Goldfried, M.R., Burckell, L.A., & Eubanks-Carter, C. (2003). Therapist self-disclosure in cognitive-behavior therapy. Journal of Clinical Psychology, Special Issue: In Session, 59(5), 555-568. Self-disclosure plays a significant role in the bond between therapist and client. It helps in facilitating positive changes in clients and aids positive outcomes of treatment. Self-disclosure enhances motivation and expectation. The authors of this article discuss how self-disclosure within the context of cognitive-behavior theories (CBT) uses reinforcement and modeling techniques to accurately self-disclose. These techniques have proven to be useful as therapeutic interventions. They discuss how research has shown that behavior change is directly related to its consequences. They argue that therapists should consider their own motivation to self-disclose and set boundaries. The therapists should never put their own needs above the client. They make sure to point out that self discourse alone cannot affect the outcome of treatment. Self-disclosure is effective only if it is used appropriately and only if it is used when it is necessary. The amount of information disclosed and when it is disclosed is also important. Therapists should draw a clear line with the amount of intimacy to include in their therapeutic disclosure to ensure that no inappropriate boundaries are crossed. The authors suggest two rules of thumb to follow when disclosing information which include: (a) “Why do I want to say what I am about to say” and (b) “What will be the likely impact of the client” (p. 567). Watson, J.C., & Gellar, S.M. (2005). The relation among the relationship conditions, working alliance, and outcome in both process-experiential and... ... middle of paper ... ...ikely to finish treatment. Works Cited Goldfried, M.R., Burckell, L.A., & Eubanks-Carter, C. (2003). Therapist self-disclosure in cognitive-behavior therapy. Journal of Clinical Psychology, Special Issue: In Session, 59(5), 555-568. Watson, J.C., & Gellar, S.M. (2005). The relation among the relationship conditions, working alliance, and outcome in both process-experiential and cognitive-behavioral psychotherapy. Psychotherapy Research 15(1-2), 25-33. Hughes, A., & Kendall, P. (2007). Prediction of cognitive behavior treatment outcome for children with anxiety disorders: Therapeutic relationships and homework compliance. Behavioral and Cognitive Psychotherapy 35, 487-494. Shrik, S., & McMakin, D. (2008). Alliance and outcome in cognitive-behavioral therapy for adolescent depression. Journal of Clinical Child & Adolescent Psychology 37(3), 631-639.
Although doctor-patient confidentiality is standard today, a caveat about this privilege is that it does not protect all statements made to therapists and only applies to regularly scheduled appointments. Additionally, if a patient reveals that they intend to harm someone, it is the therapist’s duty to report this fact to the proper authorities.
Interpersonal Psychotherapy (IPT) is a short-term psychotherapy that was developed by Myrna Weissman and Gerald Klerman in the 1980’s. It focuses on the interpersonal relationships in the client’s life, instead of on past or biological causes. The therapy is kept fairly structured by the clinician’s use of a manual and aims to help the client recover from their current episode of depression. Interpersonal Psychotherapy has been used in conjunction with Cognitive Behavioral Therapy (CBT) in research studies, with promising results. Though initially developed for the use of depression, IPT has also been effective with other disorders, such as anxiety and eating disorders. Interpersonal Psychotherapy continues to be researched, as well as modified for use with other client populations such as adolescents. Clinicians, especially those who work with mood disorders, should learn more about IPT and decide if it is something they would like to incorporate into their practice.
While CBT has many advantages, it alone does not encompass all of the concepts I believe are necessary to tackle a client’s needs. Therefore, I draw upon concepts from various theories to assist clients in achieving their goals. Pulling from Reality therapy, a key concept I utilize is focusing on what the client is doing and how to get them to evaluate whether they’re present actions are working for them. CBT does use some form of this in the sense that one must examine and establish their cognitive misconceptions; however, I prefer to extract this concept from Reality therapy because CBT tends to do so by focusing on the past. I am a firm believer that while the past can shape who you are, it does little good to remain focused on it. Focusing on overt behavior, precision in specifying the goals of treatment, development of specific treatment plans, and objective evaluation of therapy outcomes all come from Behavior therapy (Corey, 2013, p. 474). Behavior therapy is highly structured much like that of CBT. By utilizing this aspect of Behavior therapy, I am better able to closely observe where a client is currently and where they are headed. Lastly, I pull from Person-Centered therapy as the final key concept of my counseling approach. PCT focuses on the fact that client’s have the potential to become aware of their problems and resolve them (Corey, 2013). This Person-Centered therapy concept has overlap with CBT as
Five Factors Theorized to be Important in Countertransference countertransference and the expert therapist, this study looks at how beginning therapists rate five factors theorized to be important in countertransference management: (I) anxiety management, (2) conceptualizing skills, (3) empathic ability, (4) self-insight and (5) self-integration. Using an adaptation of the Countertransference Factors Inventory (CFI) designed for the previously mentioned studies, 48 beginning therapists (34 women, 14 men) rated 50 statements as to their value in managing countertransference. Together, these statements make up subscales representing the five countertransference management factors. Beginners rated the factors similarly to experts, both rating self-insight and self-integration highest. In looking at the personal characteristics which might influence one's rating of the factors, males and females rated self-insight and self-integration highest.
