Using Bug-in-the-Ear Feedback in Clinical Supervision: Preliminary Evaluations

Abstract

Three single-system studies are described that evaluated the efficacy of "bug-in-the-ear" (BITE) feedback in promoting selected therapist behaviors during the course of actual treatment sessions conducted at a marriage and family therapy clinic. Using multiple-baseline designs, it was shown that BITE feedback can produce specific and immediate improvements in therapists' clinical skills. A social validation of the skills conducted by independent clinical supervisors pre- and postintervention found substantial improvements in therapist performance.