Week 3– caring for a vulnerable population
Reply to two classmates. In your reply posts, you should compare and contrast your own viewpoints to your peers post
REPLY TO CLASSMATES DISCUSSION POST BY Gidion
Carl Rogers developed Person-centered therapy in the 1940s (Corey, 2016). He advocated for therapists to avoid viewing clients as inherently flawed, with problematic behaviors and thoughts that require treatment but instead identifies each client as having the capacity and desire for personal growth and change. Actualizing tendency or self-actualization was the term he used for this natural human inclination. Rogers (1957), in his book, wrote, “Individuals have within themselves vast resources for self-understanding and for altering their self-concepts, basic attitudes, and self-directed behavior; these resources can be tapped if a definable climate of facilitative psychological attitudes can be provided.” Person-centered therapy has been at the forefront of humanistic psychology and has influenced many therapeutic techniques and the psychiatric mental health field. According to Raskin et al. (2008), the following are what therapists have learned from Carl Rogers’ Person-centered therapy:
– Therapists using this approach have learned to recognize and trust human potential by genuinely understanding these clients.
– Therapists have learned to provide clients with empathy and unconditional positive regard that facilitate change by genuinely and unconditionally caring about the client.
– Therapists have learned to avoids following the client’s lead and instead offer support, guidance, and structure so that the client can find solutions within themselves. This is facilitated by being authentic in the therapeutic relationship
Although Person-centered therapy is effective in bringing change, growth, and drawing out the potential of the client, it has some shortcomings as well. Many people seek treatment for the wrong reasons, such as validation for bad choices in an attempt to alleviate guilt or shame. Person-centered therapy doesn’t allow therapists to challenge inappropriate, self-destructive, or immoral behavior. Also, the assumption that people are fundamentally good is not only flawed but dangerous. Each of us has come across people that are often selfish and don’t try what would is considered right or moral by the general population.
Corey, G. (2016). Theory and practice of counseling and psychotherapy (10th ed.). Boston, MA: Cengage. ISBN: 9781305263727
Raskin, Nathaniel J., Rogers, Carl R., and Witty, Marjorie C. (2008). Client-Centered Therapy. In Raymond J. Corsini and Danny Wedding (Eds.), Current Psychotherapies (pp. 141–186). Belmont, CA: Thomson Higher Education.
Rogers, Carl R. (1957). The Necessary and Sufficient Conditions of Therapeutic Personality Change. Journal of Consulting Psychology, 21. Retrieved from http://www.shoreline.edu/dchris/psych236/Documents/Rogers.pdf
Rogers, Carl R. (1980). Way of Being. Boston: Houghton Mifflin.
SECOND CLASSMATE POST RICHARD
Psychotherapy, Week 4, Initial Post, Person Centered Therapy
I think patient centered therapy is an approach to therapy that there is a medium for change because it centers around the resources and strengths of the individual. If you can make someone see their strengths it creates creativity in the personal well-being of the individual. Then if you take the strengths along with providing the client with resources to incorporate it into their strengths it creates a favorable outcome that can lead to the growth of the client (Corey, 2016). Now the main factor is how can we draw out the potential in the client? That would be the largest factor to encourage change in the individual seeking therapy.
The most difficult aspect I think from experience in working with the SMI population as a case manager is making the person see they have a problem and making them want to get help, or assistance. Because you can have the best psychotherapist in the Universe working with a client but if the client does not want to change from within, there is nothing that can be done.
One of the main aspects of his therapy approach from watching the videos from him providing therapy to a client is that he has a standby approach, and he does not really elaborate on his own thoughts or feelings. One aspect that I think he has which he uses with the woman in the video is he is a very good listener, and he uses reflective listening, basically rephrasing what the woman is saying in the conversation, but he does not provide his own thoughts or gives any advice. Which is basically what person-centered therapy being mostly about which is making the client see their existential perspective (Corey, 2016). In the woman in the video and from reading the textbook what Rogers is doing is taking a stand in basically clarifying the feelings of the woman to make her see what she is feeling (Carlat, 2017).
I believe rogers approach to therapy from looking at his videos, he is a very smart individual and he was fascinated by human behavior and how to achieve the best outcome for his patients. He did some incredible work in relation to patient centered therapy, and also emotion focused therapy was one of his work which involved another aspect of the emergence of person centered approach by understanding the emotion of the human functioning and the role it plays on the change from a therapeutic aspect (Corey, 2016).
