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Motivational interviewing 5 principles
Client-centered therapy versus traditional therapy
Motivational interviewing ESSAY
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Theoretical orientation makes practicing clinician who they are. Moving forward within careers, counselors often find themselves changing their approach. I perceive Social Learning, Person-centered, and Motivational Interviewing theories to be a part of my theoretical orientation. Dealing with individuals who become influenced by their environment, may seek positive regards for their choices. In order to guide the individual, building a healthy relationship is vital, also it allows counselors to understand past attempts to change.
As I move forward in the professional field, I identify Social Learning as the theory of addiction. According to Social Learning Psychology, social learning is defined as, a psychological theory, learning behavior
This applies to addicts too. For example, when a client is in treatment the counselor has the ability at watching how the individual acts with peers. The actions with his/her peers may determine the behaviors following the interaction.
Humans thrive from reinforcements, whether they are direct, indirect and have a negative or positive affect. “Moreover, recent formulations of social learning theory suggest that learning occurs through both direct and vicarious behavioral reinforcement” (Brauer, 2012). Thus, seeking approval from one’s peers through involuntary or direct actions. This gives the individual satisfaction in knowing their behavior is reinforced.
Trust can be difficult for many individuals. Allowing one to trust themselves they will find their way through life can be challenging. Person Centered approach has the ability to direct clients to choose their new path in life. “Humanistic psychology and client-centered approaches, developed initially by Carl Rogers (1957) using a strength-focused premise, the clients are considered as their own best experts and that they already have resources within themselves” (Csillik, 2015). “In client-centered approaches, the therapists address the person as a whole and do not focus their intervention exclusively on the problem behavior; the problem is considered from the clients’ point of view” (Csillik,
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
In the beginning of this book the author talks about the value of understanding a person’s addiction. Sandor explains that a recovering addict’s understanding of their addiction is based on the experiences they had. Sandor states that “understanding requires a balance of knowledge (information) and being (experience).”(Sandor, 2009, p.7) Sandor goes on to explain that when it comes to the field of treatment of addiction, professionals rely on the information they were trained with that comes from textbooks, lectures and the interviews of patients. Sandor came to the realization that professionals have been “overthinking” the problem. For example, when I was younger my father took me to the swimming pool to learn how to swim. My father threw me in the water. He thought that if he threw me in I would 1) learn how to keep my head above water and 2) learn how to swim. My fear was drowning in the pool, so my father signed me up for swimming lessons. After a few months I overcame my fear of drowning and learned how to swim.
(2017). Person Centred Therapy - Core Conditions | Simply Psychology. [online] Available at: https://www.simplypsychology.org/client-centred-therapy.html [Accessed 8 Jun. 2017].
- - -. “Social-learning Theory:Observing and Imitating Models.” Human Development. 5th ed. New York: McGraw Hill, 1992. 213-14. Print.
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.
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
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.
“If you look back to the original social learning theory, you find it is largely about people learning from each other, and it shows how technology is not part of the equation. Social learning theory has four elements,
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-Centered Therapy is an optimistic theory that is categorized in the humanistic approaches to therapy. PC therapy believes that human beings are intrinsically good, and are motivated to be the best that they can be (Carver & Scheier, 2008, p. 346). The theory embodies respect for individuals and values of tolerance and understanding (Brodley, 2007, p. 140). As the name implies the client is responsible for his or her own growth and improvement (Carver & Scheier, 2008, p.344). Rogers' stated that the main assumption of his approach is that “individuals have within themselves vast resources for self-understanding and for altering their self-concepts, basic attitudes, and self- directed behavior” (Rogers, 1980, p.115). One of the underlying assumptions, and main motivation, of Person-Centered Therapy is that human beings possess an innate tendency to grow and meet their full potential, or to self-actualize. Self-actualization is the inherent motivation to reach our highest potential, both emotionally and intellectually (Kosslyn & Rosenberg, 2004, p. 464). Self-actualization moves one towards autonomous behavior and self-sufficiency, it enriches one’s life and enhances their creativity. It also promotes congruence, wholeness, and integration of the person. Rogers describes self-actualizing people as the fully functioning person (Carver & Scheier, 2008, p.322).
There are many assumptions of why an individual may use different substances and perhaps go from a “social” user to becoming addicted. Understanding the different theories models of addiction many help in the process of treatment for the addict. Although people in general vary in their own ideologies of addiction when working as a clinician one must set aside their own person beliefs. Typically as a clinician it is best for the client to define how they view their addiction and their view may encompass more than one of the five theories. Some theories suggest genetic and other biological factors whiles others emphasize personality or social factors. In this study three theories are defined and given to three different people with different cultural backgrounds, different ideologies, different experiences, and most importantly different reference point of addiction.
Three interrelated attitude of the therapist are central to the success of person-centered therapy, this include: congruence; unconditional positive regard; and empathy (Corey, 2010). Congruence represents the openness and geniuses of the therapists. Therapists who function this way does not hind behind a professional façade, and are willing to share significant emotional reactions with their clients. Unconditional positive regards refers to the therapist accepting the client totally as she or he is without disapproving particular behaviors, believes, feelings or characteristics. Therapists convey this message by their wiliness to listen without being judging, or directive. The therapist who creates a nonthreatening context allows the clients to explore and share their true feelings without fear of being judged. Empathy is the third necessary component of a therapist’s attitude. The therapist should try to see through client’s point to view, and show understanding and sensitivity to client’s feeling throughout the therapy session. When these three attitudes are conveyed by a therapist, according the Rogers, the client can freely express themselves without afraid of being
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...
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.
... the self-efficacy and self-esteem of certain individuals, leading to more satisfying and fulfilling life that is built on better personality traits, I feel that Social Learning Theory can be applied to many situations.