WHAT IS A THEORY
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Continuum of theories
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Frank Parsons
1909-1940s: developing better means
of assessing people aptitudes and
interest
Directive counselling heavily on
advising and also known as traitfactor
1942 - Carl Rogers: Non-directive as
helper is not adviser
Directive vs non-directive?
Psychodynamic
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Guidance and
Behavioral
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Humanistic
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Cognitive-Behavioral
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Emerging Approaches
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As information on counseling is
collected new theories emerge.
Emerging approaches often include
aspects of previously founded
theories.
Contemporary emerging approaches
tend to focus heavily on
phenomenology, uman uniqueness,
multicultural concerns and client
empowerment.
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Unconscious:
What lies deep,
below the surface
i.e. drives, instincts
The Unconscious
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Anxiety
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Reality Anxiety
Neurotic Anxiety
Moral Anxiety
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Ego-Defense Mechanisms
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Ego-defense mechanisms:
u Are normal behaviors which operate on an unconscious level and tend
to deny or distort reality
u Help the individual cope with anxiety and prevent the ego from being
overwhelmed
u Have adaptive value if they do not become a style of life to avoid facing
reality
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ORAL STAGE
First year
ANAL STAGE
Ages 1-3
PHALLIC STAGE
Ages 3-6
LATENCY STAGE
Ages 6-12
u A time of socialization
GENITAL STAGE
Ages 12-60
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Transference
u The client reacts to the therapist as he did to an earlier significant other
This allows the client to experience feelings that would otherwise be
inaccessible
ANALYSIS OF TRANSFERENCE allows the client to achieve insight into
the influence of the past
Countertransference
u The reaction of the therapist toward the client that may interfere with
objectivity
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Free Association
u Client reports immediately without censoring any feelings or thoughts
Interpretation
u Therapist points out, explains, and teaches the meanings of whatever is
revealed
Psychoanalytic Techniques
Dream Analysis
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Resistance
u Anything that works against the progress of therapy and prevents the
production of unconscious material
Analysis of Resistance
u Helps the client to see that canceling appointments, fleeing from
therapy prematurely, etc., are ways of defending against anxiety
Resistance
These acts interfere with the ability to accept changes which could lead
to a more satisfying life
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A phenomenological approach
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Social Interest
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Lifestyle
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Inferiority Feelings
u Are normal
u They are the wellspring of creativity.
u Develop when we are young--characterized by early feelings of
hopelessness
Superiority Feelings
u Promote mastery
u Enable us to overcome obstacles
Related Complexes
u Inferiority Complex
u Superiority Complex
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Birth Order
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Family constellation
Early recollections
Basic Mistakes
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u Action-oriented
u Useful vs. unhelpful
Encouragement
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Person-Centered Therapy
Challenges:
u The assumption that the counselor knows best
u The validity of advice, suggestion, persuasion, teaching, diagnosis,
and interpretation
u The belief that clients cannot understand and resolve their own
problems without direct help
u The focus on problems over persons
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Person-Centered Therapy
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Emphasizes:
u Therapy as a journey shared by two fallible people
u The persons innate striving for self-actualization
u The personal characteristics of the therapist and the quality of the
therapeutic relationship
u The counselors creation of a permissive, growth-promoting climate
u People are capable of self-directed growth if involved in a therapeutic
relationship
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Congruence
u Genuineness or realness in the therapy session
u Therapists behaviors match his or her words
The therapist need not experience the situation to develop an understanding of it from
the clients perspective
Theory and Practice of Counseling and Psychotherapy - Chapter 7 (4)
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Six Conditions
The Therapist
Focuses on the quality of the therapeutic relationship
Can openly express feelings and attitudes that are present in the relationship
with the client
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Individuals explore new facets of the self and uncover insights that transform
them, creating wholeness
u Discovery of wholeness leads to understanding of how we relate to the outer world.
