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Supervisor variance in psychotherapy outcome in routine practice.

Tony G Rousmaniere1, Joshua K Swift2, Robbie Babins-Wagner3

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Supervisor differences minimally impact psychotherapy client outcomes. This study found minimal variance in client treatment results attributable to supervisor variations, suggesting other factors are more influential in therapy success.

Keywords:
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Area of Science:

  • Psychology
  • Psychotherapy Research
  • Clinical Supervision

Background:

  • Clinical supervision is crucial for therapist development.
  • Empirical evidence on supervision's impact on client outcomes is limited.
  • The role of supervisor variability in psychotherapy success remains under-explored.

Purpose of the Study:

  • To investigate whether client treatment outcomes in psychotherapy vary based on supervisor differences.
  • To quantify the influence of supervisors on client progress.

Main Methods:

  • A 5-year archival dataset of 6521 clients and 175 trainee therapists was analyzed.
  • Hierarchical linear modeling (HLM) was employed to analyze nested data (clients within therapists within supervisors).
  • Client outcomes were measured using the OQ-45.2.

Main Results:

  • Supervisors accounted for less than 1% of the variance in client psychotherapy outcomes.
  • Minimal differences in client outcomes were observed across different supervisors.

Conclusions:

  • Supervisor characteristics appear to have a negligible impact on client treatment outcomes.
  • Further research is needed to explore other potential factors influencing client success in psychotherapy.