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$15.00

2 CEs

CEU Course

Evidence-Based Relationship Factors in Supervision and Practice (April 2023)

Counselors and psychotherapists have a long and storied history of arguing with one another over what makes therapy effective. Some say: We should teach and supervise our students to use empirically-supported treatments (i.e., procedures, as in medicine). Others say: We should teach and supervise our students to establish therapeutic relationships. Although it’s clear that specific treatments and therapeutic relationships both contribute to outcomes, when supervisors and practitioners think of empirically-supported approaches, they tend to think of manualized treatments or procedures. However, in recent years, specific relationship factors have been identified and linked to positive counseling and psychotherapy outcomes (Norcross & Lambert, 2018). These factors include: cultural humility, congruence, unconditional positive regard, empathic understanding, emotional bonds, mutual goal-setting, and more. In this workshop, participants will learn to identify, describe, and apply evidence-based relationship factors in supervision and practice. Video-clips, live demonstrations, and reflective opportunities will be used to facilitate learning.

Date

4/21/2023 1:00PM - 3:00PM EST

Instructors

John Sommers-Flanagan

Cost

$15.00

Credit Hours

2 clinical CEs

Course Overview

Learning Objectives

Participants will identify 10 evidence-based relationship factors (EBRFs) that generally facilitate positive outcomes in counseling and psychotherapy
Participants will describe how to recognize and nurture EBRF-development in supervisees and in themselves
Participants will apply EBRFs in clinical supervision and clinical practice

Course Bibliography

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Beitel, M., Gone, J. P., Myhra, L. L., Cutter, C. J., & Barry, D. T. (2021). A first look at the working alliance in psychotherapy with American Indians. Psychotherapy, 58(2), 248-253. doi:https://doi.org/10.1037/pst0000338

Bordin, E. S. (1979). The generalizability of the psychoanalytic concept of the working alliance.

DeAngelis, T. (2019, November 1). Better relationships with patients lead to better outcomes. Monitor on Psychology, 50(10). https://www.apa.org/monitor/2019/11/ce-corner-relationships.html

Bourke, E., Barker, C., & Fornells‐Ambrojo, M. (2021). Systematic review and meta‐analysis of therapeutic alliance, engagement, and outcome in psychological therapies for psychosis. Psychology and Psychotherapy: Theory, Research and Practice, 94(3), 822-853. doi:https://doi.org/10.1111/papt.12330

Eubanks, C. F., Muran, J. C., & Safran, J. D. (2018). Alliance rupture repair: A meta-analysis. Psychotherapy, 55(4), 508-519. doi:https://doi.org/10.1037/pst0000185

Eysenck, H. J. (1970). A mish-mash of theories. International Journal of Psychiatry, 9, 140–146.

Farber, B. A., Suzuki, J. Y., & Lynch, D. A. (2018). Positive regard and psychotherapy outcome: A meta-analytic review. Psychotherapy, 55(4), 411-423. doi:https://doi.org/10.1037/pst0000171

Graßmann, C., Schölmerich, F., & Schermuly, C. C. (2020). The relationship between working alliance and client outcomes in coaching: A meta-analysis. Human Relations, 73(1), 35-58. doi:https://doi.org/10.1177/0018726718819725

Flückiger, C., Del Re, A. C., Wampold, B. E., & Horvath, A. O. (2018). The alliance in adult psychotherapy: A meta-analytic synthesis. Psychotherapy, 55(4), 316-340. doi:https://doi.org/10.1037/pst0000172

Fripp, J. A., & Adams, J. J. (2022). Enhancing the therapeutic alliance with African American clients: Using a critical race theoretical approach to navigate conversations about racism. Journal of Multicultural Counseling and Development, 50(3), 108-117. doi:https://doi.org/10.1002/jmcd.12251

Howard, R., Berry, K., & Haddock, G. (2021). Therapeutic alliance in psychological therapy for posttraumatic stress disorder: A systematic review and meta‐analysis. Clinical Psychology & Psychotherapy, doi:https://doi.org/10.1002/cpp.2642

