CLIENT CENTRED THERAPY

1. CLIENT CENTRED THERAPY

2. The Person-Centered Approach • Assumes that clients can be trusted to select their own therapists, to choose the frequency and length of their therapy, to talk or to be silent, to decide what needs to be explored, to achieve their own insights, and to be the architects of their own lives.

3. Humanism vs. Existentialism… • Humanism and Existentialism BOTH: • Respect for client’s experience and trust in clients ability to change • Believe in freedom, choice, values, personal responsibility, autonomy, meaning

4. Existentialism Clients come into counseling because they are facing anxiety in trying to construct an identity in a world without intrinsic meaning Humanism Clients do not suffer from anxiety in creating an identity Clients need to believe that they have the natural potential to actualize Humanism vs. Existentialism…

5. Person-Centered Theory of Personality • Carl Rogers was concerned about the way people treated each other and how they cared for or didn't care for each other. He believed that children would develop a good sense of their own self-worth or self-regard if others (parents, teachers, or friends) treated them as valuable and worthy. • When individuals treated others in a way that was sometimes harsh, manipulative, or self-serving, then the person was treated conditionally. Conditions of worth (conditionality) develop from conditional positive regard form other. Such conditions can make it difficult for a person to become a fully functioning person.

6. Person-Centered Theory of Personality • Carl Rogers was concerned about the way people treated each other and how they cared for or didn't care for each other. He believed that children would develop a good sense of their own self-worth or self-regard if others (parents, teachers, or friends) treated them as valuable and worthy. • When individuals treated others in a way that was sometimes harsh, manipulative, or self-serving, then the person was treated conditionally. Conditions of worth (conditionality) develop from conditional positive regard form other. Such conditions can make it difficult for a person to become a fully functioning person.

7. Conditionality or Conditions of WorthThe process of evaluating one's own experience based on values or beliefs that others hold. • Conditional positive regard • Receiving praise, attention, or approval from others as a result of behaving in accordance with the expectations of others. • Fully functioning person • A person who meets his or her own need for positive regard rather than relying on the expectations of others. Such individuals are open to new experiences and not defensive.

8. Necessary and Sufficient Conditions for Change • 1. Psychological contact • A relationship must exist so that two people may have impact on each other. • 2. Incongruence in the client • For change to take place, a client must be in a state of psychological vulnerability. There is a discrepancy between individuals' views of themselves and their actual experience. Included would be depression, anxiety, or a wide variety of problems. Although individuals may not be aware at first of their incongruence or vulnerability, they will be so if therapy continues. • 3. Congruence and genuineness • Therapists are aware of themselves. They are aware of their feelings, their experiences as they relate to the client, and their general reaction to the client. Therapists are open to understanding their own experiences as will as those of the client.

9. Necessary and Sufficient Conditions for Change • 4. Unconditional positive regard or acceptance • The therapist does not judge the client but accepts the client for who he or she is. Accepting the client does not mean that the counselor agrees with the client. With acceptance often comes caring and warmth. • 5. Empathy • The therapist enters the world of the client, leaving behind, as much as possible, his or her own values. Since it is not possible to be "value free," the therapist monitors his or her own values and feelings. The therapist tries to understand the experience of the client, what it is to be the client. Caring and warmth are expressed often in statements of empathy.

10. Necessary and Sufficient Conditions for Change • 6. Perception of empathy and acceptance • Not only must the therapist unconditionally accept and understand the client, the client must perceive that he or she is being understood and accepted. Therapists' voice tone and physical expression contribute to the communication of empathy and acceptance. Thus, they are apart of the client's perception of empathy.

11. The Client’s Experience in Therapy • 1. Experiencing responsibility. • 2. Experiencing the therapist. • 3. Experiencing the process of exploration. • 4. Experiencing the self. • 5. Experiencing change.

12. Increase the independence and integration of the client Focus on the person, not the problem Create the conditions necessary for positive growth Develop openness to new experiences, trust in themselves, internal source of evaluation, and willingness to continue growing Goals of Person-Centered Therapy

13. Person-Centered Goals in Therapy • Become more self-directed. • Increase positive self-regard. • The client chooses the goals.

14. Assessment • Assessment occurs as therapists empathically understand clients.

15. Constructivist Trends • Rogers did not impose his perception on others, but let theirs develop. • Rogers uses a non-expert role, • Withholds his advise, • Does not let his own experiences influence the way he helps clients change their narrative.

16. Limitations and Criticisms • Most now feel these conditions are necessary but not sufficient • Can become supportive without challenging the client, which makes change difficult • Places limits on therapist’s behavior within the session, such as limiting their teaching or guiding role