The psychotherapies that I most support are a hybrid of two therapies, Carl Rogers’ nondirective Person/Client-Centered Approach and Aaron Beck’s Cognitive Approach. To put it simply, I call it the Person-Centered Cognitive Approach to psychotherapy. A collaboration of these two approaches is what I feel to be the most effective way to help clients achieve homeostasis and growth. I believe the client/therapist relationship is important, and this is why I support the Roger’s Person-Centered therapy and feel it is effective. If the client/therapist relationship is agreeable the atmosphere of the therapeutic relationship will allow for the client to open up, trust the therapist, and allow them to aid the client to move in a constructive direction (Beck Institute for Cognitive Behavior Therapy). Beck’s Cognitive Therapy also puts great emphasis on a collaborative therapeutic relation, but the reason I support this approach opposed to behavioral approaches is because it says we are what we think (Corsini & Wedding, 2008), and in order for us to be able to change we have to become aware and evaluate our thoughts (Rosner, 2012).
Cognitive Behavioural Therapy (CBT) is the main type used to treat ADHD in psychotherapy treatment for children. Moreover, it integrates the following two components: behavioural interventions; and parent training. The main goal is improving the daily functioning of the child by improving their behaviour, family, and peer relationships. Interventions for parents are designed to help parents develop optimal strategies to cope with the difficult behaviour to or coexist with ADHD rather than addressing the core symptoms of inattention, hyperactivity, and impulsivity. By doing so, answering the research question, could help us to modify their behaviour and raising their grades. Teachers can create an enhanced learning environment for all children
Kottler, A. J., (2010). On being a therapist. San Francisco, CA: John Wiley & Sons.
Cognitive behavior therapy has been proven to work in many different areas and presenting problems. One area that was not mention above that would significantly improve the outcome of any given therapy is the willingness of the client to accept treatment. The goal of cognitive behavior therapy is to focus on the present and to help the client identify their own strengths, learn new tools or techniques that they can use on their everyday life, and to be able to identify the different thought, emotional, and behavioral patterns that lead to undesirable
As stated by Collins (2007), the privacy and openness to discuss intimate issues can stimulate vulnerability with the client. Another ethical issue with this theory can be a growing dependence with the counselor. An additional ethical issue with this therapy is for the client to know his or her vulnerability regarding emotional or sexual needs when it comes to counseling a client (Corey, 2007). An additional ethical issue for the Individual Psychology therapy is that there may be some confusion as times to what is to happen in the counseling
...t to find a therapist who knows how to do Exposure and Response Prevention therapy. A therapist should be open and friendly towards a patient’s decision about finding help. A patient’s relationship with their therapist is important because they will be disclosing a lot of information to their therapist, some of which may be embarrassing or uncomfortable. (Ocfoundation, 9)
Cognitive behavioral therapy (CBT) is a form a therapy that is short term, problem focused, cost effective, and can be provided to a broad range of disorders and is based on evidence based practices, in fact it is has the most substantial evidence based of all psychosocial therapies (Craske, 2017, p.3). Evidence based practices are strategies that have been proven to be effective through research and science. One goal of CBT is to decrease symptoms and improve the quality of life by replacing maladaptive behaviors, emotions and cognitive responses with adaptive responses (Craske, 2017, p.24). The behavioral intervention goal is to decrease maladaptive behavior and increase adaptive behavior. The goal of cognitive intervention is to modify maladaptive cognitions, self-statements or beliefs. CBT grew out of behavioral therapy and the social learning theory (Dobson, 2012, p.9). It was not until the 1950s that CBT started to swarm the psychology field. Due to nonscientific psychoanalytical approaches, there was a need for a better form of intervention which ensued to behavioral therapy (Craske, 2017,
Cognitive behavioural therapy has been proven to be effective in the treatment of child and adolescent depression (Lewinsohn & Clarke, 1999; Harrington et al, 1998, March et al, 2004). There is general agreement in the clinical literature that the techniques of cognitive behavioural approaches to therapy are likely to be effective in treating depression (Brewin, 1996; Beech, 2000).
...d on saying that self-disclosure from the therapist may allow the client to be more in touch with their experiences and thus self-closing even more. I think after disclosing this information, the conversation started flowing in and the client would often call to remind me of our weekly appointment.
Cognitive-behavioral therapy (CBT) is based on the concept that behavior change may be achieved through altering cognitive processes. The assumption underlying the cognitively based therapeutic techniques is that maladaptive cognitive processes lead to maladaptive behaviors and changing these processes can lead to behavior modification. According to Mahoney (1995), an individual's cognitions are viewed as covert behaviors, subject to the same laws of learning as overt behaviors. Since its inception, cognitive-behavior modification has attempted to integrate the clinical concerns of psychodynamic psychotherapists with the technology of behavior therapists (Mahoney, 1995). Cognitive-behaviorists have demonstrated an interrelationship among cognitive processes, environmental events, and behavior, which is conveyed in the context of one's social behavior. Psychotherapists in North America endorse cognitive-behavioral interventions as the second most widely used treatment approach (i.e., with an eclectic approach being endorsed as first) (Bongar & Buetler, 1995).
Self - Disclosure should be used in discretion and accurate sense of timing. Therapeutic self – disclosure