Humer, E., Schramm, E., Klein, J. P., Härter, M., Hautzinger, M., Pieh, C., & Probst, T. (2021). Effects of alliance ruptures and repairs on outcomes. Psychotherapy Research, doi:https://doi.org/10.1080/10503307.2021.1874070

Jowers, C. E., Cain, L. A., Hoffman, Z. T., Perkey, H., Stein, M. B., Widner, S. C., & Slavin-Mulford, J. (2019). The relationship between trainee therapist traits with the use of self-disclosure and immediacy in psychotherapy. Psychotherapy, 56(2), 157-169. doi:https://doi.org/10.1037/pst0000225

Kaiser, J., Hanschmidt, F., & Kersting, A. (2021). The association between therapeutic alliance and outcome in internet-based psychological interventions: A meta-analysis. Computers in Human Behavior, 114, 11. doi:https://doi.org/10.1016/j.chb.2020.106512

Kolden, G. G., Wang, C. C., Austin, S. B., Chang, Y., & Klein, M. H. (2018). Congruence/genuineness: A meta-analysis. Psychotherapy (Chicago, Ill.), 55(4), 424–433. https://doi.org/10.1037/pst0000162

Lai, L., Ren, Z., Zhang, L., & Tao, R. (2021). Congruence about working alliance in Chinese context: The moderating effect of therapists’ self-efficacy and the relationship between congruence and psychotherapy outcome. Journal of Counseling Psychology, 68(2), 232-246. doi:https://doi.org/10.1037/cou0000463

Lambert, M. J., Whipple, J. L., & Kleinstäuber, M. (2018). Collecting and delivering progress feedback: A meta-analysis of routine outcome monitoring. Psychotherapy, 55(4), 520-537. doi:https://doi.org/10.1037/pst0000167

La Roche, M. J. (2021). Changing multicultural guidelines: Clinical and research implications for evidence-based psychotherapies. Professional Psychology: Research and Practice, 52(2), 111-120. doi:https://doi.org/10.1037/pro0000347

Laverdière, O., Beaulieu-Tremblay, T., Descôteaux, J., & Simard, V. (2018). Countertransference and psychological assessment: Direct and indirect exposure. The Journal of Nervous and Mental Disease 206(6), 455-460. doi: 10.1097/NMD.0000000000000827

Lee, E., Greenblatt, A., Hu, R., Johnstone, M., & Kourgiantakis, T. (2022). Microskills of broaching and bridging in cross-cultural psychotherapy: Locating therapy skills in the epistemic domain toward fostering epistemic justice. American Journal of Orthopsychiatry, 92(3), 310-321. doi:https://doi.org/10.1037/ort0000610

Leonidaki, V., & Constantinou, M. P. (2022). A comparison of completion and recovery rates between first-line protocol-based cognitive behavioural therapy and non-manualized relational therapies within a UK psychological service. Clinical Psychology & Psychotherapy, 29(2), 754-766. doi:https://doi.org/10.1002/cpp.2669

Levenson, J. S., Craig, S. L., & Austin, A. (2023). Trauma-informed and affirmative mental health practices with LGBTQ+ clients. Psychological Services, 20, 134-144. doi:https://doi.org/10.1037/ser0000540

Magill, M., Martino, S., & Wampold, B. E. (2021). Goal setting and monitoring with alcohol and other drug use disorders: Principles and practices. Journal of Substance Abuse Treatment, doi:https://doi.org/10.1016/j.jsat.2021.108650

Nienhuis, J. B., Owen, J., Valentine, J. C., Black, S. W., Halford, T. C., Parazak, S. E., . . . Hilsenroth, M. (2018). Therapeutic alliance, empathy, and genuineness in individual adult psychotherapy: A meta-analytic review. Psychotherapy Research, 28(4), 593-605. doi:https://doi.org/10.1080/10503307.2016.1204023

Norcross, J. C., & Lambert, M. J. (2018). Psychotherapy relationships that work III. Psychotherapy, 55(4), 303-315. doi:https://doi.org/10.1037/pst0000193

Parrow, K. K., Sommers-Flanagan, J., Sky Cova, J., & Lungu, H. (2019). Evidence based relationship factors: A new focus for mental health counseling research, practice, and training. Journal of Mental Health Counseling, 41, 327-342.

