¡27 Supervision: a necessary contribution to the quality of professional performance, illustrated by the concept of supervision used in the Netherlands Supervizija, neobhodni prispevek h kvaliteti poklicnega dela: prikaz razumevanja supervizije, kakor se uporablja na Nizozemskem Louis van KesseV 'Louis van Kessel, MA, Boeslaari 19, NL-6703 EN Wageningen, The Netherlands. Abstract This article sketches the main points of the "Dutch concept of supervision". It differs from supervision-concepts gene- rally used in English speaking countries, because it stresses the educational function ofsupei^ision as a method of pro- fessional training and continuing professional training, ex- cluding the administrative component. A description is gi- ven of the development of supervision in the Netherlands 28 s o C I Л L N A P !<: D Л G O G У K A against its American ancestry' and of existent differences with Anglo-Saxon concepts. Several aspects of the concept of supervision now common are described in more detail and are illustrated by examples of supervisory teaching and training. Key words: supervision, history of supervision, the Dutch concept of supervision. Povzetek Prispevek zarisuje osnovne značilnosti "Nizozemskega mo- dela supervizije". Ta se razlikuje od modelov supervizije, ki jih v glavnem uporabljajo v angleško govorečih deže- lah, ker poudarja edukativno funkcijo supervizije kot meto- de temeljnega in nadaljevalnega poklicnega usposabljanja, izključuje pa administrativno funkcijo. Prikazan je razvoj supervizije na Nizozemskem v primerjavi z izhodiščnimi značilnostmi "ameriške" supervizije, ter tudi drugačnimi današnjimi značilnostmi anglosaksonskih konceptov. Pri- spevek bolj podrobno obravnava nekatere vidike - danes običajne - supervizije ter te ilustrira s primeri usposablja- nja za supervizijsko delo. Ključne besede: supervizija, zgodovina supervizije. Nizo- zemski model supervizije. Introduction In this paper, I present a sketch of the "Dutch concept of supervision". After looking at its origin and the first stage of development against the background of the American supervisory tradition, 1 describe in broad outlines some impor- tant differences between current concepts in the Enghsh speaking countries and the Dutch concept. Subsequently, important characteristics of the latter are described in more detail and illustrated with some examples. Origin and development of supervision in the Netherlands Within the framework of an innovation of European луе^аге work, supervi- sion was introduced in the Netherlands from the United States in the early fifti- es as part of the educational component of Marshall Aid. Dutch supervisors in turn contributed to the introduction and further development of supervision in a number of other European countries: Germany (Oberhoff, 1986, p. 57; We- igand, 1990, p. 45;Belardi, 1992, p. 61), Sлvitzerland (Hubschmid et al., 1986, p. E I) л G O G I K A 3S the supervisor, the following can come up as "second narrative", a term intro- duced by Zier (1983; 1988). The worker became angry ("feeling") because he did not find the chent's behaviour adequate ("thinking": view, norm). He became so angry that he wal- ked away without properly winding up the consultation ("acting"). He does not feel happy about the incident because he is of the opinion ("thinking") that he should l)e able to deal with such a consultation in a professional way ("metho- d"). This opinion is not of a personal nature, but a view which is acquired during the course of the professional socialization. Through his personal reaction he shows what it means to him instinctively, when he is not successful. This speci- fically personal reaction has possibly also got its roots in his socialization. When it appears that certain patterns in his professional handling are connected to this, it could be worked on during the course of the supervision. He would like to change this behaviour ("willing"), but does not know how. This has possil3ly got to do with a lack of capability of methodical acting or of methodical knowledge, or of self-handling in connection with these. Unfortuna- tely, he is not able to discuss these experiences properly in the team of which he is a member (context). As it is, everyone is responsible for his own work beca- use of the high work pressure (organization/society). When there is time, he notices again and again that the conversation remains superficial. He cannot put his finger on the problem. This example shows that the supervisee's report of his practice-experience can be taken as a "first narrative" which can Јзе adapted to a "second narrative" with the help of the supervisor. The latter in itself can lead to further adaptati- ons. With the help of the supervisor, the supervisee can, through the act of re- flection, change the meaning and imphcations of his personal professional ex- periences. In this way, the experience is being de- and reconstructed through which new insights and actions are developed. These, again, can generate new insights and actions, particularly when the "self-directing capacity"(Van Ressel, 1996) of the supervisee reaches maturity. With the help of the kaleidoscopic model presented a])ove, the supervisor hstens to the supervisee's narrative of his professional experiences which he presents as learning material in the supervision. On the basis of this the super- visor helps the supervisee to reflect on the experiences he got in reahzing his professional