Tag Archives: Intuition

Intuition, Introspection, and Empathy in the Context of Clinical Supervision


The qualitative value of a supervisory relationship is as unique as the component parts.  The relationship between supervisor and supervisee can be conceptualized as a living entity that refuses to conform to a definitive list of “ideal traits.”  No two supervisory relationships are the same; just as no two supervisors, or supervisees, are identical.  Despite the absence of a definitive list of qualities that are desirable in a supervisee, Pearson (2004) has endeavored to compile a catalog of traits he considers paramount to the success of the supervisory relationship.  Included in his inventory are “psychological-mindedness and openness, dependability, interpersonal curiosity, empathy, willingness to risk, intellectual openness, habit of developing personal knowledge, minimal defensiveness, introspection, receptivity to feedback, and personal, theoretical, and clinical flexibility.”    (Pearson, 2004, p. 362)  To that list I would add effective written and oral communication skills, integrity, initiative, intuition, decisiveness, enthusiasm, and a sense of humor.  This essay will explore what I consider to be three of the most prominent aspects of a successful supervisee.

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Intuition can be described as “immediate understanding, knowledge, or awareness, derived neither from perception nor from reasoning.”  (Colman, 2009, p. 390)  Intuition is a cornerstone of the Jung-Myers psychological typology; it is also a foundational element of my personality and character.  Intuition runs through me.  I am generally good at analysis and I enjoy “the complex.”  I express interest in anything and everything, probably with too little discernment.  I have an aptitude for ignoring the standard, the conventional, and the authoritative.  I am always on the lookout for new projects, although I rarely bond with anything or anyone involved in those projects.  I have been described as a mesmerizing communicator.  I am content moving forward with a project despite having little more than a “rough draft” to work with.  I typically depend on the ability to improvise as situations develop.  Intuition runs through me.

Intuition runs through me, but it has its limitations.  I have a distinct tendency to neglect essential preparation at times, instead relying on ad-libbing.  I am fluid in thought and action, to a fault no less.  Routine tasks bore me to tears; I will seldom do the same thing, the same way, twice.  Repetition makes me restless. I am very apt to be flighty… I gravitate to one new interest after another.  I have been known to engage in brinkmanship with my career, often putting myself and my family in jeopardy.  I often find myself “working against the system” just for the joy of being one-up, and I revel in being a master of the art of one-upmanship.  In my employment history I have frequently offered unnecessary challenges to those who have power over my professional success.  And finally, I am my own worst critic.  Intuition runs through me.

In my opinion, fine tuned intuition is the difference between good and great.  Research into the micro-expression of emotions indicates that people with “good intuition” are able to accurately identify complex medleys of emotional expressions in just a fraction of a second with remarkable accuracy.  (Gilhooley, 2008, p. 106)  Within that context, I would like to make a conscious effort to refine my personal intuition under supervision.  I would like to gain insight into areas where I can trust my intuition, as well as confirm and deny areas where I have an intuition deficit.  All of these intuitive traits will need to be disclosed, balanced, and addressed with my clinical supervisor if I am to have a successful supervisory relationship.  Intuition runs through me, for better, or for worse.

When intuition fails me, and it inevitably will, introspection will pick up where it left off.  Introspection is generally defined as “a method of data collection in which observers examine, record, and describe their own internal mental processes and experiences.”  (Colman, 2009, p. 390)  It derives from the Latin ‘spicere,’ meaning ‘look,’ and ‘intra,’ meaning ‘within’; introspection is a process of looking inward.  (Macdonald, 2006, p. 356)   While some argue that no weight should be placed on the introspective institution (Carruthers, 2009), I believe the self-discovery process of introspection can pay dividends by building a supervisory relationship that is more productive.  Supervisors are expected to function in a variety of roles, including teacher, counselor, and consultant.  (Pearson, 2004, p. 363)  Time is money; we should all endeavor to make the best use of time.  My goal is to employ introspection to the extent that the importance of the “counselor” role is diminished, and the role of the “teacher/consultant” is emphasized.  This will be a real test of my boundary setting skills.  I envision that my effort to apply introspection will allow the supervisor to take on more of an educational or consultative role, thereby allowing them to focus more on traditional efforts such as conceptualizing techniques or interventions.  As an added bonus, introspection allows me to recognize my own comfort level, to assess my own personal history, and to identify and confront personal bias where it exists.

Empathy represents “the capacity to understand and enter into another person’s feelings and emotions or to experience something from the other person’s point of view.”  (Colman, 2009, p. 248)  Greater client satisfaction and increased confidence in empathetic providers have led to empathy being considered as a prerequisite to competence.  (Looi, 2008)  Empathy is recognized as an important component in the advance of a positive treatment relationship, even to the extent that it has been described as “the most significant discriminating factor for predicting treatment outcome.”  (Clark, 2010, p. 96)

I am cognizant of my personal deficit in this area.  All the intuition and introspection in the world doesn’t innately give someone like me the ability to walk in another person’s shoes…  it is a skill that I will need to continue to develop and refine.  “Having problems is not the problem; not dealing with our problems is the problem.”  (Corey, Schneider-Corey, & Callanan, 2007, p. 394)  One specific goal I have, and one primary criterion in my selection of a supervisor, is to find a mentor who can develop my empathetic awareness.  To that end, I endeavor to find a supervisor I can trust with my weaknesses, and that I can rely upon to help me develop areas in which I have deficits.

