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Updated: Apr 17, 2026

Using Visual and Narrative Methods to Achieve Fair Process in Clinical Care
Published on: February 16, 2011
Reflective dialogue in clinical supervision: A pilot study involving collaborative review of supervision videos
Hamish R M Hill1, Trevor P Crowe1, Craig J Gonsalvez1
1a School of Psychology , University of Wollongong , Gwynneville , NSW , Australia.
Objective:
To pilot an intervention involving reflective dialogue based on video recordings of clinical supervision.
Method:
Fourteen participants (seven psychotherapists and their supervisors) completed a reflective practice protocol after viewing a video of their most recent supervision session, then shared their reflections in a second session.
Results:
Thematic analysis of individual reflections and feedback resulted in the following dominant themes: (1) Increased discussion of supervisee anxiety and the tensions between autonomy and dependence; (2) intentions to alter supervisory roles and practice; (3) identification of and reflection on parallel process (defined as the dynamic transmission of relationship patterns between therapy and supervision); and (4) a range of perceived impacts including improvements in supervisory alliance.
Conclusions:
The results suggest that reflective dialogue based on supervision videos can play a useful role in psychotherapy supervision, including with relatively inexperienced supervisees. Suggestions are provided for the encouragement of ongoing reflective dialogue in routine supervision practice.
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