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Concept of the inner supervisor in cognitive behavioral therapy and schema therapy

The result's identifiers

  • Result code in IS VaVaI

    <a href="https://www.isvavai.cz/riv?ss=detail&h=RIV%2F00098892%3A_____%2F25%3A10159878" target="_blank" >RIV/00098892:_____/25:10159878 - isvavai.cz</a>

  • Alternative codes found

    RIV/00216208:11410/25:10509431

  • Result on the web

    <a href="https://www.sav.sk/index.php?lang=sk&doc=journal-list&part=article_response_page&journal_article_no=41900" target="_blank" >https://www.sav.sk/index.php?lang=sk&doc=journal-list&part=article_response_page&journal_article_no=41900</a>

  • DOI - Digital Object Identifier

    <a href="http://dx.doi.org/10.31577/ansr.2025.67.4.1" target="_blank" >10.31577/ansr.2025.67.4.1</a>

Alternative languages

  • Result language

    angličtina

  • Original language name

    Concept of the inner supervisor in cognitive behavioral therapy and schema therapy

  • Original language description

    Background: The concept of the inner supervisor has emerged as a complementary tool to traditional external supervision. It emphasizes therapists’ self-reflection and meta-cognitive monitoring of their cognitive, emotional, and relational processes during and after sessions. Objectives: This article aims to (1) define the inner supervisor, (2) outline its theoretical background in cognitive behavioral therapy (CBT), schema therapy (ST), and self-practice/self-reflection approaches, (3) present main competencies required for its effective use, (4) describe practical methods and techniques for its development, and (5) illustrate its clinical applications through case vignettes. Methods: The paper builds on a narrative review of literature on therapist self-reflection, self-practice/self-reflection (SP/SR), and supervision, as well as clinical experience with CBT and schema therapy. Illustrative case vignettes are included to demonstrate practical use in diverse therapeutic contexts. Results: Inner supervision enhances therapists’ self-awareness, prevents unexamined countertransference, and strengthens the therapeutic alliance. Methods such as self-reflective diaries, cognitive restructuring of automatic thoughts, mode dialogues, chairwork, and imagery rescripting are emphasized as effective tools. Case vignettes illustrate its utility in managing therapists’ frustration, self-criticism, schema activation, and countertransference. Conclusions: Inner supervision represents a valuable adjunct to external supervision, fostering therapist growth, resilience, and improved patient care. While promising, it has inherent limitations (blind spots, distortions) and should therefore be integrated with traditional supervision. Future research is needed to empirically evaluate its effectiveness and develop validated measures of its impact on therapist development and treatment outcomes.

  • Czech name

  • Czech description

Classification

  • Type

    J<sub>imp</sub> - Article in a specialist periodical, which is included in the Web of Science database

  • CEP classification

  • OECD FORD branch

    30215 - Psychiatry

Result continuities

  • Project

  • Continuities

    I - Institucionalni podpora na dlouhodoby koncepcni rozvoj vyzkumne organizace

Others

  • Publication year

    2025

  • Confidentiality

    S - Úplné a pravdivé údaje o projektu nepodléhají ochraně podle zvláštních právních předpisů

Data specific for result type

  • Name of the periodical

    Activitas Nervosa Superior Rediviva

  • ISSN

    1337-933X

  • e-ISSN

    1338-4015

  • Volume of the periodical

    67

  • Issue of the periodical within the volume

    4

  • Country of publishing house

    SK - SLOVAKIA

  • Number of pages

    17

  • Pages from-to

    141-157

  • UT code for WoS article

    001691518300001

  • EID of the result in the Scopus database

    2-s2.0-105030552849