Integrative therapy is defined as the effort to see and work beyond the traditional boundaries of “single-school approaches to see what can be learned from other perspectives and how clients can benefit from a variety of ways of conducting therapy” (Corey, 2017). The premise is for the therapist to choose the best technique for the patient and their issue(s). Multimodal techniques have been empirically shown to be effective in dealing with a client's specific clinical problems. The goal of which is to increase the efficacy and applicability of a client’s psychotherapy experience. Empathetic listening, support, and warmth, while developing a working alliance provides the opportunity for catharsis. Feedback and the practicing of …show more content…
This empirically based modality requires therapists to be knowledgeable in evidence-based approaches. Clients are required to be honest and describe fully details of their life, thus allowing for collaboration in examining beliefs and testing new behaviors in order to attain the desired goal(s). During the intake interview, motives for seeking therapy are described by the client and collaboratively explored, followed by “interest in the positive aspects of the client's life” (Corey, 2017) Creating a new paradigm allows clients to envision how they would like to be. Accomplished by a collaborative and active relationship between the client and therapist. Vital to this relationship is the need for genuineness, caring and a willingness to involve the client in both their struggles and successes. Strengths-Based CBT practitioners believe that clients possess the building blocks they need to construct new qualities. The use of the four-step model can help build and enhance a clients resilience as well as their positive qualities. These are: search, construct, apply, and practice, how individual deals with trials is contingent on whether they feel they are functioning from a position …show more content…
Strengthening my understanding of cultures as well as my attending skills would be an asset to my career as a counselor. Being genuine and non-judgemental is, in my opinion, a pre-requisite in an effective counselor.
I can only assume I would effectively manage my time, by experience as a mother, wife, employee. All these require one to prioritize and be flexible, being able to set limits and manage time effectively. Working in the healthcare field I am aware of HIPPA guidelines, therefore practicing confidentiality would not pose an issue for me. Maintaining objectivity is also a skill I practice on a daily basis, working with so many different cultures and beliefs, someone is bound to have a differing opinion. As a caring individual my biggest concern would be experiencing burnout .
COUNSELING APPROACHES
In B. L. Duncan, S. D. Miller, B.E. Wampold, & M.A. Hubble (Eds.), The heart and soul of change: Delivering what works in therapy (2nd ed., pp. 143-166). Washington, DC: American Psychological Association.
This method is grounded in the strengths perspective, a perspective in which the worker center’s their sessions around the clients’ abilities, gifts, and strengths (Shulman, 2016). Instead of focusing on what is wrong with the client, the worker highlights what is right with the client building on their strengths instead of emphasizing their deficits: the client already has what they need to get better or solve their problem (Corcoran, 2008). The role of the worker in this model is to help the client recognize their potential, recognize what resources they already have, and discuss what is going well for the client and what they have been able to accomplish already (Shulman, 2016). Techniques commonly used in this model, although they are not exclusive to this model, include an emphasis on pre- and between-session change, exception questions, the miracle question, scaling questions, and coping questions (Shulman, 2016). These questions are used for many reasons: for example, the miracle question is used because “sometimes asking clients to envision a brighter future may help them be clearer on what they want or to see a path to problem-solving.” (Corcoran, 2008, p. 434) while coping questions are used to allow the client to see what they are already accomplishing, rather than what they are transgressing (Corcoran, 2008). All
Interpersonal psychotherapy has its roots in the work of Harry Stack Sullivan, who was the first scholar to draw attention to the effect connections between humans may have on mental illness. Sullivan’s ideas were developed in reaction to his disagreements over Sigmund Freud’s psychoanalytic view that humans put up boundaries between each other instead of forming strong bonds (Evans, 1996). Unsatisfied with the current therapies, Sullivan developed descriptive psychiatry in the 1930’s that acknowledged the importance of social factors on an individual. Descriptive psychiatry did not have a specific structure, and was therefore more of an ideology to have towards treatment. Also, IPT is ...
Brooks-Harris, J. & Oliveira-Berry, J. (2004). Key Strategies for Multitheoretical Counseling & Psychotherapy Vol. IV: Psychodynamic-Interpersonal Counseling & Psychotherapy [video]. Farmingham, MA: Microtraining Associates.
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
Remember, self-reflection is vital to becoming a culturally-competent counselor. The counselor should consistently re-examine their worldview and personal beliefs about diverse individuals and other cultures. The idea is for the counselor to explore their own prejudices, emotions, and preconceived notions of those that differ from themselves. Remaining curious and willing to learn about culturally distinct groups is a practical way of working effectively with varied clients in counseling and understanding what barriers and prejudices are typical in their
...ential impediment to postmodern and CBT interventions is practitioner incompetence. Psychological harm to clients is a potential danger of interventions implemented by untrained or inexperienced therapists. Likewise, the attitude and professional maturity of the practitioner are crucial to the value of the therapeutic process. In both approaches, whether taking on the role of teacher or collaborator, the therapist’s stance is one of positive regard, caring, and being with the client. While techniques and therapeutic styles may vary between and within the postmodern and CBT counseling approaches, they both enlist the client’s diligent participation and collaboration throughout the stages of therapy to accomplish positive therapeutic outcomes.
