The Four Common Factors Of The Erapeutic Approach

Rogers worked with many others in developing the idea that clients could heal themselves, if only the therapist provided ‘facilitative’ or core conditions of, ‘empathy, congruence and unconditional positive regard.’

Cognitive behavioral therapy (CBT) is a form of psychotherapy. The effectiveness has been researched extensively over the years (Dobson, 2001). There are over three hundred published studies about the outcomes of cognitive behavioral therapy interventions. The main reason for this is that an ongoing adaptation of this form of psychotherapy makes it applicable to a vast amount of disorders and related problems (Rounsaville & Caroll, 2002). Despite the relatively great amount of studies on the effectiveness of cognitive behavioral therapy, questions still remain about the levels of effectiveness for different disorders, about the effects of

The main focus of this essay has to be on the three ‘core conditions’, as utilised by the counsellor to promote a positive movement in their client’s psychology. They are intended for maintaining a focus on the client’s personal growth, and detract from the therapist’s own outside world. The three core conditions are the professional apparatus or tool-kit of the therapist, and the use of each is a skill in itself but the combined forces of all three in an effective manner requires an abundance of skill or experience. These are, as have already been mentioned, congruence, unconditional positive regard and empathy. They are separate skills but are intrinsically linked to each other. If used correctly, they can guide the client to a state of self-realisation, which could lead to the development of a healing process.

Common factors are not located solely in the therapist but also in the client not solely in the intra-therapy alliance, but also in the broader environmental context; not solely in formal treatment,

Psychotherapy and counselling are inseparable. The effectiveness of a counselling program is not just based on the connectedness and interaction between a therapist and a client, but also the framework of the counselling approach in helping the client improving his mental health or overcoming personal problems. There are an extensive number of psychotherapies developed by past researchers, with each therapeutic concept offering unique contributions in understanding human behaviour and useful implications for counselling practice (Bedi et al., 2011).

The foundation of therapy starts by building rapport with the client and applying strategies when necessary to overcome a variety of barriers. It is imperative to have rapport with a client and to be aware of barriers to facilitate a good treatment outcome. This will take practice and the use of methods and strategies ready to be implemented when needed. There are many components to building a good client rapport such as: intimacy, vulnerability, exploration of inner challenges, self-awareness, staying present; inner resiliency, empathy, anxiety management, and self-integration, and relationship acceptance. The two types of barriers are internal and external and this is for both the client and the therapist. The common barriers to rapport are countertransference and transference. Strategies for overcoming barriers are: Pause Moment and self-awareness. It also requires skills such as being genuine, sensitive, open, and

“Life experience is richer than discourse. Narrative structures organize and give meaning to experience, but there are always feelings and lived experience not fully encompassed by the dominant story” (White & Epston, 1990, p. 20). Effective therapy is seen as an enjoyable experience presenting options for dialogue, rather than monologues, about the problem.

The common factors model was originally proposed by Rosenzweig (1936), posits that there were common elements of therapy responsible for the benefits of psychotherapy. The model was later extended by Jerome Frank (1973) to identify specific components shared by all psychotherapy. The first component involves an “emotionally charged, confiding relationship with a healing person” (Wampold & Imel, 2015, p.48). The second component is the “healing context”, in which the client presents to the healer. The third

Most scientists, researchers and health care professionals understand the importance of being able to employ effective basic strategies for evaluation after a specific strategy has been employed be it in a research project or in clinical work. Evaluation is key as it forces professionals to truly scrutinize and zero-in on the effectiveness or lack of effectiveness of a given strategy. In a mental health care setting, being able to lucidly determine and assess the effectiveness and success of mental health care counseling based on the outcomes is a vital component of therapy at large.

     All of the information on the different types of therapies has helped me to more fully understand psychology. This chapter is dedicated to explaining the current methods of treating people with psychological disorders in order to help them through a rough time in life. This chapter on therapy shows the side of psychology that is the result of the hard work of a multitude of psychologists and doctors.

In the 1990’s two new researchers, Safran and Segal, published a book on the integration of Interpersonal Psychotherapy and Cognitive Behavioral Therapy. Their book was the beginning of a wave of theory integration in the psychology field. Safran and Segal’s integration of these two treatment modalities recognized both the importance of the client’s cognitions, and the importance of their relationships. The combination of these two factors as well as a stronger emphasis on client/therapist rapport has been proven to be the most effective treatment for many different disorders.

This application paper will discuss my personal theory of counseling or psychotherapy in a number of different areas. Specifically, I will discuss the seven areas of interest. First, I will discuss and describe

I believe that the art of psychotherapy is more important than empirically validated treatments (EVT). I feel that the art of psychotherapy lies in the common factors, which include the therapeutic relationship, client and therapist factors (e.g., personality), helping clients deal with problems, and hope or expectancy factors (Reisner, 2005). Although I do believe that empirically validated treatments may enhance the therapeutic process, the treatments themselves are by no means the most important or fundamental aspects of therapy. There appears, at least to me, to be much more of an art involved in developing the relationship with the client and understanding the client’s perspective. It takes art and skill of a therapist to examine,

Among the three main approaches to insight therapy (psychoanalysis, client-centered, or group therapy), the one that l believe has the most reasonable way to deal with psychological problems, is client-centered therapy. Client-centered therapy is an insight therapy that emphasizes providing a supportive emotional climate for clients, who play a major role in determining the pace and direction of their therapy (pg. 459). According to Carl Rogers, the man who devised client-centered therapy, three elements were necessary to promote positive changes in therapy: Genuineness (honest communication), Unconditional positive regard (therapist remains supportive, non-judgmental) and Empathy (therapist understands issues from client’s point of view) (pg. 460). In following these three elements, client and therapist were working together equally and helped client become more aware of themselves and even feel more comfortable with their therapist and the idea of therapy. Some people don’t seek help because they feel therapy might be too intimidating for them or it’s a step that they fear having to take. I can agree with this, because from my personal experience, l had pushed off therapy for so long because l was afraid to admit that l needed it.

During the following three decades, numerous innovative treatment and intervention methods and standpoints were presented as opposed to the customary psychodynamic approachs. Of the many approaches to clinical psychology, four are major and consist of the behavioral, cognitive-behavioral, humanistic, and family classifications. By employing these four major approaches the effectiveness of treatment is heightened (Plante, 2011).