August 22, 2019 By Admin

Using Creativity in Clinical Supervision

Effective clinical supervision is a combination of hearable direction about clinical practice, gentle-direct leadership, clinical “Know-How,” evidence-based skills, complex psychodynamics, and the willingness to work with others on their developmental processes. There are risks involved. I have provided clinical supervision and consultation to other clinicians for 43 years without a legal or ethical issue. I do not think you should allow your creative spirit to run wild; there are many very serious ethical and legal implications in supervision. These are not benign; most states hold clinical supervisors 100% accountable for the actions of their supervisees, whether those actions were known and recommended by the supervisor or not.

Here we will look at the work of Leonardo DaVinci, the genius in art, science, engineering, and humanities. He saw art as science and science as art – most clinicians recognize these combinations in their own clinical work. I will simply note a list of documented attitudes, values and behaviors that DaVinci mastered. Here is the list. Courage may be needed to move off your comfort-path.

Practice intense curiosity and deep awareness about the specific details of your work. As you do this apply a sense of wonder about your observations and different possible perspectives you encounter. Multiple realities of perspectives do exist. There may not be one absolutely correct response.
Observe! Observe! Observe! Notice how your supervisees do their work, and how their idiosyncratic personalities and attitudes influence that work and your supervision. Be certain to pay close attention to the facts of reality, but better to procrastinate a bit before making big decisions. Be sure you have all the correct facts. You may need to test your hypothesis.
Use your personal imagination more, and visualize the situations that cause you the greatest concerns. Remember: Do No Harm! In some situations it may actually be ok to use day dreaming and helpful fantasy for new perspectives for problem solving.
Be sure to keep written lists of all the things you need to do. Also, write in your own “supervision development journal” about new things you learn and lessons you wish you already knew. Review selected parts of that journal with your own supervisor.
It pays to be a little obsessive when dealing with supervisees and the welfare of their clients. Your growth also depends upon being a bit obsessive with learning new clinical processes and evidence-based interventions. However, remain creative and highly responsible in your role. Document everything you do in your role.
For more see Isaacson, W. (2017). Leonardo DaVinci…New York: Simon & Schuster.

Anthony R. Quintiliani, PhD., LADC

From the Eleanor R. Liebman Center for Secular Meditation in Monkton, Vermont and the Home of The Monkton Sangha

Author of Mindful Happiness

New Edition of Mindful Happiness in Production…Coming soon!

Relational Suffering and Buddhist Practice Recently I experienced a deep, sudden, afflictive emotional experience. This sudden and profound sense of loss was due to temporary heartbreak; the temporary heartbreak dealt with rejection from a younger woman I found to be interesting and attractive (inside and outside). My “lost” person seemed to possess all the attachment […]

Behaviors People Display When in Groups After more than 35 years of facilitating hundreds of classes, workshops, family therapy sessions, group therapy sessions, and work project groups it has become clear that we do some strange things when we participate in groups. It appears to me that many of these in-group functions serve both ego […]

Wise Mind and the Neuroscience of Mindfulness Practice What is wise mind? Marsha M. Linehan developed this clinical process in her work on dialectical behavior therapy. Wise mind is the middle way between rational/reasonable mind and emotional mind; it allows us to live with balanced reason and emotion in daily interactions. When practiced regularly, it […]

Meditation on the Feeling of Letting Go – Pacification! Pacifying the mind is a desired outcome of regular, stable meditation practice. Pacification may be done via meditating on the breath, general mindfulness awareness, vipassana, and various other forms of meditation. However, the wise mind skill of “letting go” of unhelpful, negative, and harmful thoughts and […]

Meditation for Managers and Helpers Let’s Talk – Contact Me – Click Here I am a Licensed Psychologist-Doctorate and a Licensed Alcohol and Drug Counselor with 35 years of clinical experience in community clinics, schools, professional organizations, and universities (OSU, UVM, etc.). I have been the past Clinical Director of Howard Center, and Past President […]

How to Offer Personal Tribute to Those Who Have Died The Four Noble Truths tell us sobering news. There is suffering, and impermanence of all things including us and our loved ones. Below I have listed several thing you can do to HONOR a person you have lost. Here is the list. Recall a special […]

