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Reality therapy versus cognitive behavioral therapy
Reality therapy vs existential therapy
3 R's of reality therapy
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Recommended: Reality therapy versus cognitive behavioral therapy
Introduction Reality Therapy, is based on choice theory, and was developed by William Glasser he believe that mental illness resulted from an individual’s participation in unsatisfying relationships. Reality Therapy can be considered a cognitive-behavioral approach to therapy; which focuses on helping and guiding the client toward awareness of his/her thoughts and actions, which will hopefully result in changing their maladaptive thoughts and actions. In order to obtain and maintain the relationships, the clients must stop coercing, forcing, punishing, manipulating, criticizing, blaming and complaining about others, and hold themselves accountable. According to Reality Therapy, people have five basic needs: survival, love and belonging, power, …show more content…
Although individuals may be products of their past, it is important not to become victims of their past, unless they choose to be. Reality therapy emphasizes teaching clients to focus on making responsible choices through evaluation of their behaviors, which will result in them receiving what they need and want, planning allows the client to implement specific procedures that lead to change. Reality therapists also know the importance of positive, satisfying client-therapist relationships. It is key that the therapist be caring, somewhat confrontational, but not to critical of their clients. One of the concepts of the therapy is the belief that human beings are capable of making their own choices and are thus able to make positive, better choices in life (Howett, 2001). It emphasizes making decisions, and taking action and control of one's own life. Typically, clients seek to discover what they really want and whether what they are currently doing (how they are choosing to behave) is actually bringing them nearer to, or further away from, that goal. Although my preference would be reality therapy, I am also partial to Solution Focused Therapy, which also focuses on the here and now, how to create a better future, as well as, concentration more on the solution more than the
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
The key assumptions that the therapist must master in contextual therapy include the following: entitlement, loyalty, parentification, revolving slate and ledger of merits (Metcalf, 2011). Entitlement represent a source of individual freedom which allows individual to become inventive and establish a sense of satisfaction for life and future relationships. Entitlement can be constructive and destructive. Constructive entitlement produces blessings,
...In this specific style, the therapist tends to have the most success in gaining knowledge of the patients feelings of inadequacy, fear of intimacy, and low self esteem.
The therapist must be aware of individual values and beliefs in order to develop an understanding of why the client responds to certain life-stressors. For e...
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).
Solution focused Brief therapy directs the Social worker and clients attention to the question like how they will come to know the problem is solved (De Shazer et al, 1986). This question can help the client to visualise a preferred future when all of their existing problems are solved. Social worker can help client to progress towards preferred future by formulating solutions towards the set goals which will help in building that future. In Solution focused therapy, practitioners asked questions with the intention of setting up a therapeutic process and to listen and understand clients’ words and meanings and then ask next set of questions by focusing on client’s words and phrases (SFBTA,
According to Glasser (1965), “reality therapy is a treatment based on changing negative behavior, habits and relationships by focusing on the present or current situations.” An essential aspect of Reality Therapy focuses on the five needs of survival, love and belonging, achievement and power, independence and freedom, and fun, being essential for individuals to ascend through life and establish relationships (Content Guide 5, n.d.). The various techniques utilized during Reality Therapy include: exploring behavior as a focus of change, focusing on the present situation, the adolescent assumes responsibility, a friendly relationship exists between the therapist and patient, the therapist is patient with the individual, the individual considers their ability to change, and lastly the therapist takes into consideration specific factors that are in control of the individual (Content Guide 5, n.d.). In the video, we see the Dr. McFarland create a both friendly and comfortable environment where Adrianne is able to express her opinions and thoughts of her present situation with her parents. Dr. McFarland is also patient with Adrianne, and this is one of the strengths of Reality Therapy, since the way the questions are presented to Adrianne, for example “what are the things your parents need to see from you”, this allows Adrianne to take responsibility and focus on the present situation. One limitation/weakness
