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Updated: May 21, 2026

Multimodal Protocol for Assessing Metacognition and Self-Regulation in Adults with Learning Difficulties
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Toward a multidimensional model for psychotherapy supervision based on developmental stages.

P Rodenhauser1

  • 1Department of Psychiatry and Neurology, Tulane University School of Medicine, 1430 Tulane Avenue, New Orleans, LA 70112.

The Journal of Psychotherapy Practice and Research
|June 16, 2012
PubMed
Summary

Psychiatry training needs a better psychotherapy supervision model. This study explores developmental dynamics within the supervisory triangle for improved psychiatric education and resident training.

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Area of Science:

  • Psychiatry
  • Medical Education
  • Psychotherapy Training

Background:

  • Current psychotherapy supervision models primarily focus on supervisee growth.
  • Existing frameworks often overlook the developmental dynamics of supervisors and patients within the supervisory triangle.

Purpose of the Study:

  • To review psychotherapy supervision theories.
  • To identify factors influencing the interrelationships among supervisors, residents, and patients.
  • To propose a developmental stage-based dynamic formulation for psychotherapy supervision.

Main Methods:

  • Literature review of psychotherapy supervision theories.
  • Analysis of developmental factors affecting participants in the supervisory triangle.
  • Identification of dynamic interrelationships within the supervisory process.

Main Results:

  • Psychotherapy supervision models need to account for the developmental stages of all participants.
  • A dynamic, developmental approach can enhance understanding and effectiveness of psychotherapy instruction.
  • Programmatic changes may be necessary to support a comprehensive developmental model.

Conclusions:

  • A developmental stage-based dynamic formulation of psychotherapy supervision is proposed.
  • This model can improve the understanding and effectiveness of psychiatric education.
  • Further research is needed to develop a comprehensive dynamic model for psychotherapy supervision.