Abstract
Clinical supervision is an integral component of training mental health providers, serving educational, supportive, and administrative functions. The field of clinical supervision has consistently lagged behind psychotherapy in terms of defining competencies, agreeing about the best methods for training clinical supervisors, and in terms of develo** a strong evidence base on clinical supervision. In this chapter, we highlight an array of ethical and legal issues that may arise in working with victims of violence and in working with SGM clients. We discuss interpersonal considerations that can arise in supervisory dyads and the impact of those dynamics on therapy-client dyads; legislative and legal system considerations; case management and social considerations; and other unique elements of the clinical supervision experience.
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References
Adams, S. A., & Riggs, S. A. (2008). An exploratory study of vicarious trauma among therapist trainees. Training and Education in Professional Psychology, 2(1), 26.
Albright, J. N., & Hurd, N. M. (2019). Marginalized identities, trump-related distress, and the mental health of underrepresented college students. American Journal of Community Psychology. https://doi.org/10.1002/ajcp.12407
American Psychological Association. (2014). Guidelines for clinical supervision in health service psychology. Retrieved from http://apa.org/about/policy/guidelines-supervision.pdf
Bedard-Gilligan, M., & Zoellner, L. A. (2008). The utility of the A1 and A2 criteria in the diagnosis of PTSD. Behaviour Research and Therapy, 46(9), 1062–1069. https://doi.org/10.1016/j.brat.2008.06.009.
Berger, R., & Quiros, L. (2014). Supervision for trauma-informed practice. Traumatology, 20(4), 296–301.
Bieschke, K. J., Blasko, K. A., & Woodhouse, S. S. (2014). A comprehensive approach to competently addressing sexual minority issues in clinical supervision. In C. A. Falender, E. P. Shafranske, & C. J. Falicov (Eds.), Multiculturalism and diversity in clinical supervision: A competency-based approach (pp. 209–230). American Psychological Association. https://doi.org/10.1037/14370-009
Bouchard, L. M., Potts, C. A., & Lund, E. M. (2020). Violence and harassment against LGBTQ+ elders: Continued challenges in healthcare, housing, and aging services for pioneers of the movement. In E. M. Lund, C. Burgess, & A. J. Johnson (Eds.), Violence against LGBTBQ+ persons: Research, practice, and advocacy. Springer: Cham, Switzerland.
Callaghan, G. M. (2006). Functional analytic psychotherapy and supervision. International Journal of Behavioral Consultation and Therapy, 2(3), 416–431. https://doi.org/10.1037/h0100794
Cloitre, M., Courtois, C. A., Charuvastra, A., Carapezza, R., Stolbach, B. C., & Green, B. L. (2011). Treatment of complex PTSD: Results of the ISTSS Expert Clinician Survey on best practices. Journal of Traumatic Stress, 24(6), 615–627. https://doi.org/10.1002/jts.20697
Cook-Daniels, L. (2016). Understanding transgender elders. In Handbook of LGBT elders (pp. 285–308). New York: Springer.
Eldahan, A. I., Pachankis, J. E., Rendina, H. J., Ventuneac, A., Grov, C., & Parsons, J. T. (2016). Daily minority stress and affect among gay and bisexual men: A 30-day diary study. Journal of Affective Disorders, 190, 828–835. https://doi.org/10.1016/j.jad.2015.10.066
Falender, C. A., Burnes, T. R., & Ellis, M. V. (2013). Multicultural clinical supervision and benchmarks: Empirical support informing practice and supervisor training. The Counseling Psychologist, 41(1), 8–27. https://doi.org/10.1177/0011000012438417
Federal Bureau of Investigation. (2018). Hate crime statistics. U.S. Department of Justice. Retrieved from https://ucr.fbi.gov/hate-crime/2018
Feinstein, B. A., Davila, J., & Dyar, C. (2017). A weekly diary study of minority stress, co**, and internalizing symptoms among gay men. Journal of Consulting and Clinical Psychology, 85(12), 1144–1157. https://doi.org/10.1037/ccp0000236
FitzGerald, C., & Hurst, S. (2017). Implicit bias in healthcare professionals: A systematic review. BMC Medical Ethics, 18.
Ford-Paz, R. E., Santiago, C. D., Coyne, C. A., Rivera, C., Guo, S., Rusch, D., et al. (2019). You’re not alone: A public health response to immigrant/refugee distress in the current sociopolitical context. Psychological Services. https://doi.org/10.1037/ser0000381
Friedman, L. M. (1994). Is there a modern legal culture? Ratio Juris, 7(2), 117–131.