tasks. The supervisor and supervisee together can determine the primary orientations of the supervisee in his experiencing and reflecting, and determine which particular dimensions the supervisee should integrate more. The supervisor herel^y also supports the supervisee in learning to examine the- se aspects himself, to work on them thematically and develop certain facets in an integrated way. Discrepancies The supervisor adjusts his interventions to the various facets of the kaleidos- copic model. The supervisee thereby becomes conscious of the mutual discre- pancies between the facets. Such discrepancies may Јзесоте apparent>-om what 36 s o C I Л L N /I /' /i I) /I G O G / K Л Ihe supervisee presents in supervision as content-material from his Avork prac- tice (vignette 2) and the way of how he presents the material (vignette 3). Vignette 2 During one of the following sessions the supervisee tehs he had an intervieлv ^vith another client. Supervisee's narrative The client couldn't stop talking, he had to get a whole story off his chest. Although I started asking questions after some time, I did not succeed in keeping him to his story.' 'I then made the decision to act as a sounding board for that moment. This WRS quite convenient as I felt terril)ly insecure to begin with.' 'However, I was not satisfied to act as a sounding board because I felt that this was not a social work interview.' 'On the other hand, for me it was safe: 1 was able to ol)serve him. 'From my point of view, in this way it had nothing to do with social work. Yet, I felt that he had to žunload' because he clearly needed to do so at that moment. 1 clearly felt the discrepancy between my own work goal and his needs. Comment Apparently, the supervisee wants to deal with this professional task in a methodical way. He feels not able, yet, to realize this sufficiently. Apparently, dealing with this in a methodical way is determined by personal consideration rather than by professional demands or principles. The discrepancy between actually dealing with this in a methodical way (ability to handle) on the one hand, and method-view/professional Yiew (thinking/) and what he wanted to live up to (willing) on the other hand, has consequences on feeling (as a reaction on the way of handling things). Personal feelings in relation to a personal handling (a reaction mechanism) which apparently suits him/her well. Discrepancy bet%veen views on the work task (view on desired methodical handling in this situation) and personally and instinctively perceiving the client's needs. This personal observation is not related to a realization of an universal vieAv on the desired methodical way of acting and methodical handling in this particular situation at this particular moment Avith this particular client with his particular needs. cS o CIA L N Л r !<: D Л G O G / K Л 37 The worker in this example displays a l)ehaviour Avhieh personally suits him/ her well, and with which his chent appears to feel comfortable. However, it se- ems to be лvrong to the worker when looking upon this behaviour from the point of view of the professional task and its methodical transformation. Also, he is not a]}le to place his actions within a methodical framework. This supervisee clearly has a number of integrational prolilems which requ- ire a working on before he is able to develop his own methodical way of acting as a worker.By investigating the various aspects of the dimensions during the supervision, the discrepancies Јзесате clear to the supervisee. On the i)asis of this, certain integration tasks originated лvhich acted as "learning themes" in the supervision. As it happened, during the course of the supervision this super- visee appeared to ])e wrestling with such integrational problems. Vignette 3 During the course of a numl)er of sessions, the supervisor notices that in his reporting of his work-experiences, the supervisee-social лvorker constantly re- lates the way he feels or has felt. He hardly describes what ha])pened, in what context things hajipened, what he intended to do, лvhat he actually did and from what view he defined the professional task. Moreover, the su])ervisee describes the experience more as a })ersonal one than as a ])rofessional one лvhich, acting from a method, he accjuired in a concrete луогк situation. Comment In this example we can recognize discrei)ancies betAveen the personal di- mension and the professional dimension, and lietween feeling on the one hand, and acting and thinking on the other. Also, for the supervisee the method and context do not seem to be points of orientation for the action. Reflection and Reflectivity Integrated functioning and the cajiacity for integration are not acquired on- ce and for all. They need to ])e sul)stantiated: redefined continuously. Reflection and reflectivity play a central part in this. The extent to which a professional is a])le to act professionally on his own and to keej) u]) the standards of his own professionalism, лу111 strongly depend on the extent to which he has learned to reflect independently on the professional experiences acquired and has develo- ped an "observing sell" (Bowen, 1974, in: Boeckhorst, 1989, p. 17). If this reflec- tion does not take place, the worker gets stuck in natural reaction j)atterns, which often evolve out of ])revious experiences of life. These affect the methodical approach. By learning to observe and reflect on these reaction ])atterns, the su- pervisee is able to distance himself from them and integrate them in the desired professional acting. At the same time, the луогкег learns hoAv to reflect. Integrated functioning in the ])rofessional ])ractice - the ultimate and sub- stantial goal of supervision - therefore, can only l)e learned l)y making the ])er- sonal and concrete dealing with jirofessional tasks the subject of reflection. De- ahng Avith professional tasks should be ([uestioned from the persjiective of the 38 s o CIA L N A l> !