The Emissary, Volume 14, Number 2, February 1982 Page: 4
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Medical Advisory report
continued from page 3
gram, underscores the potential
benefit.
G. The capacity of TRIMS to
function as the research and training
arm of the department is not
dependent on its geographical loca-
tion. However, it must maintain its
integrity and independence from
other institutions to have significant
research and training productivity.
TRIMS strongly agrees that to
be department-oriented implies
being department-owned. Any
other arrangement constitutes a
reduction of interest in the
department, dilution of produc-
tivity, and lessened cost-
effectiveness.
It is important, however, that
TRIMS remain in a medical cen-
ter, as illustrated by our present
staff-pyramiding arrangements
with various sister institutions
in the Texas Medical Center.
Faculty members of other institu-
tions serve as unpaid or under-
paid consultants to TRIMS, with
the overall result that TRIMS'
staff is enhanced immeasurably
without exceeding personnel
limitations and without requir-
ing remarkably increased budget
requests.
Full text is available
This is the second TRIMS evalua-
tion carried out during the past two
years. The first was also reported in
The Emissary (January-February
1981). Even though different in its
approach-the Graves report being
written from a legislative and budge-
tary vantage point and the Medical
Advisory Committee's report from
a research and clinical viewpoint-I
believe it is significant that both
have been quite positive in their
assessment of the institute.
Anyone who wishes to read either
report entirely may borrow a copy
from my office.Therapy coaches all have their own style
Holley supervises from sidelines, Crommelin reviews
tapes with studentsWAI
Mary Beth
Holley, left,
cues David
Quiroz by
telephone.Supervising beginning
therapists, says Mary
Beth Holley, can be very
much like coaching football.
Holley, who coordinates training
programs in the child and adoles-
cent section and is assistant chief of
family therapy training, sees a lot of
value in watching a therapy session
in progress. This way a supervisor
can see the context in which therapy
takes place, can pick up on nuances.
Like the football coach, the supervi-
sor also helps the fledgling therapist
by "sending signals (in this case, via
telephone) on what plays to use."
Sue Crommelin, a social worker
in the child and family clinic, pref-
ers to supervise the social work
interns assigned to her by listening
to audiotapes of the session. In her
own training, she says, reviewing her
audio- and videotapes with her
supervisors was especially helpful.
Crommelin encourages students to
experiment and try new approaches.
"It's one thing to read something
and another to try it," she says.
Other TRIMS therapy supervi-
sors hear only their trainees'
accounts of what went on in a ther-
apy session. Together they analyze
what happened. Why did the thera-
pist choose to do what she did?What are the therapy goals in this
case and how did what happened
during this session relate to those
goals? There are as many approaches
to supervision as there are
supervisors.
Combining practice and theory
Both Crommelin and Holley dis-
cuss assigned readings with their
trainees and use the therapy super-
vision as "a putting together of the-
ory and practice," Holley says. Like
Crommelin, she sees "adding to the
trainee's repertoire" as a major
function of supervision. One goal of
therapy is to give clients an oppor-
tunity to do something different, to
offer them different possibilities of
change. Sometimes the new tech-
niques work, sometimes they don't,
she says. "If they don't work, that's
data too."
Coaching from next room
During a session that David Qui-
roz, a social worker in the child and
family clinic, conducts with a young
married couple, Holley observes
behind a one-way mirror in an adja-
cent room, providing suggestions to
Quiroz by telephone.
In the therapy room the couple is
clearly tense and unhappy. The hus-
band looks sheepish, the wife sullen.
Bob admits that yes, he's started
drinking again. His wife is quiet, sit-
ting as far away from him on the
couch as possible. Holley phones
Quiroz. This is an old pattern, she
says. Glenda is always angry at Bob
for messing up, he is always apolog-
izing. The therapists would like to4
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Texas Research Institute of Mental Sciences. The Emissary, Volume 14, Number 2, February 1982, periodical, February 1982; Austin, Texas. (https://texashistory.unt.edu/ark:/67531/metapth1543561/m1/4/: accessed June 8, 2024), University of North Texas Libraries, The Portal to Texas History, https://texashistory.unt.edu; crediting UNT Libraries Government Documents Department.