Haas, A. P., Eliason, M., Mays, V. M., Mathy, R. M., Cochran, S. D., D’Augelli, A. R., et al. (2010). Suicide and suicide risk in lesbian, gay, bisexual, and transgender populations: Review and recommendations. Journal of Homosexuality, 58(1), 10–51. https://doi.org/10.1080/00918369.2011.534038
Halpert, S. C., & Pfaller, J. (2001). Sexual orientation and supervision: Theory and practice. Journal of Gay and Lesbian Social Services, 13, 23–40. https://doi.org/10.1300/J041v13n03_02
Healthy People. 2020. Washington, DC: Office of Disease Prevention and Health Promotion, U.S. Department of Health and Human Services. Accessed 17 Dec 2019. Available from: https://www.healthypeople.gov/2020/leading-health-indicators/2020-lhi-topics/Social-Determinants
Kanter, J. W., Tsai, M., Holman, G., & Koerner, K. (2013). Preliminary data from a randomized pilot study of web-based functional analytic psychotherapy therapist training. Psychotherapy, 50(2), 248–255. https://doi.org/10.1037/a0029814
Kessler, L. E., & Waehler, C. A. (2005). Addressing multiple relationships between clients and therapists in lesbian, gay, bisexual, and transgender communities. Professional Psychology: Research and Practice, 36(1), 66–72. https://doi.org/10.1037/0735-7028.36.1.66
Kozuch, E. (2019). HRC responds to new FBI report showing spike in reported hate crimes targeting LGBTQ people. Retrieved from https://www.hrc.org/blog/hrc-responds-to-new-fbi-report-showing-spike-in-reported-hate-crimes-target
Kronner, H. W. (2013). Use of self-disclosure for the gay male therapist: The impact on gay males in therapy. Journal of Social Service Research, 39, 78–94. https://doi.org/10.1080/01488376.2012.686732
Kühne, F., Maas, J., Wiesenthal, S., & Weck, F. (2019). Empirical research in clinical supervision. BMC Psychology, 7(54), 1–11. https://doi.org/10.1186/s40359-019-0327-7
Lansen, J., & Haans, T. (2004). Clinical supervision for trauma therapists. In J. P. Wilson, & B. Drozdek (Eds.), Broken Spirits: The Treatment of Traumatized Asylum Seekers, Refugees, War and Torture Victims (pp. 317–353). New York: Routledge. [no doi available].
McCormack, L., & Adams, E. L. (2016). Therapists, complex trauma, and the medical model: Making meaning of vicarious distress from complex trauma in the inpatient setting. Traumatology, 22(3), 192–202. https://doi.org/10.1037/trm0000024
Mereish, E. H., O’Cleirigh, C., & Bradford, J. B. (2014). Interrelationships between LGBT-based victimization, suicide, and substance use problems in a diverse sample of sexual and gender minorities. Psychology, Health, & Medicine, 19(1), 1–13. https://doi.org/10.1080/13548506.2013.780129
Pachankis, J. E., Goldfried, M. R., & Ramrattan, M. E. (2008). Extension of the rejection sensitivity construct to the interpersonal functioning of gay men. Journal of Consulting and Clinical Psychology, 76(2), 306.
Pettifor, J., Sinclair, C., & Falender, C. A. (2014). Ethical supervision: Harmonizing rules and ideals in a globalizing world. Training and Education in Professional Psychology, 8(4), 201–210. https://doi.org/10.1037/tep0000046
Porter, K. E., Brennan-Ing, M., Chang, S. C., Dickey, L. M., Singh, A. A., Bower, K. L., et al. (2016). Providing competent and affirming services for transgender and gender nonconforming older adults. Clinical Gerontologist, 39(5), 366–388. https://doi.org/10.1080/07317115.2016.1203383
Ramirez, J. L., Gonzalez, K. A., & Galupo, M. P. (2018). “Invisible during my own crisis”: Responses of LGBT people of color to the Orlando shooting. Journal of Homosexuality, 65(5), 579–599. https://doi.org/10.1080/00918369.2017.1328217
Scarlet, J., Altmeyer, N., Knier, S., & Harpin, R. E. (2017). The effects of Compassion Cultivation Training (CCT) on health-care workers. Clinical Psychologist, 21(2), 116–124. https://doi.org/10.1111/cp.12130
Tsai, M., Kohlenberg, R. J., Bolling, M. Y., & Terry, C. (2009). Values in therapy and green FAP. In M. Tsai, R. J. Kohlenberg, J. W. Kanter, B. Kohlenberg, W. C. Follette, & G. M. Callaghan (Eds.), A guide to functional analytic psychotherapy: Awareness, courage, love, and behaviorism (pp. 199–212). Boston: Springer. https://doi.org/10.1007/978-0-387-09787-9_9
Tummala-Narra, P. (2007). Conceptualizing trauma and resilience across diverse contexts: A multicultural perspective. Journal of Aggression, Maltreatment, & Trauma, 14(1–2), 33–53. https://doi.org/10.1300/J146v14n01_03
Weeks, L. D. (2017, June 12). When the patient is racist, how should the doctor respond? STAT. https://www.statnews.com/2017/06/12/racism-bias-patients-doctors/
Williams, M. E., & Freeman, P. A. (2007). Transgender health: Implications for aging and caregiving. Journal of Gay & Lesbian Social Services, 18(3–4), 93–108. https://doi.org/10.1300/J041v18n03_06
Witten, T. M. (2017). Health and Well-being of transgender elders. Annual Review of Gerontology and Geriatrics, 37(1), 27–41. https://doi.org/10.1891/0198-8794.37.27
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Sloan, C.A., Skinta, M.D., Pantalone, D.W. (2021). Ethical and Legal Considerations in Clinical Training and Clinical Supervision. In: Lund, E.M., Burgess, C., Johnson, A.J. (eds) Violence Against LGBTQ+ Persons. Springer, Cham. https://doi.org/10.1007/978-3-030-52612-2_20
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