<: D A C O G I K A professional requirements. On the basis of this, one's own handling of this can be adjusted to meet the requirements of a good professional practice. The extent to which the supervisee proves to be able to do this is also proof of the extent to which he is capable of independent professional functioning (the professional dimension). According to Towle (1954, p. 163), " ... one of the measures of professional maturity is the extent to which learning has become conscious." Reflectivity is an important quality of professionality. More and mo- re attention is paid to this in the contemporary professional profiles (Schön, 1983; 1987). Intermediate goals: reflectional skills and integrational capacity The ultimate goal of supervision is time and again being able to function as an integrated "Professional Person" in a specific situation in the professional practice. In the supervision this goal is only virtually present, as it is realized outside and also still after the supervision-situation. Apart from that, integrated functioning is not a permanent and static fact, it has to be realized again and again. For the professional, the chents, the professional tasks and -situations are continuously subject to changes. In order to attain this ultimate goal the achievement of two intermediate goals is pursued in the supervision: reflectio- nal skills and integrational capacity. Applied to vignette 1 For the time being, at any rate, the supervisor does not advise the supervisee of how to deal with these or similar clients. This can be done in the "werkbege- leiding", which is more alike "fieldwork/administrative supervision". The su- pervisor tries to get the supervisee to reflect on his own experience during the performance of his professional tasks and on how he is handling this experien- ce. At the same fime, by doing so, he tries to develop the reflectivity. The super- visee can use this for dealing with his own professional experiences in future (different) situations. The supervisor gets the supervisee to further concretize the experience he described and look upon it from various points of view. Many aspects appear to play a part. Also, various hesitations and obstacles are disco- vered in order to change the familiar reaction-pattern. In this act of concretiza- tion and problematization, the supervisee can work on one or more of the follo- wing themes: • His own reaction pattern: his feelings, norms and values. Personal experien- ces from his own hfe history \vhich unconsciously could influence his beha- viour towards this chent (counter-transference). • His view of how he should practise his profession. • His methodical skills needed for such a consultation. • His perception of and being to the culture of his team or in his organization. Possibly, attention will be paid to everything because all aspects are related to and interwoven with each other. However, it cannot all be worked on at the same time. Such a process of working on and through'^ wih in the long run lead to a more integrated Avay of functioning in professional situations. _^s o C I A I. N A I> IC I) A a a a i к A 39 Two objects of learning and guidance in supervision In order to let the supervisee work on the intended goals, the interventions of the supervisor -and of ])ossi])le fellow-supervisee(s)- must be aimed at two objects, namely: the professional dimension and the learning dimension. The professional dimension can be looked upon as the primary object of supervision. Hereupon, the supervisee contri])utes his own professional experiences. In ad- dition, лvhat the supervisee ought to acquire in order to be al)le to function ade- quately in his professional role, belongs to this. The criteria for this purpose are determined i)y the professional group concerned. Both supervisees and super- visors have to be guided ])y these. Applied to vignette 1 Aspects which come up to work on in this respect are: • How should a capable social worker express communicatively and interac- tionally the situation described above? • What behaviour, лvhat experience and what attribution of significance is de- sired from a ])rofessional point of view? • What should this supervisee develop in particular concerning his personal abihties in order to be a])le to deal with this professional task in a better way? It is important to pay attention to the learning dimension needed to make the adaptation of professional experiences successful for future professional acting. A supervisor, therefore, has to aim his interventions at the manner in which and the way of learning along which the supervisee learns the necessary professi- onalism. This learning takes place within the supervision as well as within the setting in which the profession is practiced. In order to be able to function suc- cessfully in supervision, the supervisee has to be (and often to become'') capable of realizing a way of learning which is necessary and desiral)le in