Although unwillingness on the part of the supervisee to accept feedback can be a factor in the supervisor-supervisee relationship having strained dynamics, the most significant factor causing these strained dynamics seems to be

• improper training in the art and science of clinical supervision.
• the supervisee's unwillingness to receive their own, personal therapy.
• unpreparedness on the part of the supervisor to work with professionals in a way that honors their humanity.
• an agency or administrative structure's unwillingness to offer proper time for clinical supervision or debriefing.