Unlike the transference approach, PCT focuses on the here and now and does not attempt to work with previous trauma/experiences which may affect behaviour (McLeod, 2015). Despite this, the effectiveness of the therapy does not appear to be affected as it has gained strong empirical grounds, remaining very popular amongst therapists and clients (Tudor & Worrall, 2006). Because this approach relies heavily on the therapist’s personal qualities to deliver effective therapy, the approach may not be suited to every therapist. As I am naturally a very empathetic and optimistic person, I feel the PCT approach would be suited to me, although this is not intended to diminish the effectiveness of other available approaches. The final school of counselling to be discussed is the CBT approach; this approach is one of the most popular forms of talk therapy (Jhugroo, 2015). CBT adopts a directive approach and is both problem focused and action orientated. Similar to the PCT in the Humanistic school, CBT focusses on the here and now, and suggests there are no unconscious meanings behind behaviours; in fact, behaviour is governed by the natural stimulus-response relationship inbuilt into each of us. This notion is represented in many visual models, such as the Hot Cross Bun Model (Fig. 1; Padesky & Mooney, 1990) which have been used to explain the concept to clients within the sessions. CBT sessions are generally fixed and relatively short term (usually lasting between 6 weeks to 6 months,
CBT is short term usually between twelve and six months, it can be monitored it takes the perspective that it’s not about what happened to a person
These can typically last from one year to a year and half that includes individual or group therapy. It mainly concentrates on the maladaptive thoughts. Behavioral techniques are incorporated into therapy, such as homework assignments and role playing. Sabine Keller et al mentions that DBT has five components that are essential for it to be effective: individual therapy, skills training group therapy, therapists’ consultation, phone consultation between each session, and the structure of the client’s environment (Keller, et al., 2017). DBT is a complicated therapeutic treatment since it combines four modes (individual therapy, group skills training, constant phone support and consultation meetings) as well as four modules (conscientiousness, distress tolerance, social relationship influence and regulation of emotions). As stated by Thomas A. Field, the reasoning for the modality is to allow the clients to discover how to develop coping skills to manage emotional distress (Field, 2016).
My role as the clinician is quite important. The primary task is to engage the client in identifying cognitive errors, refuting them, and replacing them with more adaptive thoughts. A sound therapeutic relationship is necessary for effective therapy, but not the focus of the therapy. Many forms of other counseling believe that the main reason people get better in therapy is because of the positive relationship between the therapist and client. Cognitive-behavioral therapists believe it is important to have a good, trusting relationship, but I know that is not nearly enough. We believe that the clients change because they learn how to think differently and they act on that learning. Therefore, CBT tries and focuses on teaching rational self-counseling skills. CBT is the teamwork that exists between the therapist and the client. This form of therapy is used to seek ways of learning what their clients want out of life and then helping their clients achieve those goals. The therapist's role is to listen, teach, and encourage, while the client's roles is to express concerns, learn, and implement that learning (Pucci1).
Cognitive Behavioral Therapy is the inspired work of Albert Ellis and Aaron Beck which emphasizes the need for attitudinal change to promote and maintain a behavior modification (Nichols, 2010 p. 167). Ellis believed, people contribute to their own psychological problems, as well as specific symptoms, by the rigid and extreme beliefs they hold about events and situations (Cory 2012, p. 291). CBT is based on an educational model with a scientifically supported assumption that most emotional and behavioral responses are learned. Therefore, the goal of therapy is to assist clients unlearn their unwanted behaviors and to learn new ways of behaving and thinking when he/she is faced with an
They both have a “positive view of human nature and view the individual as not necessarily being a product of their past experiences, but acknowledge that they are able to determine their own futures” (Holder, 2013). They both attempt to improve their client’s wellbeing by implementing a two-way therapeutic relationship where both client and therapist collaborate to enable the clients coping mechanisms (Holder, 2013). CBT and PCT both instil the three core conditions of empathy, unconditional positive regard and congruence but in CBT it is used mainly in the establishing of the working alliance (Holder, 2013). In both methods, the relationship between client and therapist is congruent and they both use the skills of reflection, paraphrasing and
Unlike Person-Centred therapy Cognitive behavioural therapy (CBT) is a scientific model founded in the 1960’s by Aaron Beck. It joins the theories of both Cognitive therapy and behavioural. He noticed that many of his counselling clients had an “Internal dialogue” (Beck, 1979) that was often negative and self-defeating and influenced behaviour. He realised that by working on these internal dialogues and making them positive it could effectively lead to positive changes in the behaviour of the clients. CBT focuses on the images, self-belief and attitudes held by the client and how these things can affect the client’s
The empirical data provided in the clip supports the information on CBT. In the most recent studies on CBT that is, TADS (2007), ADAPT (2007) and TORDIA (2010) they provide an insight on effectiveness of CBT when combined with medication. It is this data points out a 40% of ineffectiveness of CBT. This means that there is still room for
Solution-Focused Therapy (SFT) was drawn out from the work of Milton Erickson. Most people identify SFT with the variation work from Steve de Shazer and Insoo Kim Berg. Solution-focused therapy is a therapy that is action oriented and focuses on finding solutions. In SFT, the client is considered the expert (they know exactly what the problem is), and the client has the resources to find a solution. SFT does not focus on diagnoses or assessments but focuses on what the client brings to therapy. Depending on the client and the problem, SFT has a 50% successful rate. SFT has many techniques to use to assist in finding solutions for problems. These techniques range from questioning the client to having the client complete homework assignments.