Rogers, C. R. (1967). The therapeutic relationship and its impact: A study of psychotherapy with schizophrenics. University of Wisconsin Press.

Sommers-Flanagan, J. (2015). Evidence-based relationship practice: Enhancing counselor competence. Journal of Mental Health Counseling, 37, 95–108.

Sommers-Flanagan & Sommers-Flanagan, R. (2024, in press). Clinical interviewing (7th ed.). Wiley.

Stevens, F., & Taber, K. (2021). The neuroscience of empathy and compassion in pro-social behavior. Neuropsychologia, 159, 10. doi:https://doi.org/10.1016/j.neuropsychologia.2021.107925

Summers, L. M., & Nelson, L. (2023). Multicultural counseling: Responding with cultural humility, empathy, and advocacy. Springer.

Swift, J. K., Callahan, J. L., Cooper, M., & Parkin, S. R. (2018). The impact of accommodating client preference in psychotherapy: A meta‐analysis. Journal of Clinical Psychology, 74(11), 1924-1937. doi:https://doi.org/10.1002/jclp.22680

Tal, S., Bar-Kalifa, E., Kleinbub, J. R., Leibovich, L., Deres-Cohen, K., & Zilcha-Mano, S. (2022). A multimodal case study utilizing physiological synchrony as indicator of context in which motion synchrony is associated with the working alliance. Psychotherapy, doi:https://doi.org/10.1037/pst0000465

Tasca, G. A., Angus, L., Bonli, R., Drapeau, M., Fitzpatrick, M., Hunsley, J., & Knoll, M. (2019). Outcome and progress monitoring in psychotherapy: Report of a Canadian Psychological Association task force. Canadian Psychology / Psychologie Canadienne, 60(3), 165-177. doi:https://doi.org/10.1037/cap0000181

Tryon, G. S., Birch, S. E., & Verkuilen, J. (2018). Meta-analyses of the relation of goal consensus and collaboration to psychotherapy outcome. Psychotherapy, 55(4), 372-383. doi:https://doi.org/10.1037/pst0000170

Wang, C. X., Huey, S. J., Jr., & Pan, D. (2021). Therapeutic alliance mediates the effect of directive treatment on subsyndromal depression for Asian and European American students. Journal of Psychotherapy Integration, 31(3), 291-301. doi:https://doi.org/10.1037/int0000247

White, R. S. (2022). An antisemitic transference and countertransference. International Journal of Applied Psychoanalytic Studies, doi:https://doi.org/10.1002/aps.1761

Zilcha-Mano, S., & Ben David-Sela, T. (2022). Is alliance therapeutic in itself? It depends. Journal of Counseling Psychology, doi:https://doi.org/10.1037/cou0000627

Approvals

Cognitive Behavior Institute, #1771, is approved as an ACE provider to offer social work continuing education by the Association of Social Work Boards (ASWB) Approved Continuing Education (ACE) program. Regulatory boards are the final authority on courses accepted for continuing education credit. ACE provider approval period: 06/30/2022-06/30/2025. Social workers completing this course receive 2 clinical continuing education credits.

Cognitive Behavior Institute, LLC is recognized by the New York State Education Department's State Board for Psychology as an approved provider of continuing education for licensed psychologists #PSY-0098 and the State Board for Social Work as an approved provider of continuing education for licensed social workers #SW-0646 and the State Board for Mental Health Practitioners as an approved provider of continuing education for licensed mental health counselors #MHC-0216.

Cognitive Behavior Institute has been approved by NBCC as an Approved Continuing Education Provider, ACEP No. 7117. Programs that do not qualify for NBCC credit are clearly identified. Cognitive Behavior Institute is solely responsible for all aspects of the programs.

