This study examined supervisees' perceived experiences of supervisor multicultural competence in supervision and its impact on supervisees' clinical work. Specific attention was given to the cultural content discussed and the supervisory multicultural interventions used in supervision. Data from 102 supervisees was analyzed through a discovery-oriented qualitative approach. With regard to content, the most common focus was on race followed by gender, ethnicity, and religion/spirituality. An examination of the multiculturally competent supervisor interventions revealed that supervisors' frequently educated and facilitated exploration of specific cultural issues, discussed culturally appropriate therapeutic interventions and skills, facilitated supervisee selfawareness within the supervision session, and challenged and encouraged cultural openness of supervisee's understanding of client and cultural issues. The most frequent manner by which the supervisory experience affected client work involved the supervisee modifying the treatment approach, recognizing personal limitations and experiencing improved self-awareness as a counselor in their work with clients, and developing an enhanced understanding of and empathy towards their clients. Implications for these findings are discussed.

The purpose of this study was to identify events in which therapists felt embarrassment, shame, or both in a therapy session and to investigate the relationship of the embarrassing-shameful events with the therapist reactions. Ninety-three therapists participated in this study, and the most frequent events reported were having a scheduling mistake, forgetting or confusing client information, being visibly tired, falling asleep, and arriving late. Implications and need for further research, particularly concerning the effects of therapist embarrassment and shame on therapy process and outcome, are discussed.

Much of this book has focused on shame experienced by the client. However, what happens when the therapist experiences shame? Many authors, including many who wrote for this volume, have noted that therapist shame can significantly influence the process and outcome of psychotherapy (Covert,

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