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Current PsychotherapiesHumanism and Person-Centered
Therapy
Rebecca Lawthom
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Abraham
Maslow(1908-1970)
Born and raised in Brooklyn,
New York and attended
University of Wiscosin.
Also one of the found fathers
of the Humanistic theory.
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What defines the
Humanistic Theory ?
Maslows Hierarchy of
Needs
People are inherently good and tryto make morally right decisions.
Perceptions of your experiences isa result of your own view ratherthan environment.
Focus on self, the individual.Nurture over nature.
Decisions are goal-oriented , andorganism has a natural tendency tostrive, actualize and enhance
individuals experience.
This idea of a humans journey toself actualization is best describedin Maslows Hierarchy of Needs
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Key Points and Terms
Developed by Carl Rogers.
Also termed Client-Centered.
Humanistic, or Phenomenological Therapy The person is viewed as creative, responsible,
developing individual
By providing a therapeutic atmosphere whichis real, caring, and non-judgmental the person
can develop their full potential
http://images.google.com/imgres?imgurl=http://www.carlrogers.dk/pic_02_CarlRogers_2.jpg&imgrefurl=http://www.carlrogers.dk/&h=582&w=410&sz=33&tbnid=dWUcIMw7AgUJ:&tbnh=132&tbnw=92&hl=en&start=4&prev=/images%3Fq%3DCarl%2BRogers%26svnum%3D10%26hl%3Den%26lr%3D -
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Challenges
PC challenges:
The assumptionthat the counsellor knows best
The validityof advice, suggestion, persuasion, teaching,diagnosis, and interpretation
The beliefthat clients cannot understand and resolvetheir own problems without direct help
The focuson problems over persons
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Emphasizes
Emphasizes:
Therapy as ajourneyshared by two people
The persons innate striving for self-
actualization
The personal characteristics of the therapist
The quality of the therapeutic relationship
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Emphasizes
Emphasizes:
The counsellors creation of a permissive,
growth promoting climate
People are capable of self-directed growthifinvolved in a therapeutic relationship
Person-Centered Therapy is a form of
humanistic therapy
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Rogers Basic Assumptions
Rogers believed in an actualizing tendencyin allhuman beings
Represented movement towards the realization of
the individuals full potential
Viewed as part of a formative tendency
Formative tendencyrepresents movement
toward order, complexity and interrelatedness Seen across aspects of nature including the stars,
crystals, microorganisms and humans
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Basic Requirements for the
Therapeutic Environment (Therapist)
Genuineness/Congruence
Correspondence between the therapists thoughts and
their behavior Unconditional Positive Regard
Therapists regard/attitude remains unaltered regardless
of the clients choices
Empathy Profound interest and care for the clients perceptions and
feelings
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Basic Requirements for the
Therapeutic Environment (Client)
Self-concept
At therapy onset, self regard/self-esteem often low
Improvement correlated with success in therapy
Locus-of-Evaluation At therapy onset, focus on what others think
Progress associated with internal locus-of-evaluation
Experiencing
At therapy onset, rigid
Success related to flexibility
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Distinctive Components of
Person-Centered Therapy
Therapists attitudecan be necessary
ANDsufficientconditions for change
Therapist needs to be immediatelypresentand accessible to clients
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Distinctive Components of
Person-Centered Therapy
Intensive, continuous focus on client's
phenomenological world
Process marked by clients ability to live fullyin the moment
Focus on personality change, not structure
of personality
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Comparing Person-Centered Therapy
with PsychoanalysisLanguage Common Sense (PC)
Esoteric (Psychoanalysis)
How to
Understand
Theindividual Subjective Interpersonal (PC)
Objective intrapersonal(Psychoanalysis)
Emphasis Purpose (PC)
Causality (Psychoanalysis)
Characterization
Of the individualHolistic (PC)
Reductionistic (Psychoanalysis)
View of Human
Nature People are basically good (PC)
People are bad (Psychoanalysis)
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Comparing Person-Centered Therapy
with PsychoanalysisRole of
Therapist Facilitate self discovery (PC)
Interpretation for the pt(Psychoanalysis)
View of
Transference Not central to the clients abilityto change (PC)
Fundamental to the changeprocess (Psychoanalysis)
Presentation
Of TherapistA caring person who is willing tolisten (PC)
Authority, teacher (Psychoanalysis)
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Difference between PC Therapist and
Behavior Therapist
PC would argue that behavioral changes occur
through internalfactors whereas
behavioral therapy sees behavior changingthrough externalfactors.
