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“Psychoanalytic therapy is structured largely on insight, subconscious motivation & reconstruction from the personality” Corey (2013, pg ) While aspiring counsellors and psychotherapists it is important to familiarize ourselves with the popular therapeutic strategies. No ideas are considered “right” or “wrong” although there will be better appropriate therapies for a few individuals & therapies that could be successfully built-in. This essay will be centering on one humanistic theory (Person Centered Therapy) One Content Modern way (Solution Targeted Brief Therapy) and Intellectual Behaviour Remedy.
Furthermore, it can be looking at the benefits and disadvantages in the integration of therapies.
Person Centered Remedy (PCT) Unlike many other counselling approaches, who have view the practitioners as the best facilitator intended for change, Carl Rogers thought that while human beings we could more than capable of understanding ourselves and resolving our own problems without direct surgery from a therapist. He believed we are capable of self-growth and change whenever we are involved in a unique kind of therapeutic relationship. Corey (2013, pg.
60) Although the primary source of successful psychotherapy is definitely the client, it is crucial that the therapist have an authentic, empathic understanding of the clients inner community and is able to communicate a nonjudgmental stance to the consumer in order to build an effective restorative relationship, one which will aid the client to learn and make use of their internal and exterior resources. Corey (2013, pg. 162) PERCENTAGE aims to empower and inspire independence in the client by simply helping clientele to establish and make clear their own desired goals. Its primary focus is always to provide the consumer with the ability to cope with and recognize problems.
This is often achieved through the therapeutic relationship and the therapist’s ability to appreciate sensitively and accurately the client’s experience and thoughts in the here-and-now and to connect to all of them that the therapist understands what exactly they are feeling. (Empathy) Cepeda, Lisa M.; Davenport, Donna S i9000. (2006) The therapist might not approve of a number of the client’s activities but the therapist does agree with the client and should be careful to always maintain a positive attitude towards the customer (Unconditional confident regard).
Rogers (1959) Down sides to PERCENTAGE Although it is important that the consumer experiences the therapist’s essential humanity and feels all their emotional involvement (congruence), it is vital for the Therapist to be firmly touching their own activities and thoughts during remedy and to schedule their own principles and thinking as they may well hinder improvement with their customer. This can be very difficult as we are human beings with the own group of values and attitudes, some of which we are conscious of and others which usually we are not really.
Other restrictions to PERCENTAGE could include the therapist becoming so blind in using reflective procedure that they are not able to be real with client & irritate them simply by repeating their words so that they can make reflecting statements. PERCENTAGE also concentrates on present and future rather than issues through the clients previous which could carry some significance. PCT is also hindered with clients who have difficulty articulating their feelings as PERCENTAGE is a form of talking psychotherapy in which the therapist takes a non-directing role.
Cognitive behavioural Remedy (CBT) CBT focuses on supporting clients to comprehend their own thoughts (cognitive) and emotions that influence their particular behaviours. It really is generally short-run and most frequently addresses particular problems. CBT is a progressive process and is also viewed as a “reeducating” strategy. CBT commences with an aim to train (or reeducate) clients in how to identify and change destructive and disturbing believed patterns that result in adverse behaviours.
It is considered effective in treating a large number of people with emotional disorders, especially depressive, panic, and sex disorders which were found to display maladaptive assumptions and thoughts. McLeod, S i9000. A. (2008). Clients discover ways to apply reasonable thinking, engage in experiential physical exercises and carry out behavioural homework as a way to bring about alter. Once a consumer can identify destructive pondering and the feelings associated, the therapy focuses on you see, the behaviours themselves that are adding the problem in front of you. This can be addressed through the customer’s homework.
For instance , someone who is anxious in social situations may be arranged a homework assignment to meet a friend by a community place for a drink. Drawbacks to CBT Although CBT has been proven successful in clients who suffer from depression and anxiety it might not be the very best therapy means to fix people battling brain ailments or illnesses that hinder rational considering. Gale Encyclopedia of Medicine. (2008) CBT requires the Clientele respect and commitment to therapy. There exists a lot of “homework” and if this kind of in certainly not completed, the client will most likely become disappointed with all the therapy outcome.