Cognitive Behavior Institute is approved by the American Psychological Association to sponsor continuing education for psychologists. Cognitive Behavior Institute maintains responsibility for content of this program. Social workers, marriage and family therapists, and professional counselors in Pennsylvania can receive continuing education from providers approved by the American Psychological Association. Since CBI is approved by the American Psychological Association to sponsor continuing education, licensed social workers, licensed marriage and family therapists, and licensed professional counselors in Pennsylvania will be able to fulfill their continuing education requirements by attending CBI continuing education programs. For professionals outside the state of Pennsylvania, you must confirm with your specific State Board that APA approved CE's are accepted towards your licensure requirements. The Association of Social Work Boards (ASWB) has a process for approving individual programs or providers for continuing education through their Approved Continuing Education (ACE) program. ACE approved providers and individual courses approved by ASWB are not accepted by every state and regulatory board for continuing education credits for social workers. Every US state other than New York accepts ACE approval for social workers in some capacity: New Jersey only accepts individually approved courses for social workers, rather than courses from approved providers. The West Virginia board requires board approval for live courses, but accepts ASWB ACE approval for other courses for social workers. For more information, please see https://www.aswb.org/ace/ace-jurisdiction-map/. Whether or not boards accept ASWB ACE approved continuing education for other professionals such as licensed professional counselors or licensed marriage and family therapists varies by jurisdiction. To determine if a course can be accepted by your licensing board, please review your board’s regulations or contact them. State and provincial regulatory boards have the final authority to determine whether an individual course may be accepted for continuing education credit.

Accommodation Information: Our webinars are available to anyone who is able to access the internet. For those who are vision impaired graphs and videos are described verbally. We also read all of the questions and comments that are asked of our speakers. All questions and comments are made via the chat function. For those that require it, please contact us at info@cbicenterforeducation.com for more information on and/or to request closed-captioning.

Course Schedule

Course Date	Course Start Time	Course End Time	Timezone
4/21/2023	1:00PM	3:00PM	EST

Course Agenda

Course Event Day or Date	Course Agenda Time Block	Course Content Covered
DAY 1	1:00-1:05pm	Introduction, welcome, and learning objectives
DAY 1	1:05-1:20pm	Why EBRFs in supervision and practice?
DAY 1	1:20-1:40pm	Cultural humility – Video clip and discussion
DAY 1	1:40-2:00pm	The core conditions – Video clip and discussion of the authentic purpose statement
DAY 1	2:00-2:20pm	The working alliance – Video clip and discussion of interactive (mutual) goal-setting
DAY 1	2:20-2:40pm	Countertransference, rupture, and repair – Video clip and discussion
DAY 1	2:40-2:45pm	Progress monitoring – Here and now demo
DAY 1	2:45-3:00pm	Summary

Frequently Asked Questions

Questions about Zoom and Webinars

What platform will be used for the webinar? CBI Center for Education has invested in Zoom for Webinars. You do not need a Zoom account to join the webinar and you can join from your computer or mobile device. As an attendee, the presenter will not be able to see your video or hear you unless they give you special permission during the webinar.

What time will the webinar begin and in what time zone? Please see the event page on https://www.cbicenterforeducation.com/ for information about the webinar, such as the start time. In addition, when registrants receive the email for the event, the date and time of the event is included.

When will I receive the link to attend the webinar? After you’ve signed up for the event through our website, you will receive an automated email from Blue Sky. At the bottom of this email is a blue button labeled “Join” that you can click on the day of the event. Or log in directly to your Blue Sky account and join from there.

Why can’t I get into the webinar? Once you have joined the webinar, you might see a message that states that the webinar has not yet started. The webinar will start once the presenter has joined and clicks “start the meeting.” We hope this happens on time, but it may be several minutes late. Please be patient while you are waiting for the webinar to start.

lined internet or being physically located close to your router. Technical support will not be provided by CBI for any connection issues on the day of the training. CBI will not issue refunds due to technical issues experienced by participants. Our presenters are connected to hard-lined business-grade internet when presenting.

What happens if my internet briefly freezes? If you become disconnected during the event, log back on immediately. A brief interruption of connectivity will not impact your eligibility for a CE certificate.

Will there be a recording? No, there will not be a recording or replay.