Experiential Family Therapy is a therapy that encourages patients to address subconscious issues through actions, and role playing. It is a treatment that is used for a group of people in order to determine the source of problem in the family (Gurman and Kniskern, 2014). Experiential Family Therapy has its strengths and weaknesses. One of the strengths of this therapy is that, it focuses on the present and patients are able to express their emotions on what is happening to them presently. The client will have time to share everything about his/her life experiences one on one without any fears. As a result, it helps the client in the healing process because, he/she is able to express their feelings freely and come out of the problem. Therefore, in this type of therapy, the clients are deeply involved in solving their issues. It helps clients to scrutinize their individual connections and to initiate a self-discovery through therapy, on how their relationships influence their current behaviors (Gurman and Kniskern, 2014). By examining their personal relationships through experiential family therapy, family members are able to
In regards to the questions and answers, I feel as though my personal approach to counseling is based off of my own priorities I set forth in myself that follow more closely to the aspects of Reality Therapy, and Adlerian Therapy. Though Reality Therapy primarily focuses on the present, it still has some grounding in the past but not as much as Adlerian does. Even knowing this I still feel these two therapies are more closely related to my own belief system. I am in agreement with Reality Therapy, in that we are responsible for the choices we make. I trust that we can exercise great control over our lives, over how we can change to better ourselves, and to better our relationships with those around us. I feel that we all as a society are influenced by basic needs: belonging, survival, freedom, and power, and that these needs can be used as motivational tool when working with clients.
“The goal of reality therapy is to help clients get reconnected with the people they have chosen to include in their quality worlds and to teach clients choice theory” (Corey, 2013, p. 183). Letting clients understand that they have a choice in their lives will help them gain control. Furthermore, “the goal of existential therapy is to challenge clients to recognize and accept the freedom they have to become the authors of their own lives” (Corey, 2013, p. 74). As individuals, we have to face different aspects of life such as isolation, freedom, and responsibility. Helping a client through their struggles and acknowledge these life struggles may help guide the client to a positive point in their lives.
The second stage in the psychodynamic therapy process is, the transference stage. In this stage the development of treatment is set and now it is the patient’s time to let their feelings out. The patient expresses those feelings, emotions, fears, and desires to the therapist without having to worry about censorship. The feelings and behavior of the patient become more pronounced and become a vital part of the treatment itself. During this stage the therapist could experience and better understand of the patient’s past and how it impacted their behavior in the
Reality Therapy Introduction William Glasser, who “published his first book, Mental Health or Mental Illness?” was the foundation of “Reality Therapy” in 1961.” (Corey, 1977/1991) “Dr. Glasser began his work in an adolescent girl’s juvenile facility.” (Mary Lahey, 2013 PowerPoint Presentation) This was in total opposition to a popular theory of the times by Sigmund Freud. Freud’s Psychoanalysis theory states that each individual is unique, that there are factors outside of a person's awareness (unconscious thoughts, feelings, and experiences) which influence his or her thoughts and actions, that the past shapes the present, that human beings are always engaged in the process of development throughout their lives.
.... This is where the freedom comes in. If the Therapist were to force something on the client by saying this is what's wrong, and here is how you fix it, they might head in the right direction at first, but not because of their own will. By allowing them to make a conscious effort to help themselves it will mean more and last longer. In reading this book I learned a lot about the way existential therapy works, and how I can go about helping people that come to me for advise. Not only do I understand that people have the freedom to make there own choices, but also now I understand that people have the freedom of responsibility which allows them to change their lives and better themselves.
Reality therapy is a practical therapeutic method developed by Dr. William Glasser, which focuses on here and now rather the past, problem-solving rather than the issue at hand, and making better choices with specific goals established. Reality therapy is a time-limited, no-nonsense approach that Glasser developed and taught as a method of counseling which is based on choice theory, which states: “all we do is behave, almost all behavior is chosen, and we are driven by five basic needs” (William Glasser Institute, 2010).
I think the major technique is focusing on the person and not the problem which would help the client to achieve independence and allow the client to cope with current and future problem they may face. Another major technique is the client determines the course of directions of therapy. Another technique is the person-centered therapy which is a non-directive which allows the client to be the focus of the therapy session without the therapy giving advice.