Person-centered therapy

Person-centered therapy
Intervention
MeSH D009629

Person-centered therapy (PCT) is also known as person-centered psychotherapy, person-centered counseling, client-centered therapy and Rogerian psychotherapy. PCT is a form of talk-psychotherapy developed by psychologist Carl Rogers in the 1940s and 1950s. The goal of PCT is to provide clients with an opportunity to develop a sense of self where they can realize how their attitudes, feelings and behavior are being negatively affected.[1]

Although this technique has been criticized by behaviorists for lacking structure and by psychoanalysts for actually providing a conditional relationship,[2] it has proven to be an effective and popular treatment.[3][4][5][6]

History and influences

Person-centered therapy, now considered a founding work in the humanistic school of psychotherapies, began formally with Carl Rogers.[7] "Rogerian" psychotherapy is identified as one of the major school groups, along with psychodynamic psychotherapy, psychoanalysis (most famously Sigmund Freud), classical Adlerian psychology, cognitive behavioral therapy, and existential therapy (such as that pioneered by Rollo May).[8]

Rogers affirmed[7] individual personal experience as the basis and standard for living and therapeutic effect. Rogers identified six conditions which are needed to produce personality changes in clients: relationship, vulnerability to anxiety (on the part of the client), genuineness (the therapist is truly himself or herself and incorporates some self-disclosure), the client's perception of the therapist's genuineness, the therapist's unconditional positive regard for the client, and accurate empathy.[9] This emphasis contrasts with the dispassionate position which may be intended in other therapies, particularly the more extreme behavioral therapies. Living in the present rather than the past or future, with organismic trust, naturalistic faith in your own thoughts and the accuracy in your feelings, and a responsible acknowledgment of your freedom, with a view toward participating fully in our world, contributing to other peoples' lives, are hallmarks of Roger's Person-centered therapy. Rogers also claims that the therapeutic process is essentially the accomplishments made by the client. The client having already progressed further along in their growth and maturation development, only progresses further with the aid of a psychologically favored environment.[10]

The necessary and sufficient conditions

Rogers (1957; 1959) stated[9] that there are six necessary and sufficient conditions required for therapeutic change:

  1. Therapist–client psychological contact: a relationship between client and therapist must exist, and it must be a relationship in which each person's perception of the other is important.
  2. Client incongruence: that incongruence exists between the client's experience and awareness.
  3. Therapist congruence, or genuineness: the therapist is congruent within the therapeutic relationship. The therapist is deeply involved him or herself — they are not "acting"—and they can draw on their own experiences (self-disclosure) to facilitate the relationship.
  4. Therapist unconditional positive regard (UPR): the therapist accepts the client unconditionally, without judgment, disapproval or approval. This facilitates increased self-regard in the client, as they can begin to become aware of experiences in which their view of self-worth was distorted by others.
  5. Therapist empathic understanding: the therapist experiences an empathic understanding of the client's internal frame of reference. Accurate empathy on the part of the therapist helps the client believe the therapist's unconditional love for them.
  6. Client perception: that the client perceives, to at least a minimal degree, the therapist's UPR and empathic understanding.

Three of these conditions have become known as the 'Core Conditions' 3, 4 and 5 (above).

Core conditions

Rogers asserted that the most important factor in successful therapy is the relational climate created by the therapist's attitude to their client. He specified three interrelated core conditions:

  1. Congruence – the willingness to transparently relate to clients without hiding behind a professional or personal facade.
  2. Unconditional positive regard – the therapist offers an acceptance and prizing for their client for who he or she is without conveying disapproving feelings, actions or characteristics and demonstrating a willingness to attentively listen without interruption, judgement or giving advice.
  3. Empathy – the therapist communicates their desire to understand and appreciate their client's perspective.

Processes

Rogers believed that a therapist who embodies the three critical and reflexive attitudes (the three 'Core Conditions') will help liberate their client to more confidently express their true feelings without fear of judgement. To achieve this, the client-centered therapist carefully avoids directly challenging their client's way of communicating themselves in the session in order to enable a deeper exploration of the issues most intimate to them and free from external referencing.[11] Rogers was not prescriptive in telling his clients what to do, but believed that the answers to the patients' questions were within the patient and not the therapist. Accordingly, the therapists' role was to create a facilitative, empathic environment wherein the patient could discover the answers for him or herself. Reference: Rogers, Lyon, Tausch. On Becoming an Effective Teacher, Routledge 2013. p. 23.

See also

References

Notes

  1. ↑ Cepeda, Lisa M.; Davenport, Donna S. (2006). "Person-Centered Therapy and Solution-Focused Brief Therapy: An Integration of Present and Future Awareness". Psychotherapy: Theory, Research, Practice, Training (Educational Publishing Foundation) 43 (1): 1–12. doi:10.1037/0033-3204.43.1.1.
  2. ↑ Prochaska, J. O., & Norcross, J. C. (2007). Systems of Psychotherapy: A Trans-theoretical Analysis, Sixth Edition. Belmont, CA: Thompson Brooks/Cole.
  3. ↑ Cooper, M., Watson, J. C., & Hoeldampf, D. (2010). Person-centered and experiential therapies work: A review of the research on counseling, psychotherapy and related practices. Ross-on-Wye, UK: PCCS Books.
  4. ↑ Ward, E., King, M., Lloyd, M., Bower, P., Sibbald, B., Farrelly, S., et al. (2000). Randomized controlled trial of non-directive counseling, cognitive-behavior therapy, and usual general practitioner care for patients with depression. I: Clinical effectiveness. British Medical Journal, 321, 1383-1388.
  5. ↑ Bower, P., Byford, S., Sibbald, B., Ward, E., King, M., Lloyd, R., et al. (2000). Randomized controlled trial of non-directive counseling, cognitive-behavior therapy, and usual general practitioner care for patients with depression. II: Cost effectiveness. British Medical Journal, 321, 1389-1392.
  6. ↑ Shechtman, Z., Pastor, R., 2005. Cognitive-behavioral and humanistic group treatment for children with learning disabilities: A comparison of outcomes and process. Journal of Counseling Psychology 52, 322-336.
  7. 1 2 Prochaska, J.O & Norcross, J.C. 2007. Systems of Psychotherapy: A Trans-theoretical Analysis. Thompson Books/Cole:New York, p.138
  8. ↑ Prochaska, J.O & Norcross, J.C. 2007. Systems of Psychotherapy: A Trans-theoretical Analysis. Thompson Books/Cole:New York, p.3
  9. 1 2 Prochaska, J.O & Norcross, J.C. 2007. Systems of Psychotherapy: A Trans-theoretical Analysis. Thompson Books/Cole:New York, p. 142-143
  10. ↑ Rogers, Carl (1951). "Client-Centered Therapy" Cambridge Massachusetts: The Riverside Press.
  11. ↑ "Person-centered therapy" on the Encyclopedia of Mental Disorders website

Bibliography

External links

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