Carl Roger’s believed that everyone is inherently good. Therefore, even the vilest of people would be included. Some disputes have been made among behavior theorists that because the theory lacks structure, it is not as effective in treating illness. However, it is one of the main theories utilized by therapists today. Cognitive Behavioral Therapy is another popular theory that is used. It emphasizes the present and fixing cognitive distortions that clients may have. However, it too received some arguments against it, such as; treating symptoms and not the underlying cause of an illness. The theories that will be discussed are Carl Roger’s theory of Person Centered Therapy, Aaron Beck’s Cognitive Behavioral Therapy (CBT) and how they would treat Post Traumatic Stress Disorder (PTSD). In Person Centered therapy, the therapist establishes a solid therapeutic alliance with the client. “The therapeutic alliance is a more encompassing term for therapy that emphasizes the collaborative nature of the partnership between counselor and client. This partnership incorporates client preferences and goals into treatment and outlines methods for accomplishing those goals. The therapeutic alliance is an alliance based on listening to the client without being judgmental or giving unwarranted advice.” Individuals are working toward self actualization. They also look for ways to improve experiences. Individuals try hard to reach an optimal sense of satisfaction. This eventually leads them to become fully functioning. After the individual is fully functioning they are able to trust their own feelings and experience a better life (Rogers, 1961). Rogers found that very few become fully functioning. To cope with this they create defense mechanisms.... ... middle of paper ... ...Capsule. Post Traumatic Stress Disorder. American Psychiatric Association's Diagnostic and Statistical Manual of Mental Disorders (DSM-IV-TR). 14 Mar. 2008.http://www.behavenet.com/capsules/disorders/ptsd.htm. National Institute of Mental Health. Post Traumatic Stress Disorder : Signs and Symptoms. U.S. Department of Health and Human Services. 15 Mar. 2008. http://www.nimh.nih.gov/health/publications/anxiety-disorders/post-traumatic-stress-disorder.shtml. National Institute of Mental Health. Post Traumatic Stress Disorder : Treatment. U.S. Department of Health and Human Services. 15 Mar. 2008. http://www.nimh.nih.gov/health/publications/anxiety-disorders/post-traumatic-stress-disorder.shtml. Wikipedia. “Post Traumatic Stress Disorder.” Wikimedia Foundation. 15Mar. 2008. http://en.wikipedia.org/w/index.php?title=Post-traumatic_stress_disorder&redirect=no
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
Cognitive Behavioral Therapy (CBT) is a hands-on form of psychotherapy that is empirically based, which focuses on the interrelationship between emotions, behaviors, and thoughts. Through CBT, patients are able to identify their distorted thinking and modify their beliefs in order to change their behaviors. Once a patient changes their distorted thinking, they are able to think in a more positive and realistic manner. Overall, CBT focuses on consistent problem solving strategies and changing negative thought distortions and negative behavior. There are different types of CBT, which share common elements. Trauma Focused Cognitive Behavioral Therapy is a kind of CBT, which falls under the umbrella of CBT.
(2017). Person Centred Therapy - Core Conditions | Simply Psychology. [online] Available at: https://www.simplypsychology.org/client-centred-therapy.html [Accessed 8 Jun. 2017].
Trauma-Focused Cognitive Behavioral Therapy (TF-CBT) is one of the most commonly utilized interventions for children (Cary & McMillen, 2011). TF-CBT is a highly structured intervention consisting of 90-minute weekly sessions. The clinician works with the client through eight competencies, including psychoeducation, relaxation, affective expression and regulation, cognitive coping, trauma narrative development and processing, gradual exposure, joint parent/child sessions, and enhancing future development (Cary & McMillen, 2011). TF-CBT has an extensive history and many variations. Clinicians utilize a number of other cognitive behavior treatments that have been adapted to meet the needs of traumatized children (Cary, & McMillen, 2012; Smith et al., 2007). While there are a number of cognitive behavior treatments, TF-CBT has received the highest classification rating for supported and effective treatment from many studies (Cary, & McMillen, 2012; Kauffman Best Practices Project, 2004).
Research has shown that a strong therapeutic alliance is necessary for establishing a beneficial contact between the therapist and the client. If the therapist does not encourage the creation of a reliable therapeutic alliance from the beginning of the treatment, it will be hard to develop a constructive relationship with the client later. Establishing the therapeutic alliance will increase the chances of achieving the goal of the treatment because the clients will be willing to cooperate if they trust and respect the therapist. Clients are not likely to cooperate with therapists who impose their authority aggressively. Instead of imposing their authority on the patient, therapists should develop work with their patients by building a mutual relationship based on trust, understanding, and respect for the client.
