Telesupervision: Building bridges in a digital era.

Technological advances have revolutionized the way we think of counseling and psychotherapy education. Not only are we able to reach trainees, counselors, and clients in the far corners of the world, but Internet-based educational processes have transformed the process by which we deliver curriculum and engage in supervision practices. This study highlights a training model that has been successfully used at one institution for preparing supervisors-in-training to engage in telesupervision. Through empirical data, we highlight lessons learned-challenges, benefits, ethical dilemmas, the impact of telesupervision practices on the supervisory working alliance, and attitudes towards and willingness to use telesupervision in the future. Implications for training and supervision in a global society are addressed.

Multicultural competence: psychotherapy practice and supervision.

Multicultural competence in psychotherapy and supervision have been deemed as critical to ethical practice. This article offers two supervisory interventions, the Critical Events Model (Ladany, Friedlander, & Nelson, 2005) and the Heuristic Model of Nonoppressive Interpersonal Development (Ancis & Ladany, 2010) to highlight the use of a multiculturally competent framework in psychotherapy and supervision. By using a case vignette we elucidate the process that can ensue within both the therapeutic and supervisory setting.

Cultural intersections: a qualitative inquiry into the experience of Asian Indian-White interracial couples.

The purpose of this study was to examine the "lived experience" of Asian Indian (AI)-White couples in interracial marriages. Ten highly educated AI-White professional couples were individually interviewed about their subjective experience of being in an interracial marriage, the challenges and strengths of this marriage, and the potential role of culture in their marriages. Data were analyzed using the Consensual Qualitative Research methodology. Results indicated that the couples' marital experiences were influenced by a complex intersection of ecosystemic factors with significant psychological impacts. These findings highlight shortcomings in drawing simplistic conclusions regarding the success or failure of an interracial marriage and have important implications for theory, research, and clinical practice.

Health-related quality of life, mental health and psychotherapeutic considerations for women diagnosed with a disorder of sexual development: congenital adrenal hyperplasia.

Little is known about the long-term health-related quality of life (HRQL) and mental health outcomes for women diagnosed with congenital adrenal hyperplasia (CAH), a disorder of sex development. Though recommendations for therapists exist, no research has empirically investigated women's experiences in therapy or their recommendations for therapy. Thus the purpose of the study was to investigate HRQL, mental health concerns of women with CAH, and patients' recommendations for therapists. A qualitative methodology, consensual qualitative research, was used to answer these questions. Eight women with CAH participated in the study. Results from their interviews revealed six domains: physical functioning, psychological functioning, interpersonal processes and relationships, healthcare experiences of women with CAH, recommendations for health care professionals, and systemic considerations. Domains were further broken down into categories with results yielding implications for both medical and mental health professionals and shedding light on issues related to normalcy, concerns both related and unrelated to CAH, sex, and gender, and highlighting effective supports and therapeutic interventions.

South Asian women: identities and conflicts.

This study investigated the effects of education, level of religiosity, ethnic identity (internal and external), and racial identity statuses (conformity, dissonance, resistance, and awareness) on cultural value conflict for first and second generation South Asian women (N = 193). Cultural value conflict was examined in two areas, intimate relations and sex-role expectations. Results revealed that level of religiosity was more predictive of intimate relations conflict for second generation than first generation women. Furthermore, higher ratings in internal ethnic identity predicted greater intimate relations conflict in first generation women, while both internal and external ethnic identity predicted intimate relations conflict in second generation women. Finally, higher dissonance scores in racial identity predicted greater conflicts in sex-role expectations for second generation women alone.

Supervisor multicultural competence and its relation to supervisory process and outcome.

This study investigated the direct and indirect effects of marriage and family therapy trainees' perceptions of their supervisors' multicultural competence in supervision on the supervisory working alliance, trainees' multicultural competence (case conceptualization abilities in etiology and treatment), and perceived supervision satisfaction. Path analyses revealed supervisor multicultural competence to be positively associated with supervisory working alliance and perceived supervision satisfaction. In addition, supervisor multicultural competence seemed to have a negative effect on trainee etiology conceptualization abilities. Finally, results suggested supervisory working alliance to be a significant mediator in the relationship between supervisor multicultural competence and supervision satisfaction. Findings are discussed within the context of theoretical, empirical, and practical implications for multicultural supervision.

Student-faculty perceptions of multicultural training in accredited marriage and family therapy programs in relation to students' self-reported competence.

Although the marriage and family therapy field's recent attention to multicultural issues is laudable, there appears to be little clarity on what constitutes an effective multicultural training program and the impact of the effects of such training on trainee multicultural competence. The field continues to be challenged at different levels-training, practice, research, the setting of the standards and the work of the Commission on Accreditation for Marriage and Family Therapy Education, and the goals and strategic plan of the American Association for Marriage and Family Therapy Board. This study focused on assessing the extent of multicultural integration at different levels of training and the relationship between such training and students' perception of their own multicultural competence.