Pathways for Coping with Loss and Grief Jeanne Cacciatore, a Zen priest and bereavement specialist, offer sound advice on the process of loss and grieving. In her book, Bearing the Unbearable: Love and the Heart Breaking Path of Grief (2016), she presents the process as a series of contractions and expansions; contractions are the inward path of […]

From The Eleanor R. Liebman Center for Secular Meditation We humans have a unique way of perceiving and processing emotional experiences. Years ago I developed a formula to understand the perception and process of emotional experiences: CABS-VAKGO-IS/Rels. The C stands for cognition; we spend a great deal of time thinking about pretty much everything we […]

“Ignorance” of Requirements Could End Your Clinical Career Recently various insurance, Medicaid, and Medicare fraud cases have been in the national headlines. Although these fraud cases grab headlines, the truth is that many clinically licensed helpers still do not understand clinical/legal documentation requirements. In Buddhism, “ignorance” gets in our way; we never approach true liberation […]

Gratitude Practices to Improve your Emotional Mood The following fourteen suggestions may improve your emotional mood. One reward from practicing gratitude is that we tend to feel a little better no matter what our causes and conditions are at the time. Here is the list. Make a habit of thanking people. “Thank you.” Appreciate […]

Strategies to Cool Your Hot Emotions: Using Mind and Body First, let me note that one of the best sets of mind-body approaches to cooling down hot emotional reactions can be found in the various emotion regulation skills and practices in Dialectical Behavior Therapy (created by Marsha M. Lineman, a practicing Buddhist). These skills may […]

Setting Emotional Boundaries from Work to Life Anthony R. Quintiliani, Ph.D., LADC Sometimes setting emotional boundaries from the psychotherapy room to your life outside of work can be a difficult thing to do. Shifting from “experience near empathy” (Kohut), “unconditional positive regard” (Rogers), “hovering attention” (Freud), “the holding environment” in “intersubjective space” (Winnicott), and compassionate […]

Enhancing Hope in Psychotherapy The enhancement of personal hope is a key part of successful psychotherapy practice. Some view this requirement as a foundational aspect of the therapeutic alliance; others do not hold the same view. In the case of serious co-occurring disorders, especially trauma and substance misuse, initiating, developing, and sustaining a hopeful future-view […]

Inner Workings of Self-Medication Process To continue our discussion about the self-medication process we will first turn to the human brain. The human brain is the most complex system known to science. Here, my comments will be basic. Self-medication often has roots in the quality of our earliest childhood experiences (attachment and object relations with […]

In Times of Uncertainty; Clinical Practice H. Colodro and J. Oliver provide sound advice in their new book, A Guide to Self-Care for Practitioners in Times of Uncertainty. This 2020 New Harbinger publication is loaded with helpful suggestions on surviving, even thriving, in our time of struggle. Their core questions include: What do my clients need most […]

Mindfulness in the NFL Yes, mindfulness as part of sports psychology programming is being used in the NFL. Yes, big and physically tough football players are being helped via a mindfulness component of sports psychology. There are some important roots here. Dogen, the famous ancient Japanese Buddhist meditation master, brought Chan Buddhism from China to […]

Your Regular Practice: Impact on Yourself From the Eleanor R. Liebman Center for Secular Meditation in Monkton, Vermont Compassion Training: Here is a quick self-assessment process to see if your regular compassion practice has had positive effects on you. Review the questions below and decide what your answers are. I hope you have noted pleasant […]

America’s Opioid Problem-2020; A Brief Update Unfortunately, Opioid Use Disorder (OUD) is alive and well in 2020. Today approximately 150 People are dying each day due to opioid overdose. The CDC noted that from 1999 to 2017 approximately 399,000 people died in the United States from Opioid overdose. Related to chronic pain, this is one […]

Meditations and Mantra: Try Them Out in Your Practice There are many forms of meditation. In most cases, the common meditation forms fall into one of two categories: Mindfulness and Insight. There are also demanding concentration meditations, chakra meditations, and mantra meditations. Here we’ll deal only with the two forms noted above and the use […]

Liberation of the True Self Socrates is reported to have noted that “the secret of change is to focus all of your energy, not on fighting the old but on building the new.” In Buddhism there are clear relationships between “no-self” and the force of impermanence, that reality that ensures constant change and thus personal […]