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Humanistic therapy – A case study

Humanistic therapy – A case study. Carolyn R. Fallahi, Ph. D. Introduction to Clinical Psychology. History of Person-centered therapy. Carl Rogers History: Nondirective therapy Then client-centered Then person-centered (to include encounter groups and psychoeducation). Assumptions:

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Humanistic therapy – A case study

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  1. Humanistic therapy – A case study Carolyn R. Fallahi, Ph. D. Introduction to Clinical Psychology

  2. History of Person-centered therapy • Carl Rogers • History: Nondirective therapy • Then client-centered • Then person-centered (to include encounter groups and psychoeducation). • Assumptions: • All human beings possess a self-directed growth process • Mechanism by which that process is activated…..

  3. Vocabulary • Self-actualization • The Self or self-structure/self-concept • Conceptual map • I or me • Perceptions of I or me in relation to others • Real or actual self • Ideal self • Congruence • incongruence

  4. Therapy • Unconditional positive regard • Conditions of worth • Locus of evaluation • Genuineness and empathy • Empathy and empathic listening • Abnormality • Assessment and Diagnosis • Q-sort • What about external evaluations?

  5. Therapy • Negotiation of the therapeutic relationship • Necessary and sufficient conditions • Therapist focus • What does the client have to do? • Therapeutic techniques • The process of therapy • Research in Client-centered therapy • Criticisms

  6. Childhood Traumatic Grief • New childhood condition – Childhood Traumatic Grief (CTG). • Conceptualization • Symptoms • Coping Mechanism

  7. Other Common Symptoms • depression or anxiety. • Issues with internalizing or externalizing behaviors. • Similar to loss of a parent through divorce. • Higher incidence of “interpersonal sensitivity”.

  8. Examples • 1998 hurricane that killed 4,000 people in Nicaragua. • 9/11 examples. • Virginia Tech examples.

  9. Client-Centered Treatment – Carl Rogers

  10. The role of the therapist • Provides assistance based on certain beliefs – the person is valuable, worthwhile, and fully equipped to understand her life. • Techniques used. • The challenge for the therapist.

  11. Traumagenic Model • The use of CCT is especially compatible with Finkelhor & Browne’s traumagenic model. • What is the traumagenic model? • What symptoms are common in children & adolescents?

  12. Case Study • The case of Shelly – a 15-year-old high school sophomore at a large public high school. • Development history was unremarkable. • No previous history of mental health problems.

  13. Case Study • Honor student. • Small, close group of friends from elementary school. • No hobbies & was not on any sports teams. • Shelly told her mother that 6 months after the death of her father, she needed help. • In the pretreatment evaluation, Shelly seemed to vacillate between attempting to control her feelings & being overwhelmed by them. • She appeared to function well when provided structure, as in school.

  14. Case Study • Both Shelly & mom felt that they were arguing more. • Adjustment disorder – diagnosis. • Shelly also reported a number of symptoms of PTSD, including 4/5 arousal symptoms, 4/5 reexperiencing symptoms, & depression & anxiety. • Based on Shelly’s symptoms & reported difficulties in various areas of her life, she was seen as having CTG. • Positive long-term outcome was seen because she did not have any pre-event mental health problems & her mother was asymptomatic for PTSD. Both mother & child had strong support networks.

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