervision. In: Watkins CE (ed) Handbook of psychotherapy supervision. Wiley, New York
Leszcz M (2011) Psychotherapy supervision and the development of the psychotherapist. In: Klein RK, Bernard HS, Schermer VL (eds) On becoming a psychotherapist: the personal and professional journey. Oxford University Press, New York
Lyons-Ruth K, Jacobvitz D (2008) Attachment disorganization: genetic factors, parenting contexts, and developmental transformation from infancy to adulthood. In: Cassidy J, Shaver PR (eds) Handbook of attachment: theory, research and clinical applications, 2nd edn. Guilford, New York, pp 666–697
Nelson ML, Friedlander ML (2001) A close look at conflictual supervisory relationships: the trainee’s perspective. J Couns Psychol 48(4):384–395
Niemec CP, Ryan RM (2009) Autonomy, competence and relatedness in the classroom: applying self-determination theory to educational practice. Theory Res Educ 7(2):133–144
O’Brien B, Cooke M, Irby DM (2007) Perceptions and attributions of third-year student struggles in clerkships: do students and clerkship directors agree? Acad Med 82(10):970–978 available from: PM:17895662
O’Neill G, McMahon T (2005) Student-centred learning: what does it mean for students and lecturers? In: O’Neill G, Moore S, McMullin B (eds) Emerging issues in the practice of university learning and teaching. Aische, Dublin
Orlinsky D, Botermans J, Ronnestad M (2001) Towards an empirically grounded model of psychotherapy training: four thousand therapists rate influences on their development. Aust Psychol 36(139):148
Pistole MC, Watkins CE (1995) Attachment theory, counseling process, and supervision. Couns Psychol 23(457):478
Ravitz P, Lancee WJ, Lawson A, Maunder R, Hunter JJ, Leszcz M, McNaughton N, Pain C (2013) Improving physician-patient communication through coaching of simulated encounters. Acad Psychiatry 37(2):87–93 available from: PM:23475235
Riggs SA, Bretz KM (2006) Attachment processes in the supervisory relationship: an exploratory investigation. Prof Psychol: Res Pract 37(5):558–566
Soklaridis S, Hunter JJ, Ravitz P (2014) Twelve tips for asking and responding to difficult questions during a challenging clinical encounter. Med Teach 36(9):769–774 available from: PM:25020032
Stoltenberg CD, Delworth U (1987) Supervising counselors and therapists: a developmental approach. Jossey-Bass, San Francisco
Wear D, Skillcorn J (2009) Hidden in plain sight: the formal, informal, and hidden curricula of a psychiatry clerkship. Acad Med 84(4)
Westerman M, Teunissen PW, van der Vleuten CP, Scherpbier AJ, Siegert CE, van der Lee N, Scheele F (2010) Understanding the transition from resident to attending physician: a transdisciplinary, qualitative study. Acad Med 85(12):1914–1919 available from: PM:20978429
Worthen V, McNeill B (1996) A phenomenological investigation of “good” supervision events. J Couns Psychol 43:25–31
Wulf J, Nelson ML (2001) Experienced psychologists’ recollections of internship supervision and its contributions to their development. Clin Superv 19(2):123–145
Yourman DB (2003) Trainee disclosure in psychotherapy supervision: the impact of shame. J Clin Psychol 59(5):601–609 available from: PM:12696135
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Hunter, J., Maunder, R., Ravitz, P., Soklaridis, S. (2016). ‘Tell Me What You Understand About Your Patient’: Applying Attachment Principles to Medical Education. In: Hunter, J., Maunder, R. (eds) Improving Patient Treatment with Attachment Theory. Springer, Cham. https://doi.org/10.1007/978-3-319-23300-0_12
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DOI: https://doi.org/10.1007/978-3-319-23300-0_12
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