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Lying in Psychotherapy Supervision

Why Residents Say One Thing and Do Another

Dr. Hantoot is at the Department of Psychiatry and Behavioral Sciences, Northwestern University Medical School, Chicago, IL. Address reprint requests to Dr. Hantoot, 222 E. Superior Street, 4th floor, Chicago, IL 60611.

Despite expectations of accuracy and truthfulness, psychotherapy trainees may deliberately distort accounts of patient interactions presented in supervision. The author presents interviews with four psychiatry residents, detailing specific misrepresentations made to supervisors. Aspects of the literature on lying and on the supervisory setting are reviewed to help explain this phenomenon and suggest interventions to help prevent it.

Key Words: Supervision • Lying

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