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History of PC Therapy
Carl Rogers was born 1902, Oak Park Illinois
Family emphasized strong work ethic, responsibility and the fundamentals of religion.
Graduated 1924 from University of Wisconsin
Started at the Union Theological Seminary then transferred to Teachers College, ColumbiaUniversity
Worked for 12 years at a Child-Guidance Center
In 1939 published Clinical Treatment of the Problem Child Offered professorship at Ohio State University
1940 Rogers presented Some Newer concepts in Psychotherapyat the University ofMinnesota (viewed by most as the birth of Client-Centered Therapy)
Published Counseling and Psychotherapy in 1942
During WWII served as Director of Counseling Services for the US Organizations
Served as head of University of Chicago Counseling Center (12 years)
In 1957, Rogers published classic paper on necessary and sufficient conditions for therapy. Rogers died in 1987
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Current Status of PC Therapy
Special interest of Rogers was application of
his theory to international relationships
Since 1982 Biennial International Forums on
PC approach
Workshops at Warm Springs
Person-Centered Review began to be
published in 1986 (renamed The Person-
Centered Journal)
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Theory of Personality
19 Propositions
1. Individual is centerof a continually changingworld of experience
2. Organism reacts based on their reality
3. Organism reacts as an organized whole4. Organism has one basic tendencyactualization5. Behavior is goal directedbased on perception of
reality
6. Emotion accompanies and facilitatesgoal directedbehavior
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Theory of Personality
19 Propositions
7. Best point to understand behavior is from
the individuals frame of reference
8. Part of the perceptual field is differentiated
as the self
9. Self is formed through interaction
10. Valuescome from experience and
introjection from others
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Theory of Personality
19 Propositions
11. Experiences are integrated, ignored, or
denied
12. Behavioris generally consistent with self
concept
13. Behaviors inconsistent with self concept can
occur but are seen as not owned
14. Psychological maladjustment comes from
denied experiences
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Theory of Personality
19 Propositions
15. Psychological adjustment occurs when
experiences are assimilated
16. Experiences inconsistent with self-concept
are perceived as threats
17. Under the right conditions inconsistent
experiences can be
examined/assimilated
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Theory of Personality
19 Propositions
18. When the individual integrates in all of their
experiences they are more
understanding of others19. As experiences are integrated an internal
locus-of-evaluation develops
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Rogers Theory of
Personality Summarized
Behavior is best understood through the
individuals reality (perceptionofexperiences)
For social purposes, reality is defined ascommon perceptionsacross individuals
Personal growth occurs through decreased
defensiveness
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Rogers Theory of
Personality Summarized
Self actualization is the organisms one, basic
tendency(Rogers believed an organism hasone basic tendency and striving which is to
actualize, maintain and enhance the
experiencing organism
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Rogers Theory of
Personality Summarized
Experiences inconsistent with self concept are
threatsleading to increased rigidity
Therapy allows the individual to accept and
integrate all of their experiences
In Roger's personality theory, behavioris
defined as a goal directed attempt to satisfyan organism's needs
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Other Concepts
Experience is the private worldof theindividual
Realitybasically refers to the privateperceptions of the individual; For social
purposes, reality consists of perceptions that
have a high degree of commonality amongindividuals
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Other Concepts
Self is the organized gestaltof I and me
According to Rogers, the center of an
individual's worldof experience is the
individual
The process by which an individual becomes
aware of an experience is known as
symbolization
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Other Concepts
In ambiguous situations individuals tend tosymbolize experiences in a manner consistent
with self concept
Carl Rogers would view neurosis as the resultof incongruencebetween the real selfandthe ideal self.
