Supervision has been called the "signature pedagogy" of psychotherapy, and recent literature has emphasized the importance of multicultural processes in supervision. Despite the recent advances in the area of multicultural orientation, much of the existing work on the application of multicultural orientation to clinical supervision, however, has been conceptual rather than empirical. In the present study, we extended the multicultural orientation framework (MCO) to the context of supervision. In a sample of therapist trainees (N = 123), supervisor cultural humility and cultural (missed) opportunities were significantly associated with supervisees' satisfaction with supervision, but only as it pertained to the supervisee's cultural context; supervisor cultural humility and opportunities associated with supervisees' clients' cultural contexts were not significantly related to supervisees' satisfaction. Thus, supervisors' cultural humility attending to cultural opportunities within the supervisory relationship was positively related to supervisees' satisfaction with supervision. Implications and recommendations for research and education/training will be discussed.
Supervision is often conceived of as the "instructional strategy that most characterizes the preparation of mental health professionals" (Bernard & Goodyear, 2019; p. 2). Engaging in this process fully and authentically inevitably involves being vulnerable in front of and with one's supervisor in an effort to learn and grow. To more fully understand the supervisory relationship, researchers have focused on what supervisees do and do not share with their supervisors. This article sought to understand the extent to which supervisees engage in a process of concealment or nondisclosure about culture while in supervision. Cultural concealment (operationalized by Drinane, et al., 2018) was measured on 2 levels: one focused on if the supervisee concealed their own culture and one focused on if the supervisee concealed aspects of their clients' cultural identities. First, we found significant negative associations between each of these levels of cultural concealment and satisfaction with supervision and the supervisory working alliance. We then computed a residual score whereby supervisee cultural concealment about clients was predicted by supervisee cultural concealment about themselves. This residual variable was a significant predictor of satisfaction with supervision with supervision and with the supervisory working alliance, indicating that the relationship between these levels of concealment is important and related to the process of supervision. Implications and future directions will be discussed. Clinical Impact StatementQuestion: The present study sought to examine the impact of cultural concealment in supervision. Findings: The findings highlight that cultural concealment in supervision occurs at 2 distinct levels: about the supervisee's cultural self and about how supervisees understand their clients' cultural identities. Meaning: The interplay between these levels is meaningful and is related to how satisfied supervisees are with supervision and the work they feel is accomplished as a part of it. Next Steps: Future studies must look at this phenomenon in more depth and seek to access qualitative perspectives about what contributes to the need to conceal during the supervisory process.
Overweight and obesity are major world global health challenges of the 21st century. Mexico is not an exception. Approximately 70% of the adult Mexican population has an excessive body weight. The prevalence of obesity and overweight in Mexican school children aged 5--11 is also high: one child in four is overweight. In light of the seriousness of the situation, the solutions for this problem are based on modification of the environments and change of individual habits and behaviors related to nutrition and physical activity. As a result, the Mexican government, public sector and academy established three common goals and 10 priority objectives that are expressed in the National Agreement for Nutritional Health---Strategy to Control Overweight and Obesity. The obesity problem requires interventions and policies that reside outside of the health sector domain, key aspects of this public health policy was agreement among all stakeholders on cross-cutting actions. The best examples of National Agreement's inter-sectorial action implementation is in the school setting and Code of 'Self Regulation' on Advertising of Food and Non-Alcoholic Beverages to Children introduced by the food and beverage industry. The ultimate goal of this national policy is to provide the strategic plan for healthy weight and better health, by promoting healthy lifestyles focused on correct diet and physical activity in all life stages, from pregnancy and early childhood and on into adulthood by a multi stakeholder approach. Although there have been great achievements in some areas of implementation, there are still challenges to confront.
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