“…Structured, collaborative, and high feedback environments in both individual and group supervision have been consistently related to patient satisfaction and therapeutic alliance (Freitas, 2002;Hilsenroth et al, 2002;Linton, 2003;Riva & Cornish, 1995, 2008. This relationship is especially true for live supervision (where a supervisor watches in real time and interjects as needed), which while perceived as more disruptive and incongruent by patients, leads to higher levels of therapeutic alliance among trainee therapists and patients than the traditional taped or remote supervision (Freitas, 2002, Bennett-Levy, McManus, Westling & Fennell, 2009.…”