CBT as well requires a strong therapeutic romantic relationship and if this is simply not achieved, therapy will be defeated. Although CBT is considered fairly short term it is not necessarily a “quick fix” and clients ought to be made aware that it may take quite a bit of00 time to get over unhealthy considering patterns. A few Clients might also struggle as although they recognize that certain thoughts are irrational or bad, it does not generate it any kind of easier to end having them. Again, overcoming this is achieved throughout the homework approaches.
Solution Focused Brief Therapy (SFBT) “Solution Focused Remedies are a idea, not a assortment of techniques”Eve Lipchik, (1997) SFBT evolved from the job of Dorrie De Shazer and Insoo Berg with the Brief Family Therapy Hub in Wisconsin. It is a temporary therapy way and targets solutions. It is goal-orientated, rather than problem concentrated. The central philosophy of SFBT can be summed up in three rules of thumb: Rule 1: If it basically broken, avoid fix it. Regulation 2: If it’s working, maintain doing it.
Guideline 3: Whether it’s not working, make an effort something different. Berg & Callier, p. 18, (1992) Comparable to CBT, The work that the consumer continues to do outside the guidance office is just as important as work done with the specialist. Furthermore, it allows consumers to take responsibility for changing their own conduct. Goals will be identified at the beginning and because on this, both client and counsellor know what success will look like and may more easily determine when remedies are no longer needed. The Miracle Issue aims to allow the Client to visualise an ideal upcoming and hook up it to the present.
Clients are challenged to look earlier their hurdles and hopelessness and concentrate on the possibilities- to address precisely what the client wishes, not what the therapist thinks is best. The question is often structured like this; “Suppose that when we finish this kind of conversation and also you leave the bedroom at the end of today’s activity you go to sleeping. While you are in bed a miracle happens, as well as the miracle is that the problem which usually brought you here is fixed. However , because this happened when you were sleeping you don’t learn how the magic happened.
Therefore when you arise in the morning what will be the first things notice that let you know that thismiracle has took place? ” (De Shazer, 1988) Since, simply by definition, SFBT is quick, it may be less costly than other kinds of therapy that traditionally require more classes over a much longer period of time. SFBT is adaptable and easily adjustable. It can also be conveniently integrated to forms of remedy. Disadvantages to SFBT The therapist may be accused of disregarding whatever negative, and providing too much praise on the client.
It is vital for the therapist to learn when and how to give the Client positive opinions. It has been termed as “Solution Compelled Therapy” due to the belief that therapist pressure Clients to discuss only the positives and keep a lot of their grievances to themselves in the occurrence of the Therapist. Efran and Schenker, (1993) It may not adequately address customers with significant mental concerns, personality disorders and damaged cognitive features. Given the length of SFBT, It may not allow time to develop the counselor/client marriage in enough depth to get therapeutic.
SFBT is most dissimilar to more traditional therapy styles in terms of underlying philosophy and assumptions with any strategy which needs “working through” or intensive focus on a problem to resolve that, or any approach which is primarily focused on days gone by rather than the present or future. Finally, it is a misconception that SFBT is usually philosophically against traditional remedy treatments. If the client is in traditional treatment or has been around the past and it has helped, he or she is urged to continue performing what is working.
As such, SFBT could be utilized in addition to or as a component of a comprehensive treatment plan. Integration Person-Centered Therapy, Cognitive behaviour remedy and Solution focused short therapy are similar in that each therapy opinions the Client because the main instigator for transform. They each aim to help the Client move forward with increased self-awareness plus the skills to cope with future challenges. Examples of Successfully integrated methods An example of effective integration is out there in Cepeda and Davenport (2006) roposal of the incorporation of person-centered therapy, with its focus on the here and now of client knowing of self, and SFBT, with its future-oriented approaches that as well raise knowing of client potentials. Although the two theories maintain different assumptions regarding the therapist’s role in facilitating customer change, it is strongly recommended that solution-focused techniques are usually compatible for use within a person-centered approach. In addition , Cognitive-behavioral remedy (CBT) and Person-Centered Therapy (PCT) have been completely shown to bring about positive changes in therapy.
