Training Cognitive Behavioral Therapy Supervisors: Didactics, Simulated Practice, and “Meta-Supervision”

Abstract

The delivery of competent clinical supervision is vital to the successful training of new cognitive behavioral therapists, and—in the case of peer supervision and consultation—a boon to the maintenance of therapists’ high professional standards throughout their careers. However, it is only recently that the field of psychotherapy in general and cognitive behavioral therapy (CBT) in particular has implemented formal methods of training clinicians to be competent supervisors. Drawing on recent findings from evidence-based programs of CBT supervision, this article highlights the contents and processes of a graduate training course in CBT supervision involving didactics, readings, and experiential exercises. The 6 major modules of this seminar are explicated, including such topics as the supervisory relationship, enhancing CBT competencies in supervisors and supervisees alike, promulgating ethical practices, and successfully managing the administrative aspects of supervision. In addition, the concept of “meta-supervision” is described and illustrated in the form of a transcript from a long-distance, computer-assisted meeting between a senior consulting supervisor and his junior “supervisor-evaluee.” The transcript highlights the key features of meta-supervision, including the cross-cultural considerations that must be addressed when doing international training.