In it's simplest form, Cognitive Behavioral Therapy, (or CBT as it will be referred to from here on out), refers to the approach of changing dysfunctional behaviors and thoughts to realistic and healthy ones. CBT encompasses several types of therapy focusing on the impact of an individual's thinking as it relates to expressed behaviors. Such models include rational emotive therapy (RET), rational emotive behavioral therapy (REBT), behavior therapy (BT), Rational Behavior Therapy (RBT), Schema Focused Therapy, Cognitive therapy (CT). Most recently a few other variations have been linked to CBT such as acceptance and commitment therapy (ACT), dialectic behavioral therapy (DBT), and Mindfulness-Based Cognitive Therapy (MBCT) (Harrington and Pickles, 2009). The main aspect that all of these branches of therapy share, is that our thoughts relate to our external behaviors. External events and individuals do not cause the negative thoughts or feelings, but, instead the perception of events and situations is the root cause (National Association of Cognitive Behavioral Therapists, 2010).
As the field of counseling continues to progress numerous theoretical orientations have been developed. One theoretical approach to counseling has been coined as person centered counseling or client centered therapy. This type of approach is commonly referred to as Rogerian psychotherapy. Rogerian therapy focuses on the empowerment of individuals with the inner self. These constructs are vital to ensuring and promoting a transparent and honest atmosphere which subsequently results in effective counseling. The behaviors that are found in client centered counseling are valuable as they motivate the client to explore their "hidden feelings" and become aware of where their feelings derive from. Being afforded the rare opportunity to see Rogers
Cognitive-Behavioural Therapy has its foundations in two distinctive therapeutic theories, Cognitive Therapy and Behavioural Therapy. Cognitive Therapy (CT) believes that thoughts, feelings and behaviour are connected. CT states and an individual with help; can identify an issue that is causing a behavioural or an emotional response and correcting that thinking to achieve a desired outcome. Behavioural Therapy believes that individual’s behaviour is due to conditioning during the early years of life and as such can be altered with conscious awareness. Cognitive-Behavioural Therapy is a combination of both of these theories and is based on an individual’s own history of thought an...
Cognitive behavioral therapy earliest inventors were behaviorist, such as Skinner, Watson, and Pavlov. They’re the ones who led to the advancement for behavioral treatment of mental disorders. Behavioral modification is a technique that uses positive and negative reinforcements to change a particular behavior and reaction to a stimulus. Behavioral therapist only focused on an individual’s behavior not their thoughts. During this era, psychologists applied B.F. Skinner’s radical behaviorism to clinical work. Much of these studies focused on chronic psychiatric disorders, such as autism and psychotic behavior. His methods also focus...
To explain, the client should not be inferior to the counselor; the environment should be two people discussing an issue and ways to make a difference. A therapist should occasionally share similar experiences; therefore, sessions should make clients feel comfortable. To add, the client should feel safe due to the positive atmosphere the therapist brings to the session. The goal is to finally give the client a chance to be heard, regularly people are muted and feel like they are insignificant to society. Similarly, to Person-centered therapy where communication with the client is unconditionally positive. The therapist needs to genuinely care about the client needs for them to fully express themselves successfully. Furthermore, clients should be encouraging to make their own choices which model how to identify and use power responsibly. Hence, this will help the client feel more confident in everyday life when making a meaningful
It is inevitable that in psychotherapy there are numerous theories. Theories arise out of scholarly investigations of ideas on human behavior. Human behavior is an extraordinarily interesting subject and therefore produces a plethora of ideas from a variety of theorists. These theorists are influenced by their education, culture, and time period. One influential theorist is Carl Rogers.
Current research implies that an empathetic clinician-client relationship and interrelated ecosystems play the majority role in the success of therapy (Kilpatrick & Holland, 2009). The clinician’s ability to be present and actively perceive what the client is experiencing is of utmost importance in creating a therapeutic alliance. It is imperative that the clinician gains positive regard towards the client and their environment displaying honest acceptance towards the client no matter what issues are presented in session. This closely relates to a sincere presentation of genuineness that instills a feeling of honesty within the client and clinician (Kilpatrick & Holland, 2009). An experienced clinician builds upon the therapeutic
The Clinical Application of Cognitive-Behavioral Therapy. 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).
Reflecting on the Person-Centered Therapy, it is similar to the Existential Therapy because it focuses on the client/therapist relationship, where the therapist needs to be totally genuine, empathetic and non-judgmental toward their clients in order to gain the client’s trust. I like the fact that the Person-Centered Therapy views the client as their best authority on their own experience, and being fully capable of fulfilling their own potential for growth. I also like the fact that the therapist is non-directive, does not give advice and there is no specific technique involved. Person Centered Therapy can basically develop their own technique as their relationship develop with the client.
Carl Roger’s was a humanistic theorist who was the first to focus on a ‘patient-centered’ form of therapy