CBT therapists use the first session or two to complete a problem analysis, perform a detailed assessment and create a case formulation with the client. The therapist seeks to identify: 1) the behaviors, emotions, and thoughts which make the situation a problem, 2) predisposing factors, often going back to childhood and adolescents, 3) precipitants, 4) protective factors, 5) triggers, 6) symptoms, and 7) maintenance cycles (O’Connell, 2012). This starts the session out with a very problem-focused discussion encouraging growth of the problem, with goal setting often not starting until the second
Within the case presentation, there was reflection on the different theories that could be applied in her intervention and how to use different elements of each, such as the miracle question to understand what the client wants out of therapy (DeJong & Kim Berg, 2013). It was on account of cumulative knowledge gained during previous coursework pertaining to cognitive behavioral theory (CBT) as well as the in-depth discussion of the narrative approach within the capstone class that had ultimately led to, while short term, some progress within the client’s care during her time of treatment prior to her move. The process of learning about how to engage the client had resulted in the start of a good therapeutic relationship where the client
Cognitive-behavioral therapy (CBT) is a short-term, empirically valid amalgamation of facets from cognitive and behavior therapies. Cognitive-behaviorists believe that psychological problems stem from maladaptivity in both thought and behavior patterns, whether self-taught or learned from others. Therefore, changes have to take place in both thoughts and actions. Cognitive-behavioral therapy is structured as collaboration between client and therapist, focusing on the present. A prominent aspect of CBT is the client’s duty to be an active participant in the therapeutic process (Corey, 2013).
“The goal of CBT is to teach clients how to separate the evaluation of their behaviour from the evaluation of themselves and how to accept themselves in spite of imperfections” (Corey, 2009, p. 279). In CBT the clients are expected to change their current behaviour (normally full of automatic thoughts) to a more rational way of thinking. The clinician will challenge the client’s behaviour in order for the client to understand his or her behaviour and get alternatives to change his/her behaviour. When using CBT, the client’s behaviour changes when they are aware of the abnormal behaviour. This approach allows the client to focus on improving his/her wellbeing. This enhances the client’s awareness of an existing issue and that changes are necessary. The client will develop new coping skills to deal with the situation and develop a new way of thinking from negative (automatic thoughts) to positive (more realistic thoughts). Initially the client may not recognise that a problem exists, but through this process will get
Looking for new and more effective ways to treat the issues of their clients, counselors and therapists may often begin to consider leading a group therapy session. Group therapy is a form of therapy in which a therapist either treats or provides psychoeducational skills to a small, carefully planned target group of individuals in an effort to ameliorate the issues and dysfunctions of each individual in that particular group of patients together (Scheidlinger, 2004). In this group, therapists often utilize some of the psychotherapy theories such as Gestalt, transactional analysis, psychotherapy or psychodrama which they often use to treat clients individually.
Therapy is the treatment of people who are suffering from the psychological problem and that situation, the therapist works in collaboration with the patient, to determine the cause. This paper seeks to explore the two types of therapy which person-centered therapy and gestalt therapy. The paper will also go into details by comparing and contrasting the two therapies and how they work.
The Cognitive Behavioural approach to therapy sees the client-therapist relationship as a collaborative effort to identify disturbances in the client’s cognitive processes and to then transform these processes to create beneficial changes in thought and behaviour (Corey, 2013). Cognitive Behavioural Therapy (CBT) is a structured therapy whereby the therapist may take a direct approach in collaborating with the client to set goals and create a therapeutic agenda (Josefowitz & Myran, 2005). Cognitive Behaviour Therapy makes use of an array of interventions which promote skills within the client to facilitate self-directed change (Josefowitz & Myran, 2005). Rational Emotive Behaviour