Will you know that I am logged in and active in the webinar? Yes, Zoom’s platform monitors the attendance and activity of the attendees. Additionally, there will be a chat feature and various forms of participation monitored throughout the training.

Will I have to show my face on camera? Zoom’s webinar platform does not capture participants on video unless specifically requested during the meeting by the host. Instead, participants will view the presenter and the presenter's slides on their screen.

Is there Audio? Yes, the webinar will have sound. Please test that your device’s sound is working prior to the event. A good way to do this is to go to YouTube and play a
video.

Questions about the Event

Will I receive the presenter's slides? It is up to each presenter if they wish to share their slides. If slides are being shared, they will be uploaded as a document within the course in Blue Sky and can be downloaded and printed as necessary. We are unable to respond to emails asking for the slides ahead of the presentation.

Questions about the Survey

When will I receive my course evaluation survey? Following the completion of the event, the survey will be unlocked and located within the course.

You must complete the survey within 14 calendar days following the event if you would like to receive a CE certificate.

We are unable to respond to emails from participants asking for confirmation that their course completion survey was received. If you clicked the SUBMIT button your survey was received.

Do I need to fill out the course evaluation survey if I don’t want a CE certificate? If you do not wish to receive a CE certificate, you do not need to complete this survey. The CE certificate is the only type of certificate that will be issued.

Questions about Continuing Education & Certificates

What is the criteria for receiving CE? If you attend the whole webinar and complete the course evaluation survey, we will issue you the CE that you are eligible for.

How many suicide and ethics CE's will be issued? Please see the event page on https://www.cbicenterforeducation.com/for information about the training, including how much continuing education is offered and what type.

Will these CE's count toward my individual state licensure or another credential that I currently hold? It is the responsibility of the licensee to determine if trainings are acceptable as continuing education to their state’s licensure board or other credentialing body. Some of our trainings are individually approved for continuing education, such as through the Association of Social Work Boards individual course ACE Program. In addition, CBI is an approved provider of continuing education through the American Psychological Association CESA program and is an approved provider of continuing education to counselors, social workers, and psychologists in the state of New York. Many boards accept trainings that are individual approved or are offered by approved providers for continuing education. Please see the event page for the training you are interested in on our website https://www.cbicenterforeducation.com/for approvals that apply for each specific training.

Will you issue partial CE credits? No, we do not issue partial CE credits and therefore if you do not attend the training in its entirety, you will not be receiving a CE certificate. This is an APA and ASWB ACE requirement and is non-negotiable. Please refrain from emailing us explaining why you were unable to login to the event on time (this includes mixing up time zones and technical difficulties).

When will I receive my CE certificate? Upon completion of the event and survey, your certificate will immediately be available.

How will I receive my CE certificate? Your CE certificate will be available through your Blue Sky account and will also be directly sent to your email associated with your Blue Sky account. It will automatically be accessible to you once all previous criteria have been met.

I filled out the wrong email address or misspelled my name on my account registration. How do I get a new certificate? In the registration, it asks for the participant to fill out
their name, licensure, and license number. These fields automatically populate within our certificates. PLEASE NOTE: Any requested changes to the email entered after
registration or after the survey is complete will require a $5 processing fee. Additional changes to the produced CE certificate based off of information provided by the attendee will also require a $5 processing fee. CBI Center of Education is extremely lean administratively and utilizes technology to streamline our events in order to keep our trainings free to low cost. When we receive manual requests post registration, additional staff is needed to assist with these manual requests, thus the reason for the
change fees. Please reach out to info@cbicenterforeducation.com

Questions about Accommodation

How can I access accommodations for my disability? Our webinars are available to anyone who is able to access the internet. For those who are vision impaired graphs
and videos are described verbally. We also read all of the questions and comments that are asked of our speakers. All questions and comments are made via the chat function.

For those that require it, please contact us at info@cbicenterforeducation.com for more information on and/or to request closed-captioning.

Additional Questions

I have a question that isn’t in the Q&A. If you have any additional questions or concerns, please email us at info@cbicenterforeducation.com.

Click here to access our Refund, Cancellation and Grievance Policies.