A successful supervisory experience doesn’t come without planning.  I understand that I have very high, perhaps unrealistic, expectations of a supervisor.  Best case scenario, I maximize the professional growth that can be realized by a perfect supervisory situation.  Worst case scenario, I make the best of a less than idyllic situation.  By exploring competencies under supervision, we as supervisees have the opportunity to refine qualities like intuition, introspection, and empathy.  In any case, assessment of competencies and the pursuit of “the ideal traits” is a lifelong endeavor in continuing education.  It only begins with clinical supervision.

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References

Carruthers, P. (2009). How we know our own minds: The relationship between mind reading and metacognition. Behavioral and Brain Sciences, 32(2), 121-182. doi: 10.1017/S0140525X09000545

Clark, A. J. (2010, Apr). Empathy and sympathy: Therapeutic distinctions in counseling. Journal of Mental Health Counseling, 32(2), 95-101. Retrieved from http://ezproxy.bellevue.edu:80/login?url=http://proquest.umi.com.ezproxy.bellevue.edu/pqdweb?did=2026599301&sid=30&Fmt=3&clientId=4683&RQT=309&VName=PQD

Colman, A. M. (2009). Oxford dictionary of psychology (3rd ed.). Oxford, NY: Oxford University Press.

Corey, G., Schneider-Corey, M., & Callanan, P. (2007). Issues and ethics in the helping professions (8th ed.). Belmont, CA: Brooks/Cole.

Gilhooley, D. (2008). Psychoanalysis and the “cognitive unconscious”: Implications for clinical technique. Modern Psychoanalysis, 33(1), 91-128. Retrieved from http://proquest.umi.com.ezproxy.bellevue.edu/pqdweb?index=2&did=1596619281&SrchMode=1&sid=17&Fmt=6&VInst=PROD&VType=PQD&RQT=309&VName=PQD&TS=1274204301&clientId=4683

Looi, J. C. (2008, Apr 7). Empathy and competence. Medical Journal of Australia, 188(7), 414-416. Retrieved from http://ezproxy.bellevue.edu:80/login?url=http://proquest.umi.com.ezproxy.bellevue.edu/pqdweb?did=1465911401&sid=29&Fmt=3&clientId=4683&RQT=309&VName=PQD

Macdonald, C. (2006, July). Introspection and authoritative self-knowledge. Erkenntnis, 67(2), 355-372. doi: 10.1007/s10670-007-9072-z

Myers, I. B. (n.d.). The 16 MBTI® types. Retrieved May 18, 2010, from http://www.myersbriggs.org/my-mbti-personality-type/mbti-basics/the-16-mbti-types.asp

Pearson, Q. M. (2004, Oct). Getting the most out of clinical supervision: Strategies for mental health. Journal of Mental Health Counseling, 26(4), 361-373. Retrieved from http://ezproxy.bellevue.edu:80/login?url=http://proquest.umi.com.ezproxy.bellevue.edu/pqdweb?did=733122011&sid=2&Fmt=3&clientId=4683&RQT=309&VName=PQD

 

Shaking the Tree of Psychotherapy – On Intuition and Spontaneity


I am both pleased and surprised that “throw-ins” are confirmed as the metaphorical bread and butter of the counseling profession.  (Corsini & Wedding, 2011)  I am a huge proponent of both intuition and spontaneity.  It feels more genuine than the robotic process that strictly “following the plan” requires.  It reminds me of my experience in the Intensive Residential Treatment Center (IRTC) at a local hospital.  Their process, while proven, is totally scripted.  Ideally, there is no deviation from the process… there is consistent treatment of every youth regardless of their current situation, condition, or circumstance.  The process left very little room for interpretation, and even less room for “throw-ins.”  To the point, I can’t work like that.

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There are some helping professionals who prefer to work in a structured environment like that… I would compare them to members of a symphony orchestra.  They read the music off the sheet, and when it comes together… it is a work of art.  I, on the other hand, am more like a jazz musician… give me a beat and let me improvise… you can keep your sheet music.  Although having a theoretical base is as important as knowing your scales and arpeggios (to continue the music analogy), I would much prefer to make use of that technical knowledge on the fly.  I left that position feeling like a jazz musician in the middle of a symphony… I just didn’t fit.  It would suffice to say that I am impressed that Corsini and Wedding (2011) can appreciate that perspective.

From my perspective, psychotherapy is an art with scientific roots.  Of course research is needed and appreciated… but someone has to apply it, or customize it, to individual circumstances.  Of course, when my approach fails (and inevitably it will) I will need to go back and shake the tree of science to see what fruit it yields.  In the end, I am perfectly content with deciding how I eat the fruit, and when.

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Reference

Corsini, R. J., & Wedding, D. (2011). Current psychotherapies (9th ed.). Belmont, CA: Brooks/Cole.