One aspect that I liked from his person-centered therapy is his genuineness to relate and elaborate with his clients. Like I stated earlier what I did not like too much is that he consistently used clarifying as his form of therapy approach which kind of makes him look like he is kind of scared or he is holding back his own thoughts and feelings. I believe to build a good rapport with a client you have to share some of your thoughts and ideas so the client can make you see that there is a human aspect to the care you provide. It also gives the client a sense of comfort to continue to open up and share the most inner most feelings that are holding them back to reaching their full potential. I can see myself using some of Rogers techniques of clarification with some of my clients in the future and that is something that I have been doing in talking with some of my clients as a case manager unconsciously. The most difficult clients all you can really do sometimes is to use reflective listening, along with trying to use clarification. Because there are some clients depending on the diagnosis, you cannot really elaborate too much because then they will shut down, and not want to talk to you anymore. If you have them on the phone sometimes just to keep them on the phone all you can do is clarifying and trying to agree with what they are saying so they do not hang up on you, or not want to perform a field visit with you to delve deeper into their inner most feelings. Agreeing with the SMI population also avoids total communication breakdown and it also avoids confrontation on the side of the client with the SMI diagnosis.
Carlat, D. J. (2017). The psychiatric interview. Philadelphia: Wolters Kluwer.
Corey, G. (2016). Theory and practice of counseling and psychotherapy. Boston, MA: Cengage Learning.
Martini, S. (2016). Embodying analysis: the body and the therapeutic process. The Journal of Analytical Psychology, 61(1), 5–23. https://doi.org/10.1111/1468-5922.12192
MY DISCUSSION POST
The purpose of this discussion is to examine Patient-Centered care, their effectiveness to the client, and my stand on the therapeutic approach. Patient-Centered or Rogerian therapy is psychotherapy or counseling method, which requires clients to play a leading role in their treatment therapy. The therapist promotes an atmosphere where the client can elucidate his or her ideas instead of guiding the procedure (Lenhardt, 2017). The client decides on the treatment’s progress and route as the psychotherapist explains the reactions and responses of the client to encourage self-contemplation. The objectives of this therapy are to increase self-regard and plainness of experience (Margolin, 2020). This approach works to assist clients in living a life of self-awareness, self-reproach, and self-doubt, and to convey how they feel.
In his new model of client-centered therapy, Carl Rogers utilizes three core principles to his therapeutic approach. These are; establishing a genuine understanding with the client, having positive regard towards the patient, accepting them unconditionally, and maintaining authenticity and accuracy in the therapeutic relationship (Carlat, 2005). They require the therapist to engage their natural empathy and intuition to guide the patient through psychological healing (Miller and Moyers, 2017). The conditions allow for the patient’s involvement, which promotes positive change in the individual, including growth, by exploring their potential during the healing process.
Different aspects of the client-centered approach make it practical and hence likable. One of the most agreeable aspects is how the element of genuineness is incorporated. For the therapeutic approach to be useful, the therapist needs to open up to the patient; this helps the client acquire the vital skill of genuineness (Corey, 2018). Alternatively, a patient-centered therapeutic approach has some undesirable aspects, such as its optimistic nature. The therapeutic approach believes in the potential of the patient’s ability to change without the therapist’s direct involvement. This has seen to reduce the effectiveness of the method as some clients require extra motivation to evolve.
The first condition on genuineness is the most crucial element in the therapy. The counseling is useful as it allows the client to experience the therapist. The therapists create the ambiance of congruence by candidly revealing their character to the client. In being realistic, the therapist expresses his or her trustworthiness, which helps to build an excellent therapeutic association with the client (Velasquez & Montiel, 2018). The second condition concerns about unconditional regard to the client. I think that for people to progress and reach their full potential, they need to be valued. Therefore, the therapist accepts the client as he or she is. The therapist focuses on maintaining a positive attitude toward the client. Since the client is not judged, he or she feels part of the process. The last condition of empathy elucidates the therapists’ capability to comprehend and feel the client’s experiences. It incites clients to reflect on themselves, which permits a better contemplation of themselves (Zuroff et al, 2016). I agree with all the elements of this therapy approach. One thing I like and substantially concur with about the method is on creating an atmosphere for exploring one’s feelings. I also it allows for the patient to have a greater understanding of themselves, encouraging them to focus on the present time. The only concern I have with patient centered care is that it may not work for some patients when the main focus is on themselves.
Lenhardt, V. (2017). Strategy 1: The Person-centered Approach, or Rogerian Alliance. In My 10 Strategies for Integrative Coaching (pp. 35-54). Palgrave Macmillan, Cham.
Velasquez, P. A. E., & Montiel, C. J. (2018). Reapproaching Rogers: a discursive examination of client-centered therapy. Person-Centered & Experiential Psychotherapies, 17(3), 253-269.
Margolin, L. (2020). Rogerian Psychotherapy and the Problem of Power: A Foucauldian Interpretation. Journal of Humanistic Psychology, 60(1), 130-143.
Zuroff, D. C., Shahar, G., Blatt, S. J., Kelly, A. C., & Leybman, M. J. (2016). Predictors and moderators of between-therapists and within-therapist differences in depressed outpatients’ experiences of the Rogerian conditions. Journal of Counseling Psychology, 63(2), 162.
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