All humans had an actualizing tendency,which he saw as a part of the formativetendency of the world
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Rogerian View of Psychotherapy
Implied Therapeutic Conditions
Client and therapist must be in psychological
contact
Client must experience distress
Client must be willing to receive conditions
offered by therapist
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Process of PC Therapy
Therapy begins at first contact
In the first interview, a person centeredtherapist will go where the client goes
For Carl Rogers, empathy, unconditionalpositive regard, and congruence(genuineness) were the 3 basic
requirements to create a therapeuticenvironment
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Process of PC Therapy
Respect shown immediately for client
In addition to the basic requirements of thetherapeutic environment for the therapist,
Rogers believed the client must focus on self-concept, locus-of-evaluationandexperiencing
Therapys length is determined by client (In
person centered therapy termination isdecided by the client)
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Process of PC Therapy
Quick suggestions and reassurances are avoided
Empathy- Understanding another individual by"living" in their internal frame of reference
Person centered therapists believe that empathy,
unconditional positive regard, and congruence arenecessary and sufficient conditions for therapeuticchange
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Process of PC Therapy
Congruence- a correspondence betweenthe thoughts and the behavior of atherapist
Client centered therapy focuses mostheavily on the present
A successful person centered therapy
outcome would be defined by theclient's evaluation that therapy wasbeneficial
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Therapist Role and Function
Function: to be present and accessible toclients, to focus on immediate experience, tobe real in the relationship with clients
Through the therapists attitude of genuinecaring, respect, acceptance, andunderstanding, clients become less defensiveand more open to their experience and
facilitate the personal growth
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Therapist Role and Function
Role: Therapists attitude and belief in the innerresources of the client, not in techniques, facilitatepersonal change in the client
Use of self as an instrument of change
Focuses on the quality of the therapeuticrelationship
Serves as a model of a human being strugglingtoward greater realness
Is genuine, integrated, and authentic Can openly express feelings and attitudes that are
present in the relationship with the client
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Therapy Goals
helping a person become a fully functioning
person
Clients have the capacity to define their goals
an openness to experience
A trust in themselves
An internal source of evaluation A willingness to continue growing
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Clients Experience in Therapy
Incongruence: discrepancy between self-perception and experience inrealityanxietymotivation to help
As clients feel understood and accepted, theirdefensiveness is less necessary and theybecome more open to their experiences
Therapeutic relationship activates clients self-healing capacities
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Relationship between
Therapist and Client
Emphasizes the attitudes and personal
characteristics of the therapist and the quality
of therapeutic relationship.
Therapist listening in an accepting way to
their clients, they learn how to listen
acceptingly to themselves.
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Relationship between
Therapist and Client
A central variable related to progress in
person-centered therapyis the relationship
between therapist and client
A person-centered therapist is a facilitator
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Therapeutic Techniques
It is not technique-oriented
The therapeutic relationship is the primary
agent of growth in the client
Therapists presence: being completely
engaged in the relationship with clients.
The best source of knowledge about the client
is the individual client
Caring confrontations can be beneficial
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Application
individual counseling, group counseling,
businesses, international relations,
community development education, marriage
and family
A variety of problems: anxiety, crisis
intervention, interpersonal difficulties,
depression, personality disorder..
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Contribution from a
Multicultural Perspective
Contributions
Has reached more than 30 counties and has been
translated to 12 languages
Reduction of racial and political tensions
Limitations
Some people need more structure, coping skills,
directedness
Some may focus on family or societal expectations insteadof internal evaluation
May be unfamiliar with people in different cultures
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Contribution of PC Therapy
Contributions
Active role of responsibility of client
Inner and subjective experience
Relationship-centered
Focus on therapists attitudes
Focus on empathy, being present, and respecting
the clients values Value multicultural context
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Summary and Evaluation
Limitations
Discount the significance of the past
Misunderstanding the basic concept: e.g.,
reflecting feelings.
People in crisis situations often need more
directive intervention strategies.
Client tend to expect a more structured approach.
h ( ) f
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Bozarths(1998) Summarization of
Research on Psychotherapy According to Bozarth's summarization of research on psychotherapy, the
most consistent variables affecting therapy are empathy, unconditionalpositive regard and congruence (genuineness)
Effective psychotherapy predicated on: Relationship between therapist and client
Internal and external
Type of therapy, technique, training and experience of therapists arelargely irrelevant
Clients who receive psychotherapy improve more than those who do not
Little support that specific treatments are best for particular issues
Most consistent variables related to effectiveness are empathy,
genuineness, and unconditional positive regard