I will make a conscious effort to be continually aware of my thoughts and interactions and be sure that I am staying up to date with my knowledge and skills that pertain to cultural competence. The facility where I work requires a yearly cultural competence class that is mandatory and quite helpful. Also, due to the nature of the environment and our facility being one of the top places in the nation that people go for health care, there are numerous opportunities for me to interact with international folks daily, which keep me on my toes. I will additionally make the most of this course, the assignments, and the textbook and strive to do well so as to gain increased insight and understanding that will help in my day-to-day nursing
Motivational interviewing is based on a client centered approach to therapy that uses open-ended questions, affirmation, reflective listening and summaries to help the client recognize the pros and cons of change and their reasons for resisting change thereby eliminating their ambivalence about change. Once the client deals with their ambivalence the Miller and Rollick believe that the client will be able to make the necessary changes. In addition, motivational interviewing gets the client to argue for change not the counselor. Furthermore, the client not the counselor is responsible for their progress.
Motivational interviewing is an important technique and counseling style that was created by William Miller and Stephen Rollnick in the 1980’s. The brief definition of motivational interviewing (MI) that is provided by Miller and Rollnick in their influential text is “a collaborative conversation style for strengthening a person’s own motivation and commitment to change” (Miller & Rollnick, 2013). Motivational interviewing is considered to be a style that evolved from client-centered therapy. The style is considered to be empathic but requires the counselor to consciously directive so that they may help their client resolve the ambivalence they are experiencing and direct them towards change. The important thing to note is that client autonomy is key to the process (Hettema, Steele, & Miller, 2005). However, despite being able to currently give a definition of MI, one that could be considered a working definition, motivational interviewing is “a living, evolving method” (Miller & Rollnick, 2009). It will continue to evolve as times change and it is implemented in use with other maladaptive behaviors. MI is a relatively new style that it still has the ability to undergo changes to adapt to what purpose it is serving (Miller & Rollnick, 2009).
In the industrial age before World War II, when individual psychotherapy was born and thrived, human beings were essentially seen as machines, with broken parts—including the mind—that could be repaired; after World War II, the dawning information technology age brought a paradigm shift in the view of human life from mechanical to relational, and communication and systems theories provided family therapy with increased validity and prominence. (White, 2009, pp. 200-201). The modern family systems theories that grew out of this paradigm viewed families narrowly as functional or dysfunctional according to the delineation of each theory. Today, postmodern theory suggests that no absolute truth governs individuals or families; instead, people are
Of the psychotherapy theories, we have studied this quarter; I am inclined to like Interpersonal Therapy (IPT), it is one of the most efficient forms of psychotherapy for depression. It is also an adaptation for a broad range of disorders in various populations. It 's qualification for use in divergent treatment approach and it service is ubiquitous is cultural disparate. In IPT, the therapist focuses on the recovery from the current depressive episode by clarifying the relationship between onset of the client 's current depressive symptoms and interpersonal problems in fostering a relationship through communication and interacting allowing the client to be at ease. Treatment is time limited that encourages the client to regain normalcy of
...p their own solutions to problems. Clients may need some guidance, education, or direction depending on their abilities and how the therapy is going. It is then that I want to be able to help them feel more empowered and recognize that they can make changes with effort on their part.
Furthermore, my goal is to let client fix their problems on their own through insight and guidance from the therapist. I envision a successful therapeutic process being when a client follows their goals and achieves positive outcomes in their lives. I seek to gain a therapeutic process with my clients by building rapport, trust, and helping them gain insight. When my clients are stuck and need motivation, I plan to remind them about their goals and the positive things that will come with change. If family is important to a client, informing the client about their family and their happiness may help motivate them to continue to
Psychotherapy has been Around for many years and has a major role in our world today. It has grown over the years and now there are known many hundreds of different theories about. Clients that use therapy are for different reasons as to cope with a change of life experience or a disorder or for personal development. Integrative psychotherapy has been around for over one hundred years but has really only come into the forefront of therapy since the late 1970’s. “Research has indicated that psycho¬therapy is moving toward an integrated approach to therapy” (Norcross, 2005b). The therapy is a mixture of all theories that are tailored by the therapist professional experience to work with the client in a positive way. This assignment will look at the factors needed to enable the therapist to carry out successful therapy. It will highlight and explain what the five principles of integrative therapy are. Also, with the common factors and how they are important and across all therapies. Also,