The Effects of Bug‐in‐the‐Eye Supervision on Therapeutic Alliance and Therapist Competence in Cognitive‐Behavioural Therapy: A Randomized Controlled Trial

Abstract

BITE supervision positively influences the therapeutic alliance and therapeutic competencies during cognitive-behavioural therapy. A supervision format that more directly addresses therapeutic processes is more effective in improving those processes than an indirect supervision format. Pre-treatment differences between therapists might explain the superiority of BITE supervision. BITE supervision can be considered a safe intervention.