supervision. When the supervisee learns hoAv to deal with his professional experiences in a supervisory way, he is also able to do so after the supervision and without the help of the supervisor. Applied to vignette 1 In his first contribution to the supervision, the supervisee descri])ed his cli- ent's ])ehaviour. He did not mention his own behaviour and experiences. What does the supervisee teU in meta-language? Does he not perceive his own fe- elings? Is he not aware of the part he plays himself in the interaction, or is he of the opinion that that is not imjiortant in supervision? He also does not describe what reasons could ])ossibly play a part in his client's behaviour. By doing so, лvhat does he tell about his \vay of working? Does he go deeply enough into this? Is he sensitive enough on that score in his observations or does he express his opinion too quickly? Finally, he \vrote that he would like to know how he could deal wilh such a chent in a better way. What does he tell ])y лvriting thus? Does he particularly лvant good advice? From Avhat has been stated above, the folloлving provisional picture emer- 40 s o C I Л I. N A P п D A C, O G / K A ges. The supervisor can discuss this with the supervisee little by little, which the latter can examine hirther. Wliere his learning style is concerned (compare Roll), 1984; Van Ressel, 1990a), he gives the impression of being strongly directed to- Avards concrete instructions. V^hen the right advice is given he is able to put that into practice quickly. Perhaps that can also be found in his contact with chents and colleagues. What are the implications of this for the practising of his profes- sion? The observational and reflectional skills of the superAdsee are not suffici- ently developed. Also, he is not yet able to ask him-herself \vhat sides there are to his client's behaAdour and what his o^vn reaction is to this. This theme does not only play an important part in the "professional dimension", but also in the "learning dimension", for it complicates learning during the supervision. For, supervision appeals to the reflectivity of the supervisee. Where the guidance of the supervisor to the supervisee is concerned, the above-mentioned implies that the supervisor has to strongly curb the supervi- see's tendency to progress. He has to make the supervisee look back continu- ously, in order to discover other aspects of himself as well as of his client's and from the view])oint of his profession. By learning to reflect on the ex])erience gained in a purposive, conscious and systematic луау, the inner dialogue of the su])ervisee is stimulated and he becomes his олуп critical opponent and interlocutor. As a result, the supemsee becomes more skilled in (Van Ressel, 1989, p. 66): • reflecting on his олтп professional experiences with the intention of keeping his олуп ])rofessional handling at the required standard or to develop further; • handhng professional tasks more consciously during the execution of his work, because he is capal)le of looking at his олуп dealing from the dual perspective of the observing and participating self (\Soç.c\ù\oys\., 1989, p. 16). He becomes an observing participant (Shepard, 1964, p. 579), ^ reflective prac- titioner (Schön, 1987), who is capable of reflection-in-his-action. Nature of the learning material For the benefit of his learning process, the su])ervisee needs to contri])ute learning material to the supervision. Experiences from his ол¥п "professional" dealing form the prime source for this material. In it the supervisee realizes in his own personal way the performing of his professional tasks. These concern clients, coheagues and the institution. Usually, these experiences are contribu- ted in witing, Avhether or not backed u]) by a passage from an audio- or video recording. This written contribution serves as ])reparation for an oral explanati- on. The supervisee's behaviour in the here and полу of the supervision offers a secondary source, it offers supplementary learning material. This can be used as "parallel process" (EksteinAVallerstein, 1959, ]). 177-196) or as "mirroring" (Searles, 1955; Rutter, 1990). Applied to vignette 1 The supervisee ex])ected ad^dce from his super^dsor in his attitude. This appe- ^S o C I Л L N A P /<: I) A a 0 G / K A 41 are cl to be analogous to his tendency to instruct his clients, instead of asking them questions empathically and patiently, and listening to them carefully. This theme was discovered after the supervisor had told the supervisee: "I expect you would like me to advise you on how to deal with this client." After the super- visee had confirmed this, the supervisor asked: "And do your clients ahvays ex- pect this of you, too? Is that what they really expect? And what does your advice mean to them?" Every supervisee deals with learning- and work tasks in his олуп луау, corre- S})onding to his own personality: the individual learning style (Roll), 1984; Van Ressel, 1990a). What the supervisee in this respect shows in the supervision can be used as a third source. The learning style can show parallels лvith aspects of the work style of the supervisee. Applied to vignette 1 It was not easy for the supervisee to perceive his own ex])eriences. He had difficulties dwelling on them, for he was easily of the opinion that the work would become unnecessarily complicated in case you did. He appeared to have obtained this work- and learning attitude in his socialization. During