정신치료 집단 Supervision 경험 = An Experience of Psychotherapy Group Supervision

다국어 초록 (Multilingual Abstract)

The author reviewed the 32 tape recordings of successive series of psychotherapy group supervision sessions, and studied the reaction of supervisees through a questionnaire.
The group supervision sessions were conducted by a psychotherapy supervisor of Kyung-pook National University Hospital from February 1988 to July 1989. Twenty-one psychiatric residents and one co-supervisor participated. Each session ran 90 minutes once every other week. A supervisee's psychotherapy case was reported and it was followed by group discussion, supervisor's interventions and summary remarks.
The tape recordings were analyzed in terms of most frequent mistakes and shortcomings of psychotherapy practice. The author distributed a questionnaire to find the reactions of the participants to the supervision sessions.
The results could be summarized as follows ;
The frequent mistake and the lack of therapeutic ability indicated by the supervisor were therapeutic interchange without clear understanding of the patient's nuclear emotions or central dynamics, the therapist's inability for empathic understanding and the therapist's lack of genuine interest in the patient.
In terms of the technical shortcomings of the resident therapists, insufficient clarifications of the important issues, the tendency to neglect the formal history taking, frequent changes of the topic by the therapists because of their own needs and anxiety, premature interpretations and closed question methods.
In the answer of the questionnaire composed of 18 items, all 21 participants responded that the supervision experience was helpful in understanding theoretical as well as practical aspects of psychotherapy, but some reported that the experience was perceived as provoking undue anxiety and even hostility.
The author concludes that the group psychotherapy supervision model is suitable for the resident training in psychotherapy and the competence of the supervisor is the prerequisite condition for the group supervision.