Just do it: A neuropsychological theory of agency, cognition, mood, and dopamine.

Agency is the sense that one has control over one's own actions and the consequences of those actions. Despite the critical role that agency plays in the human condition, little is known about its neural basis. A novel theory proposes that increases in agency disinhibit the dopamine system and thereby increase the number of tonically active dopamine neurons in the ventral tegmental area. The theory, called ADDS (Agency Disinhibits the Dopamine System), proposes a specific neural network that mediates these effects. ADDS accurately predicts a variety of relevant neuroscience results, and makes many novel predictions, including that increases in an agency will (a) increase motivation, (b) improve executive function, (c) facilitate procedural learning, but only in the presence of immediate trial-by-trial feedback, (d) have little or no effect on learning-related effects of stimulus repetition or on standard eyeblink conditioning, (e) facilitate the development of automatic behaviors, but have little or no effect on the production of behaviors that are already automatized, (f) amplify the cognitive benefits of positive mood, and (g) reduce pain. The implications of this new theory are considered for several purely psychological theories that assign prominent roles to agency, including self-efficacy theory, hope theory, and goal-focused positive psychotherapy. (PsycInfo Database Record (c) 2024 APA, all rights reserved).

Training Public Sector Clinicians in Competency-Based Clinical Supervision: Methods, Curriculum, and Lessons Learned.

This article describes an initiative to train public sector clinicians in competency-based clinical supervision. It was delivered as an 18-session course taught online to clinicians employed in departments of behavioral health in nine Southern California counties. The curriculum was co-constructed by a team of clinical supervision scholars and leaders who then served as instructors. Each two-hour meeting addressed a specific topic for which a training video had been prepared, usually featuring a member of the training team who had expertise in that topic. The second part of each meeting focused on a class member's supervision case presentation. Those presentations revealed 35 themes; the four most frequently occurring were: developing supervisees' clinical competencies, addressing countertransference and parallel process, balancing clinical and administrative supervisory roles, and addressing record keeping/paperwork. Participants' pre-to-post supervisory self-efficacy changes demonstrated a moderate effect size (Cohen's d = .46) for the training, with the greatest pre- to post-training changes being in the use of technology, multicultural competencies (awareness of oppression, bias, and stereotyping in clinical work and in clinical supervision), and contracting. They reported that the strengths of the course included an inclusive learning environment and opportunities to reflect on and apply new knowledge and skills, though they also reported struggling with the assignments and the course platform software. Lessons learned reflected the use of technology in this online program, the importance of obtaining buy-in from agency decision makers and being prepared to address challenges related to the use of direct observation in supervision, gatekeeping, and enacting the simultaneous roles of administrative and clinical supervisor.

Parallel process in psychodynamic supervision: The supervisor's perspective.

Nine postdoctoral-level experienced psychodynamic supervisors were interviewed about working with a supervisee on a case involving parallel process (PP) that started in therapy and was enacted in supervision. Consensual qualitative research was used to analyze transcripts of the interviews. The general pattern that emerged from the analysis of the supervisors' reports was that clients behaved unusually in session, therapists "got hooked" by this change, therapists enacted the client's behavior in supervision, supervisors "got hooked," supervisors reflected on their reactions and intervened in a different way; reported outcomes were mostly positive (e.g., enhanced growth or understanding for the therapist). Results of this qualitative investigation provide evidence of PP and clues as to how experienced supervisors observe, describe, and respond to PP in ways that promote growth, insight, and understanding for their supervisees. (PsycInfo Database Record (c) 2020 APA, all rights reserved).