his child- hood, his ])arents used to have a small business and their family motto used to be: "Set to луогк as there is always something that can be done". Necessary basic conditions For an intensive and individualized learning process, which is the intended purpose of supervision, a number of necessary basic conditions are required. When these are not sufficiently present, one can speak of an activity that at best resembles sujiervision. The following conditions are necessary: • Parallel to the supervision sessions, the supervisee must work continuously and to a large extent independently in his profession. In case of supervision to students who are in training one can speak of a future profession. • The current experiences in exercising the profession offer the most impor- tant learning material. In the supervision, the supervisee works on this pri- marily by reflection. Therefore, a direct connection and interaction ])etween professional ex})eriences and insights into the supervision as a learning situ- ation is necessary, as a result of which more and more can be learned both in and from the work. • In order to be able to realize this connection and interaction, il is necessary for the supervision sessions to take place on a regular basis. Moreover, each session has to be of limited and fixed duration. This amounts to a frequency of once a fortnight/three weeks, and a total number of fifteen sessions at the least, and thirty at the most, each lasting one hour per su- pervisee. • Supervision which is so intensive and geared to the individual ])rofessional worker requires a limited number of participants. A maximum of three or four supervisees, лvho, independent of one another, practise their profession in a work situation. Also, they are not part of each other's lives. 42 s o CIA L N A P E D A G O G I K A Forms Supervision can t)e given in one of the following forms: • with one supervisee: individual or dyadic supervision; • with two supervisees: triadic supervision; • with three or four supervisees: group supervision. Conclusion Supervision is a value-oriented and process-oriented activity, in which the supervisee's work themes are transformed into learning themes. The latter are placed within the framework and perspective of what the supervisee ought to learn and develop in order to arrive at adequate professional and/or functional practice. The primary method of training is the supervisee's self-reflection on his own professional experiences. The improvement and development of the supervisee's own reflectivity is a central goal. Apart from methods of working and interventions which promote reflection, other means can be used as wefl. In the end, these ought to contribute to the intended reflection. Supervision is action-oriented as well. The supervisee has to transpose the insights which are obtained through reflection into handling his own professi- onal tasks, if necessary, with the help of the supervisor. Although the personal experiences gathered in his professional practice are the basis of the process, supervision is not aimed at solving practical problems. Not the practical experiences and problems, but the supervisee's learning the- mes, which crystalhze out of this, form the leitmotiv of the supervision process. The learningmethod which is promoted in supervision, has the character of selfdiscovered searching rules, also called "heuristics" (Van Ressel, 1989, p. 60). Notes 1. A second, historically later, root of supervision, and which is methodically less clearly documented, hes according to Fleming/Benedek (1996,p.7 ff) in the supervised analyses in the framework of the psycho-analytic associati- ons. According to Blanton (1971,p.48), Freud put the relevance of this as fol- lows: "I do not believe that one can give the method of technique through papers. It must be done by personal teaching. Of course, beginners probably need something to start with. Othenvise they Avould have nothing to go on. But if they fono\v the directions conscientiously, they wih soon find themsel- ves in trouble. Then they must learn to develop their own technique". Following this tradition, August Aichhorn and Anna Freud also employed a kind of supervision approach in their "Erzieherkurse", which took place in Vienna in the thirties (Gotthardt-Lorenz, 1986,p.43). Also the Bahnt- groups \vhich were developed about 1950 in London by the Hungarian psycho-analyst Michael Balint (1964) belong to this tradition. 2. In case of a practice placement, this function is called "praktijkbegeleiding", delivered by the "praktijkbegeleider", лvhich corresponds >vith the function of "practice teacher" or "fleldwork supervisor". .s o CIA L N A P li D A G O G / K A 43 3. Following Robinson (1936,p.25), Reynolds (1953,p.253) speaks of a "profes- sional self. 4. For a more elaborate description of the way in which the supervisee can be guided during the supervision, the reader is referred to Van Ressel (1989; 1996). 5. This is usually the case in a first training supervision. References Al ting von Geusau,W.A.M. & Runia,E.(1991): De prijs van het aardig zijn. Supervisie als scholingsmethode voor huisartsen. Utrecht: Nederlands Huisart- sen Genootschap. Andriessen,H.C.l.(1975): Leren aan ervaring en supervisie. Nijmegen: Dek- ker en Van de Vegt. Diss. Univ. Nijmegen. Austin,L.N.(1957): Supervision in Social Work. In: R.H. Rurtz (Ed.), Social Work Yearbook. Vol. 13. 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