An exploration of trainee high-intensity therapist’s views of self-disclosure in clinical supervision using q-methodology and semi-structured interviews

Abstract

Self-disclosure is an important component of clinical supervision within psychotherapy, however despite research into different disciplines little is known about its function within cognitive behavioural therapy. Fifteen trainee high-intensity CBT therapist’s views on acceptability, experiences, and barriers were explored using both Q-methodology and semi-structured interviews, analysed using inductive Thematic Analysis. Within the Q-method data, one consensus factor was extracted with a second specificity factor also identified. These two factors were highly intercorrelated and indicated current, continued moral and ethical importance of self-disclosure and the role it has on individual professional practice, personal wellbeing and the supervisory relationship. An inductive thematic analysis of interview data was used to examine and identify common themes associated within the participants. Four key themes were identified from the analysis these where named; Function & purpose of clinical supervision, experiences of self-disclosure, supervisee self-disclosure and supervisor self-disclosure. Results provided suggestions to encourage and promote the use of self-disclosure in education and primary care settings.