The Comparison of Reality Therapy and Existential Theory in Addiction Counseling: The Case of Jack

Addiction can come in many different forms but they all change the environment around the addict. In The Shining, Danny, a five year-old boy has an imaginary friend named Tony. Although both his parents, Wendy (mom) and Jack (dad), have knowledge of this friend, it isn’t until chapter 17 that they realize Danny could seriously be mentally disabled or disoriented. Jack can be described as four things: alcoholic, a playwright, high tempered, and abusive. He has only touched Danny once but that day would change Danny forever, and Danny would never mess around in his office again.

Jack lead a life that would not make most envy him. He suffered from many traumatic events, most of these can

The Specialization chosen is addiction counseling. This paper will cover the key aspects of addiction counseling which include biological, psychological and physical aspects. As well as medical and social aspects of addiction and counseling. Addiction counseling must adhere to strict ethical codes, and the counselors need to have an understanding of addiction, and have knowledge in the various types of treatment programs. Other key aspects that are important in this specialization are the application to practice, and most important professional readiness. Addiction counseling differs from other specializations because it requires long-term care and treatment, and requires more than one form of treatment within individuals. Treating

After almost 20 years without a theory, Glasser published Control Theory in 1984. “In essence, reality therapy was the art of change, and control theory was the theory of what needed to be changed and why.” Howatt (2001).

Different counseling theories, such as psychoanalytic, Adlerian, client-centered therapy, existential psychotherapy, gestalt therapy, and reality therapy can be applied to different clinical settings and populations by a counselor or therapist (Rayner & Vitali, 2015). The purpose of this paper is to apply a counseling theory, existential therapy, to the provided case study of Paul, a 34-year-old male with work inhibition, but yearns for more in his life. Essentially, counseling theories can be used a foundation for counselor’s or therapist’s work with clients. It is one of the most unique forms of counseling theories that aims at exploring the psychological and emotional challenges faced by a client from a philosophical perspective, particularly

Based on the participant’s background and history, I determined that an integrative approach using CBT and Reality Therapy was appropriate. Cognitive Behavior Therapy and Reality Therapy are both effective in treating addictions. My participant struggles with negative thinking and irrational thoughts, poor decision making and problem solving which are common for a person struggling with substance use disorders. Therefore, integrating these two treatment modalities will assist the participant in restructuring his thoughts and finding effective ways to bring about changes in his life by taking responsibility for his own actions.

John Wallace the author of Chapters two and three of Practical Approaches to Alcoholism Psychotherapy indicated that there is no systematic and specific theory of alcoholism. The purpose of chapter two is to “develop a theory of therapy specific to alcoholism, a theory that takes into account the nature of the disease, the characteristics of the client and the time- dependent nature of intelligent therapeutic intervention” (Zimberg et el., Pg 20).

Existentialism developed from a number of schools of psychology and psychiatry, as an attempt to assist clients’ attempts to resolve difficulties

Having knowledge and understanding of psychological perspectives allows me to understand John’s needs, and current behaviours and how they may be related to past events and needs unmet.

In the past 50 years, many confrontational psychodynamic approaches became popular and almost the expectation of substance abuse and addiction treatment. There was the idea that substance abuse was a symptom of an underlying disorder (Weegmann, 2002). Once the disorder was treated, the secondary substance abuse would clear up on its own. As Weegmann discussed, research has shown that highly confrontational methods often instilled an ever deeper sense of resistance in the client. The percentage of successful outcomes within the field of addiction have been tossed around and range a great deal, however they have always seemed pretty dismal in comparison to the length and cost of many treatment programs. A new approach is necessary and

This therapy works with your model of the world and you are getting involved in your therapy process, so that changes are easily accepted and long lasting.

Jack is shown to give in to cruelty, with a “compulsion to

Theories within psychotherapy guide interactions between the therapist and client, providing a process by which the client can come to understand and resolve their problems. However, these theories can often be conflicting with opposing techniques and goals. Existential therapy is best considered as a philosophical approach to the therapeutic process, which gives prominences to the themes of freedom, self-determination, self-awareness and anxiety (Yalom & Josselson, 2011, p. 310). It emphasises the individual’s capacity to make free choices regarding the person they become, and focuses less on the use of techniques. In contrast, Freudian psychoanalytic therapy considers ways to change problematic behaviours or thoughts by examining their concealed unconscious motivations and meanings (Corey, 2013, p. 63). Past experiences are significant in determining the distinctive behaviour of the individual, which is analysed by the therapist through techniques such as dream analysis and free association. Whilst both theories view the individual and their difficulties as unique, existential and psychoanalytic therapy have opposing views of human nature and therapeutic goals.

Thus far, throughout the semester, I have gained so much awareness and understanding for those whom are struggling with substance misuse. Addiction has played a major role in my immediate family life. Over the years, I have realized that addiction does not discriminate on a basis of race, gender, or social status. Based on my personal experiences, the perspective I have of addiction is that it is like a disease. It does not just affect the individual; it also affects everyone the individual comes into contact with. Addiction overall, is not just associated with drugs and alcohol, it is present with gambling, Internet use, sex, or even food (Van Wormer, 2013). In order to understand an individual who suffers from substance misuse, a therapist must first know the definition of addiction, be able to asses and diagnose a client with an addiction, explore the bio-psychosocial-spiritual aspects of their addiction, laws and ethics related to their addiction, and provide the proper treatment that will help them to recover. Throughout this paper, from a bio-psychosocial-spiritual perspective, I plan to explore the causes of Gia’s addiction to Heroin. In addition, I will examine my personal perspective on addiction and what treatment interventions and laws and ethics might come into play in therapy with Gia. Overall, I hope to provide Gia with an understanding of her addiction and provide the proper treatment on her road to recovery.

Existential theory is only one of many different theories in psychology. This paper will work to help give the reader a better understanding of what Existential theory is, what the common factor accountability is and how the common factor accountability works within the existential theory to help a client and/or therapist gain a better understanding of the choices, thoughts, or behaviors that helped get a client into the position they are in and how holding themselves accountable to their actions, behaviors or thoughts can help them reach healthy attainable goals in their life. In this paper the reader will gain a better understanding about how existential theory looks at the whole person and how they reached the point where they needed to seek assistance in understanding themselves and how they can hold them self and how others can hold them accountable for their actions, thought, and behaviors.