 So everybody, this is Bob Cook from the Manchester Institute of Psychotherapy and I'm here to do some videos on supervision and the video we're going to do today is actually a series of seven segments of role play which demonstrates the seven-eyed model which was first devised by Peter Hawkins and Robin Sherwood and they wrote a book in 1989 called Supervision and the Helping Professions where they outlined this model. I find it a very useful model. It's a very useful model on two particular dimensions. One it gives the supervisor and actually the supervisor a grid for knowing where they are in the supervision process and also I find the integrative part of the model very good in terms of the parallel process and really sharing the integration of the different what they call modes or different segments of the whole model. So here we go, we're going to start off with stage one which they call modes and stage one is particularly looking at behavioral observation of the early sessions that a supervisor does with their client. The supervisor will help the supervisor home in on behavioral observation, behavioral skills and what was actually happening in that supervision session. So bringing to light almost like a painting for the supervisor and the supervisor saw to actually look at in real life. So two parts to it. One is the homing of the supervisor's behavioral skills and secondly for the supervisor to bring to life almost like a painting for the supervisor to help the supervisor look at what was really happening in the supervision session. So I've got Warren Lee Oaks here who is going to role play. It's very important to remember that this is made up as fiction. It's not actually true but in terms of confidentiality it's important that we know that. So I've got Warren Lee Oaks here who is a and was a senior teacher in counselling and thank you very much for coming. Well thank you for inviting me Bob and what a great opportunity to gain supervision from someone and never so much about it. Thank you boys great I'm really for publishing here and you're going to act this out and I've been doing you know I've been wanting to do this in a long time because to actually have some videos to describe the particular stages within this model it's going to be so important for the learners. Absolutely. So thank you. It's going to be really good for education for sure. So we start with first stage. Yes. It is an interactive model but you know it's not that when I you know teach this it's not that the supervisor has to go through all the seven models in one session with the supervisor. The way I'm teaching and where we're going to teach it we're going to break down each of the stages and the seven stages so that the learner can really see the focus of the supervision for each stage before they go and you know my model teaching it go and practice themselves. So that's going to get focused and then the end will look at it in an interactive way. Yeah. So this is like you know when you drive a car yes turning the gears yes and then putting it all together. Okay. So I'm going to start mode one which as I said is about behavioural focus of bringing to light the first session and then comparing with the final session to see if the two paintings are particularly different. Okay. So tell me a little bit about this client. Okay. So I've seen this client for three sessions and she's a woman in her mid 40s. She's referred to me through the agency I work at. I work as a charity. Okay. So initially I got a referral I got you know my practice manager referred to me and sent me the phone but I've made contact and made arrangements to meet. Yes she's in her mid 40s. She has a son who lives not in Manchester but in another town quite a few hundred miles away from where she lives and unfortunately he is a injecting jug user. Right. And he's so bad that actually he is in the process of being told that he may lose his leg. Lose his leg. Lose his leg. He injects in the leg and he's damaged the leg the veins that's how she explains it so badly that they say you might have to amputate it. Gosh. And one of the compounding things that this client's bringing is that she wants desperately to bring him home. It's her little boy. Yeah. But she lives in social housing and he's previously lived at home and he's caused so much trouble he's now got an asbo. So he can't live in the area that he's that he lives in and the client's new husband has basically said to her you know you've got another child you've got a daughter and also you know if he comes back he's not picking up the treatment programs and he's just he's going to get as a victim because he was in social housing he basically said that if he comes back he'll terminate her so she doesn't know where to go. She doesn't know where to go. She's pretty desperate really yeah. Okay so this is really why she's with you. Absolutely. So you work for a charity. Yes. And they assessed her before they passed on to you. Yes. Okay so let's go to that first session. Okay. Let's go to your casting rooms and tell me a little bit about how this works in terms of how you first met her. Well first I first met her by folding her up and we had a brief conversation over the phone and sat time at the date and then I met her at the agency in the waiting room. Oh waiting room. Yeah and she's the only person there so I wandered in and I said you're here to see Rory and she said yes and she's texted another mobile phone and she called the phone. Yeah and then from then we went into the therapy room and would you first picture her as someone who's relaxed or anxious? She was a bit preoccupied but she seemed to be distracted and she kind of came in. She stopped what she was doing immediately came in picked each other drink that made a drink for them and then we went to the room. Was this her first time? He was yeah he subsequently unfolded it was her first encounter with the therapist. So maybe she was just distracting herself. Possibly. Possibly. So you took another casting room. Yeah. Came in and tell me a little bit about the geographical layout of your room like sofas or as it were. The room has got a couple of nice easy chairs it's got a low coffee table the tissues as a clock and there's also a table lamp which in particular needs to be quite sunny over the last few weeks. So quite attractive. Quite attractive yeah. Okay. So who does she choose to where to sit or did you open the door and she wanted to and I said just sit where you like you know. She sat there and she's still playing with her phone or something. No she put her phone away by the time she put her phone away. And did she appear relaxed? Initially she did she sat quite squarely in the chair. And you sat