Supervision and Clinical Psychology: Theory, Practice and Perspectives

Supervision and Clinical Psychology: Theory, Practice and Perspectives

Supervision and Clinical Psychology: Theory, Practice and Perspectives

Supervision and Clinical Psychology: Theory, Practice and Perspectives


What are the developments influencing supervision in clinical psychology?

Supervision is crucial to good professional practice and an essential part of training and continuing professional development. This second edition of Supervision and Clinical Psychology has been fully updated to include the recent developments in research, policy and the practice of supervision.

With contributions from senior trainers and clinicians who draw on both relevant research and their own experience, this book is rooted in current best practice and provides a clear exposition of the main issues important to supervision. New areas of discussion include:

  • the impact of the recent NHS policy
  • developments in supervisor training
  • practical aspects of supervision
  • a consideration of future trends.

Supervision and Clinical Psychology, Second Edition is essential reading for clinical psychology supervisors as well as being invaluable to those who work in psychiatry, psychotherapy and social work.


Ian Fleming and Linda Steen

Welcome to the second edition of Supervision and Clinical Psychology. the first edition was written largely in 2002 and published in early 2004. This revised edition incorporates new knowledge and utilises the experience of supervision gained from both within and outside clinical psychology since 2002.

What has changed since the first edition?

Superficially, it might seem as if not a lot has changed since 2002 in the practice of clinical psychology in the uk. the vast majority of clinical psychologists – over 8000 – remain working in the public health system, the National Health Service (NHS); see Chapter 3. There has been some increase in the numbers of people working independently (either directly for themselves, or for private employers or so-called third-sector organisations) and this may be accounted for in part by the policy of outsourcing certain nhs services to the ‘independent’ sector.

There have been some changes to the organisation of clinical psychologists in the nhs, most apparently the dissolution of psychologist-managed psychology departments that cross specialisms. Moreover, as for all nonmedical nhs staff, the career structure for clinical psychologists has changed since the introduction in 2004 of the nhs salary structure, Agenda for Change (AfC; dh, 2004). a clear career structure remains intact and it is still common to find unfilled posts that are hard to recruit to, although there is a tendency for a smaller proportion of posts to exist at Consultant grade (see, for example, Turpin and Llewelyn, 2009).

There has continued to be an expansion in the number of clinical psychology training places, with 623 places having been commissioned in the uk in 2009, although this increase has slowed. To illustrate, from 2000 to 2005 there was an increase of 198 training places; from 2005 to 2009 the number of places increased by 35 and, as noted by Graham Turpin in Chapter 3, far from expanding, in some regions of England there has been a reduction in training places since 2005 due to financial stringencies.

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