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Supervising Individual Psychotherapy

The Guide to Good Enough

Edited by Katherine G. Kennedy, M.D., Randon S. Welton, M.D., and Frank E. Yeomans, M.D., Ph.D.

  • 2023
  • 392 Pages
  • ISBN 978-1-61537-425-0
  • Item #37425

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After 30 years of declining practice among psychiatrists, psychotherapy is being increasingly recognized as a valuable tool in psychiatric care. While this renewed appreciation offers hope for the future, a serious challenge remains: There are alarmingly few psychiatrists equipped as psychotherapy supervisors to help train the next generation of psychiatrists.

Encouraging psychiatrists to consider stepping into this important role is what makes Supervising Individual Psychotherapy such a timely and indispensable resource. With a multipronged approach that combines the theoretical and the practical, supported by illustrative clinical vignettes, this guide focuses on four key areas:

  • The process of supervisor development, including helpful tools for building supervisory skills and fostering self-growth, practical methods for establishing and maintaining a healthy supervisory relationship, and a collection of vignettes to highlight the supervisee's perspective. Also addressed are common ethical questions that arise in the supervisory process.
  • Specific techniques used in supervision, including how to establish and monitor goals for supervision, provide supervision via internet-mediated videoconferencing, and thoughtfully plan for the termination of supervision.
  • Psychotherapy supervision for specific populations and within various care settings, including supervision of supportive therapy in hospital units and emergency departments, cognitive-behavioral therapy, substance use disorder treatment, and combination treatment of psychotherapy and pharmacotherapy. Also discussed are the possible effects of the supervisee's and the supervisor's race, gender identity, and sexual preferenceorientation on the supervisory process.
  • Challenges that may arise in supervision, including an examination of the effects of marriage, divorce, illness, and death on the supervisory dyad; the legal aspects of supervision (e.g., confidentiality, medicolegal liability); and the risks of burnout in both the supervisor and the supervisee.

With a richness of detail organized in an accessible and easy-to-reference format, this book clearly covers the skills, capabilities, and qualities needed to provide effective psychotherapy supervision—and is tailor-made for early- and mid-career supervisors who are looking to develop and refine their skills.


  • Contributors
  • Acknowledgments
  • Part I: Becoming a Good Enough Supervisor
  • Chapter 1. Introduction: Am I Qualified to Supervise?
  • Chapter 2. Psychotherapy Supervision in Context: Historical and Theoretical Perspectives
  • Chapter 3. The Supervisee's Experience
  • Chapter 4. The Supervisor–Supervisee Relationship
  • Chapter 5. Ethical Issues in Psychotherapy Supervision
  • Chapter 6. Practical Methods That Foster Supervisor Growth
  • Part II: How to Supervise Psychodynamic Psychotherapy
  • Chapter 7. The Process of Psychotherapy Supervision
  • Chapter 8. Setting Goals for Psychotherapy Supervision
  • Chapter 9. Using Process Notes and Audio and Video Recordings in Psychotherapy Supervision
  • Chapter 10. When Psychotherapy Supervision Is Virtual
  • Chapter 11. Supervising Integrated Psychotherapy and Pharmacotherapy
  • Chapter 12. Termination of Psychotherapy Supervision
  • Part III: Factors That Affect Psychotherapy Supervision
  • Chapter 13. Race, Culture, and Ethnicity in Psychotherapy Supervision
  • Chapter 14. Gender Influences in Psychotherapy Supervision
  • Chapter 15. Supervision of Psychotherapy With Lesbian, Gay, Bisexual, and Transgender Patients
  • Chapter 16. Psychotherapy Supervision for the Treatment of Substance Use Disorders
  • Chapter 17. Supportive Psychotherapy Supervision in the Acute Care Setting
  • Chapter 18. Supervision of Cognitive-Behavioral Therapy
  • Part IV: Challenges in Psychotherapy Supervision
  • Chapter 19. The So-Called Difficult Supervisee
  • Chapter 20. Psychotherapy Supervision During Major Life Transitions
  • Chapter 21. Sexual Issues in Psychotherapy Supervision
  • Chapter 22. Dealing With Death and Suicide in Psychotherapy Supervision
  • Chapter 23. When Lines Get Blurred
  • Chapter 24. Legal Considerations in Psychotherapy Supervision
  • Chapter 25. Addressing Exhaustion and Burnout in Psychotherapy Supervision
  • Index


    Stewart Adelson, M.D.
    David A. Adler, M.D.
    Clifford Arnold, M.D., M.A.
    Rosemary H. Balsam, FRCPsych (Lond), MRCP
    Marina Bayeva, M.D., Ph.D.
    Annabel C. Boeke, M.D.
    Adam Brenner, M.D.
    Deborah L. Cabaniss, M.D.
    Monica Carsky, Ph.D.
    Natasha Chriss, M.D.
    Allison Cowan, M.D., DFAPA
    Erin M. Crocker, M.D.
    Theunis O. de Boer, B.A.
    June Elgudin, M.D.
    Alyson Gorun, M.D.
    Sindhu A. Idicula, M.D.
    Tina Kaviani, M.D.
    Jack R. Keefe, Ph.D.
    Kevin V. Kelly, M.D.
    Katherine G. Kennedy, M.D.
    Daniel Knoepflmacher, M.D., M.F.A.
    Alison E. Lenet, M.D.
    Seamus Bhatt-Mackin, M.D., C.G.P.
    David Mintz, M.D.
    Aimee Murray, Psy.D., L.P.
    Michael F. Myers, M.D.
    Rebecca Nejat, M.D.
    Dionne R. Powell, M.D.
    Maya G. Prabhu, M.D., LL.B.
    Magdalena Romanowicz, M.D.
    Anne E. Ruble, M.D., M.P.H.
    Kimberly R. Stubbs, M.D.
    Donna M. Sudak, M.D.
    Yi-lang Tang, M.D., Ph.D.
    David R. Topor, Ph.D., M.S.-H.P.Ed.
    Christian Umfrid, M.D.
    Mary C. Vance, M.D., M.Sc.
    David Veith, M.D.
    Cecil R. Webster Jr., M.D.
    Randon S. Welton, M.D.
    Frank E. Yeomans, M.D., Ph.D.

About the Authors

Katherine G. Kennedy, M.D., is Assistant Clinical Professor of Psychiatry at Yale University in New Haven, Connecticut.

Randon S. Welton, M.D., is Margaret Clark Morgan Professor and Chair of Psychiatry at Northeast Ohio Medical University in Rootstown, Ohio.

Frank E. Yeomans, M.D., Ph.D., is Clinical Associate Professor of Psychiatry at the Weill Medical College of Cornell University and Director of Training at the Personality Disorders Institute of Weill-Cornell, in New York, New York. In addition, Dr. Yeomans is Adjunct Associate Clinical Professor of Psychiatry in the Department of Psychiatry at Columbia University Vagelos College of Physicians & Surgeons and President of the International Society of Transference-Focused Psychotherapy, Vienna, Austria.

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