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Chapter seven of person- centered therapy
Reflection in counseling
Chapter seven of person- centered therapy
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Next, I am going to discuss the person-centred interventions I exercised through the therapeutic process with my client in session four. Within this I am going to explore how these interventions impacted my client’s responses and how I could improve my skills in future sessions.
Opening the session and delivering the contract I did not provide my client with enough information about the British Association of Counselling and Psychotherapy (BACP, 2016), the role of supervision and the person-centred approach. In the next session I would deliver the contract in a way that would involve the client more in the process, for example I would ensure understanding and ask if she had any questions regarding any of the information. By creating a user
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Rogers (1986, p376) states ‘I am not trying to reflect feelings, I am trying to determine whether my understanding of the client’s world is correct – whether I am seeing it as he or she is experiencing it at this moment’. This is a way of checking with the client if you are following their experience and being with them in that moment for what it really is. There are various types of reflection that include bodily, situation, word-for-word, facial, and reiterative (Verde, 2003). I made most use of word-for-word reflections and facial reflections in my session, but watching back my recorded session I missed opportunities to make more use of the others such as bodily …show more content…
Due to the nature of the educational setting I make it explicit that I am recording the session, and ensure that the client has given me permission to continue. I explain that the material recorded would only be seen by me, my tutors, the exam board, and themselves if they wished. I also inform them that it will be part of a case study, and I have received written consent from my client to do so. My client’s data is protected under the Data Protection Act 1998, which is concerned with the confidentiality of sensitive personal data (Sutton and Stewart,
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 therapeutic aspect is focussed on the care received, and how it creates a positive outcome for the service user, this includes good communication, building strong relationships, person centred planning and the choices available to the person in receipt of care. (Miller, J, 2015) (Gibb and Miller, 2007)
The Person-centred theory takes an approach which looks at personality and human relationships. Rodgers believed that those who are psychologically healthy are said to have ‘positive self-concept’ which is made up of three different parts: self-image, self-esteem and ideal self. Self-image is the way the individual sees them self for example how they see their own personal qualities or how they see their body image. Self-esteem is how the individuals feels for example do they feel they are valued by their family, friends or society. Lastly our ideal self is the way the individual would like to be for example healthier, more confident etc. Rodgers believed that by using the ‘core conditions’ the helper, in this case me, would be able to help the individual as much as possible I must show unconditional positive regard, congruence and empathy. To promote unconditional positive regard I must help the individual accept themselves by treating him fairly, using polite and encouraging language despite his aggression towards our staff and not expecting too much from him in regards to his health improvements. To show congruence to the patient I was open, honest and sincere with him to allow him to gain my trust to allow him to open up freely in hope that he would feel more comfortable around me. I also encouraged the patient to become more confident in himself and help him to want to get better and create a better ideal self. To do this I gave him some motivation to get up in the morning and get washed and changed to help him feel fresher and in regards to his homelessness I tried my best to ensure we were doing all we can to get him in contact with the correct sources to change his living situations. By using the person-centred approach and the core conditions I could see a large improvement in the therapeutic relationship between me and Mr Grey as he was
I also have become passionate for person-centered therapy. As I start to work with students I will need to help the student to emphasis on how they act in their world with others, how they can move forward in a constructive directions, and how they can successfully deal with obstacles that are blocking their growth. The student may be dealing with obstacles from within themselves and outside of themselves. As the counselo...
In the second part of the book Rogers speaks of his ideas of his theory of the person-centered approach to therapy. This is the part of the book that I felt really spoke to me. Person-centered theory is a lot of what I would like to do. I enjoy the ideas and concepts that Rogers presents in his theory. I think that it is extremely important to be able to take into consideration not only the diagnosis of the patient/client with whom you are working, but that it is more important to be able to take the time to sit back and to listen to them. I have realized in the year that I have been working in the psychiatric hospital how important it is for the patient/client to just sit back and listen to what it is they're saying to you. This however does not mean I am only hearing their words, but that I am listening at a much deeper level and actually he...
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
Person centred values influence all aspects of health and social care work because it is a law requirement in regards to the Human Rights Act 1988, Health and Social Care Act 2012 along with codes of practice for social care workers, health and social care should be based on person centred values. Person centred values in care is an approach that respects and values the uniqueness of the individual and seeks to maintain or if required, restore their individuality. This is done by creating an environment that promoted the personal worth, uniqueness and social confidence of the individual as well as respect, independence and hope. If person centred values become guidelines in health and social care settings it will help to provide anti-discriminatory
The assumption is however, that the client was never able to have their feelings heard by the people surrounding them. Person Centered Therapy would allow the client to then be able to express their feelings openly. According to Strupp (1971), “psychotherapeutic relationship is in principle indistinguishable from any good human relationship in which a person feels fully accepted, respected, and prized” (p. 39). Thus, there must be a therapeutic alliance between therapist and client. This therapeutic alliance should creative an environment for the client in which the client feels the therapist is judgment-free.
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
The counselor accomplishes the above by expressing empathy, developing discrepancies, going along with resistance and supporting self-efficacy. Moreover, the counselor guides the client toward a solution that will lead to permanent posi...
(2017). Person Centred Therapy - Core Conditions | Simply Psychology. [online] Available at: https://www.simplypsychology.org/client-centred-therapy.html [Accessed 8 Jun. 2017].
Person-Centred Counselling established its origins in the late 1940 during a conference when Carl Rogers gave a talk entitled ‘New Concepts in Psychotherapy’. The summarisation of the talk resulted in the theory that the client in a counselling relationship should be at the center of the relationship and lead the counselling process. The Client, in effect became the expert on their life and/or problems. The fundamental belief is that an individual is capable of change, growth and fulfillment (self-concept). Person-Centred counselling looks at ‘the here and now’ and how to make changes that affect the future. Person-Centred Counselling generated a system known as the ‘Core Conditions Model’ which emphasized three key components: Empathy, Congruence and Acceptance.
Over the years, the name of Rogers' theory has changed from non-directive counseling to client-centered therapy, and then to person-centered therapy. However, Rogers (1995) affirms that the "person-centered approach seems [to be] the most descriptive" title for his theory (p. 115). The Person-Centered approach can be best described as a theory that embraces a consistent and organized set of perceptions and beliefs about oneself. It is a phenomenological theory that "aims directly towards the greater independence and integration of the individual" (Rogers, 1942, p. 28). In terms of human nature, Rogers viewed individuals as being innately good and trustworthy.
The counseling session began with the introductions where I introduced myself as the counselor and later introduced my client. This stage is important in any counseling session since it is the time of exploration and focusing according to Gerard Egan as quoted by Wright (1998) in his essay on couselling skills. It is in this session that I was able to establish rapport and trust with my client in order to come up with a working and fruitful relationship with him. During this stage I made use of skills like questioning, where I would pose a question directly to my client, sometimes I would choose to just listen to what the client wanted to speak out while in some instances I would be forced to paraphrase the question if I felt the client did not understand the question I had asked previously. There were also other times when I would reflect through silence. During such a period, I got time to study the client and the information he had given. This being a difficult area, since some clients may not be able to volunteer information to you as the counselor, I decided to assure the client of confidentiality of any information he was willing to share with me with a few exceptions which I also told him about. Being open to him about the only times the information may not be confidential was part of my building rapport and establishing trust with him. I therefore, decided to ask the client what information he wanted to share with me and lucky enough he was ready to speak to me about different issues that he was going through.
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.