CBT and PERCENTAGE, like almost all single-theory strategies, have limitations. Literature suggests that when the change-producing techniques of CBT and PCT will be combined and applied, coaching is more effective. Josefowitz & Myran, 2005; Tursi & Cochran, 2006. The strength of CBT is definitely its focus on process and action (i. e. goal setting, collaborative actions, etc . ), but it has been criticized for its little focus on developing a strong therapeutic romance. The strength of PCT is their emphasis on the therapeutic romantic relationship between the consumer and counsellor but it have been criticized because lacking in composition.
By combining CBT and PCT, we can not only be offering the Client with structure but will be creating an environment when the Client feels free to connect openly and effectively. Guterman & Durs (2005, p. 224. ) Integration & Multiculturalism All of us live in a multicultural world. Contemporary Hypotheses have tiny applicability in working with customers from diverse cultural skills. Therefore , it is usually harmful if a therapist wants that their clients is going to fit into the theory mainly because these have constraints when placed on culturally diverse populations.
The Clients ethnic values will not be consistent with the principles espoused by the theories. Corey, 2013, pg 426 As a result, integration permits the therapist to fit a mix of techniques to the initial needs individuals client- whether or not they encompass social, cultural, spiritual or political dimensions or maybe a combination of these types of. Integration & Spirituality Spirituality and faith shape many of our values and this should be taken into consideration when constructing and integrated approach. Both religion nd counseling help people to ask queries that will assist them in finding that means and discovering who they are. The two facilitate recovery and therefore can complement the other person when effectively integrated, ensuring all of the client needs are met. Difficulties When taking into account an individual’s lifestyle and spiritual techniques, it is important we monitor our personal beliefs and stay careful not to influence a customer to take hold of or reject certain morals that we because therapists, believe will be effective or are not anymore relevant to the client’s expansion.
Therapists may well struggle to separate their own spiritual/religious beliefs and values to the people of the client and this may create a bent and even hazardous environment to get the client and therapy probably will be not successful. It is also important as counsellors, to be familiar with mixing methods with antag�nico underlying assumptions. Blending diverse theories may result in confusion. Syncretism is a expression used to specify when a counselors lack of know-how and abilities in picking interventions, searches for anything that might work, often making tiny attempt to identify whether the beneficial procedures work well.
Pulling distinct techniques from various remedy approaches with no sound rationale results in syncretic confusion and can most likely reveal the experienced therapist own biases and preconceived ideas. Lazarus, 1996: Norcross & Beutler (2011) Integrating Theories is definitely an art form. Being a therapist is usually not an convenient journey. There exists a great deal of function involved, which include much self-introspection, experience, and training. Building your personal approach to psychiatric therapy is a long term process. In saying this kind of, constructing an integrative approach to counselling involves developing a comprehensive knowledge of every one of the existing therapies.
This can be time consuming and overwhelming for aiming counsellors, hence there is the debate that it may become easier to choose one or two strategies that match the therapist, perfect them, and apply these to any or all Clients. Exactly like it would be simpler to perfect a single therapy method and apply to it to all Clients. Carl Rogers would not present the PCT like a fixed and completed method to therapy. This individual hoped that others will view his theory being a set of sensitive principles in relation to how the remedy process develops, not as assioma. Rogers expected is unit to evolve and was open and receptive to modify. Victor Frankyl reminds us the psychotherapeutic method consists of a ongoing chain of improvisations. He goes on to declare the choice of suitable treatment will depend not only for the individuality in the client yet on the individuality of the specialist as well, and, the the way the crucial organization in psychotherapy is more about the relationship between the client and therapist rather than on the strategies used. Frankl (2006)
To summarize, I believe remedy approaches are generally not there for us to follow into a T. Each individual differs. They have their own history and group of values and beliefs. It can be up to the specialist to determine from the relationship the type of approach is best suited. By simply integrating the models we are allowing for an even more holistic method to therapy and therefore are providing yourself with an endless supply of methods and methods. Integration can promote open up mindedness and lend on its own to not only improving upon mainstream remedy techniques although possibly make new strategies for an ever changing culture.
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