opposite her? Sat opposite her you know slightly down a bit like we are today. So she appeared quite relaxed at the start. Initially. Okay so it sounds like she felt relaxed enough to tell you a story. Yes. And did she stay relaxed after a session or? No no we did the contract which was a bit new for her because she never had to tell people once we'd done the contractual side of things. I said to her we had a brief conversation on the phone he talked about his son is that what you know is that what you want to talk about and she and then she started off by saying her son's name and then she kind of changed quite dramatically. Okay and how did she change? So if I was to have watched this look on at this scene tell me a little bit how did she change? I mean when she changed did she did her energy go up which was? She became a bit unamated she looked like a bit of a rabbit in the headlights. As she spoke a lot quicker. Oh right. Her voice was a lot quicker almost as if she had all the information out in one go. Oh right so this is really important. Yes. This is the real crux of the story where she's here and it sounds like in fact she was quite agitated. She was you know it was so serious she was desperate because you know one hand her son is you know getting ill and more ill so he's not just a drug use which is you know it's obviously can be very difficult but also his health is failing quite dramatically. And also it turned out to the course of the work that he's breached his bell conditions. Breached his bell conditions of course. So there's a warrant of his rest the police sometimes take a bit of time to come and collect them. So so you know he's been in hospital a couple of times but at any moment he's going to take you back to the prison. So she managed to tell you all the story in the 50 minutes. Yeah yeah wow gosh. So by the end of the session how was she she was she still agitated or relaxed or well she didn't take long as the story unfolded her to become very tearful and very upset and it kind of felt like she was watching someone drown. She stood at the end as you were like say and she's watching someone drown and she just felt powerless to go in and help them. It was it was it was terrible it was awful to watch and you know and she didn't intersperse what she was saying my little boy even though the guy's kind of 19. So does she appear frightened and panicked? Yeah despairing. Despairing Bob. Okay so quite hopeless. Yes yeah okay. So I know it's 50 minutes this session so what you're saying to me that she was despairing hopeless and did she leave in that state? Well towards the end of the session I started to look at how she mapped the support mapping. Actually anybody she could see between the sessions how you know how to support the husband. The husband was quite pragmatic he's not unsupported but what he's saying is we could lose everything by having him back and because he's not not getting involved with the treatment programs nobody could all sing. So rather the metaphor of drowning is a pretty good one. Pretty good one all the way round. Pull them all down. Yeah well what's really good for me is that you highlighted support for her. Okay now let's zoom to your last session and you said just feel together so let's go to you've just seen it haven't you? Yeah I think it's changed much is she more relaxed less agitated where are we up to now? Well when she came the last time she's quite anxious because he he nearly died in police custody the last time and the reason for that wasn't anything the police had done it was because he because of his drug addiction he had very bad kidney problems and he used to hydrate himself quite often quite a lot and he never communicates his difficulties to anybody so not even the mother? No no not even the mother so what happens is is that he got arrested but this is the last time he got arrested he was in the salon and he checked on him and he was unconscious he got a doctor in and he found out that he was in the process of kidney failure oh my god and the doctor said he needs to re-hydrate himself I don't know what the ins and outs the drug use has done to him but she's very worried that he won't say anything and he might find him dead in the cell gosh there's a story involved when we get to this third session yeah she's exasperated even more worried perhaps about her son and it sounds like that she's relaxed enough with you to be able to go into the depths of her fear and panic yes yeah she was you know it was quite intense it was quite intense you know she was she you know she talked she talked quite in depth about it and and part of her his rational partner understands where husband's going from husband is a bit like a counterbalance he says look you know he's not in the process of wanting to change so therefore he'll just we'll just stand up on the street so in that session I noticed you and they've got another one coming up did you also emphasize like before about her internal resources her support and taking care of herself yeah that was the that was the start of the session really about how she'd been that week um how she'd look for support and you know she she'd got a friend yeah highlighted the fact that she's supposed to a friend and a friend had much said what husband says that unless his car wants to change then there's really little he can do about it you know and understanding how sad it is um you know she's friends also indicated that he can go to a support group for people who narcotics anonymous and have families and maybe getting support so she's thinking about that okay so by the end of this session was her fears subsiding a bit no she's still quite heightened still quite high okay so if we think of the next session that you're going to go to you've got to yeah yeah um if I was to think of the painting of that are you imagining that she might be less uh panicked and she's more able to be sued by you or yeah slowly I think the realization of the last three sessions is that actually he has to take a bit of responsibility right okay doesn't make it any less painful to her no but what she's saying is that you know he's not getting involved in treatment programs he's not altering his behavior and that um and that and that he you know unless he does something you know he may very well end up in in a very difficult place we've demonstrated to me or shown me I can really see these paintings these pictures yeah yeah how it is for her and how she's in terms of energy and panic and exacerbation and where you are now so I look forward to catching up with you next time we meet and see how these paintings evolve yeah yeah yeah it'll be interesting to see how the gambas comes out thank you thanks Paul thank you