What is good CBT supervision? What makes an effective supervisor? How can qualified CBT therapists learn to become good CBT supervisors who work effectively with their supervisees? These are some of the questions addressed in this practical new book, examining what it takes to be a competent and confident CBT supervisor. Using the authors’ unique framework of learning – the PURE Supervision Flower – the book equips trainees with the skills and competencies needed to prepare for, undertake, refine and enhance supervision practice across a wide range of settings. Structured around the PURE Supervision Flower, the book is divided into four parts: Preparing for Supervision explores how to establish an effective and ethical base from which supervision can occur Undertaking Supervision focuses on the practical delivery of CBT Supervision Refining Supervision offers insights into managing the supervisory process and relationship Enhancing Supervision hones competencies by considering complex ethical challenges and CPD. Packed with activities, tips, case studies and reflective questions to help consolidate learning, this is essential reading for CBT practitioners training in and already providing supervision across a range of settings.

Address Ethical Dilemmas: Developing a Coherent Approach

Address Ethical Dilemmas: Developing a Coherent Approach

Address Ethical Dilemmas: Developing a Coherent Approach

Learning objectives

After reading this chapter and completing the learning activities provided, you will be able to:

  • Identify ways of conceptualizing ethical dilemmas encountered in CBTS.
  • Consider ethical practice from the perspectives of compliance with an external code, as a matter of professional maturity and in relationship to others.
  • Explore when it might be appropriate to use different approaches to resolve specific issues.


Undertaking psychotherapy gives rise to unavoidable ethical dilemmas. As Goldfried and Davison (1994) observed, any attempt to change another person in the name of improving their mental health is fraught with issues of an essentially moral nature. This is equally true of supervision. CBT supervisors attempt to shape the performance of those whom ...

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