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A non-judgmental setting
Empathy
Psychological freedom
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Cultural considerations
u Some clients may prefer a more directive, structured treatment
u Individuals accustomed to indirect communication may not be comfortable with
direct expression of empathy or creativity
u Individuals from collectivistic cultures may disagree with the emphasis on internal
locus of control
Does not focus on the use of specific techniques, making this treatment
difficult to standardize
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Gestalt Therapy
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Holism:
u The full range of human functioning includes thoughts, feelings, behaviors, body,
language and dreams
Field theory:
u The field is the clients environment which consists of therapist and client and all that
goes on between them
u Client is a participant in a constantly changing field
Organismic self-regulation:
u Emergence of need sensations and interest disturb an individuals equilibrium
Theory and Practice of Counseling and Psychotherapy - Chapter 8 (2)
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The Now
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Unfinished Business
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Result:
u Preoccupation, compulsive behavior, wariness oppressive energy and
self-defeating behavior
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Contact
u Interacting with nature and with other people without losing ones
individuality
Deflection
Confluence
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Introjection
Projection
Retroflection
The experiment
Process-oriented diagnosis
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Therapeutic Techniques
The experiment in Gestalt Therapy
Rehearsal exercise
Reversal technique
Exaggeration exercise
Dream work
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This approach may not be useful for clients who have difficulty
abstracting and imagining
The high focus on emotion may pose limitations for clients who
have been culturally conditioned to be emotionally reserved
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Behavior Therapy
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Exposure Therapies
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In Vivo Desensitization
u Brief and graduated exposure to an actual fear situation or event
Flooding
u Prolonged & intensive in vivo or imaginal exposure to stimuli that evoke high
levels of anxiety, without the opportunity to avoid them
1. Classical Conditioning
u In classical conditioning certain respondent behaviors, such as knee
jerks and salivation, are elicited from a passive organism
2. Operant Conditioning
u Focuses on actions that operate on the environment to produce
consequences
3. Social-Learning Approach
u Gives prominence to the reciprocal interactions between an individuals
behavior and the environment
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A-B-C model
u Antecedent(s)
u Behavior(s)
u Consequence(s)
Antecedent
Behavior
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Consequence
Therapeutic Techniques
Relaxation Training to cope with stress
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Therapeutic Techniques
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Acceptance and Commitment Therapy - learning acceptance and nonjudgment of thoughts and feelings as they occur
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Treatments
u rely on empirical support
u emphasize self-management skills and thought restructuring
u Are typically brief
Leaders
u use a brief, directive, psychoeducational approach
u conduct behavioral assessments
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There is potential for the therapist to manipulate the client using this
approach
Some clients may find the directive approach imposing or too mechanistic
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Clients learn
u To identify the interplay of their thoughts, feelings and behaviors
u To identify and dispute irrational beliefs that are maintained by selfindoctrination
u To replace ineffective ways of thinking with effective and rational
cognitions
u To stop absolutistic thinking, blaming, and repeating false beliefs
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activating
event
belief
consequence
disputing
intervention
effective
philosophy
New feeling
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Irrational Ideas
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Some examples:
u I must have love or approval from all the significant people in my life.
u I must perform important tasks competently and perfectly.
u If I dont get what I want, its terrible, and I cant stand it.
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Insight-focused therapy
Theoretical Assumptions
u Peoples internal communication is accessible to introspection
u Clients beliefs have highly personal meanings
u These meanings can be discovered by the client rather than being
taught or interpreted by the therapist
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Basic theory:
u To understand the nature of an emotional episode or disturbance it is
essential to focus on the cognitive content of an individuals reaction to the
upsetting event or stream of thoughts
Goals:
u To change the way clients think by using their automatic thoughts to reach
the core schemata and begin to introduce the idea of schema restructuring
Principles:
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Selective abstraction
Overgeneralization
Personalization
Polarized thinking
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1.
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Selective Abstraction
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3.
I am a lousy person
Focus:
u Clients self-verbalizations or self-statements
Premise:
u As a prerequisite to behavior change, clients must notice how they
think, feel, and behave, and what impact they have on others
Basic assumption:
u Distressing emotions are typically the result of maladaptive thoughts
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Meichenbaums CBM
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Cognitive structure:
u The organizing aspect of thinking, which seems to monitor and direct
the choice of thoughts
u The executive processor, which holds the blueprints of thinking that
determine when to continue, interrupt, or change thinking
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Basic Needs
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Belonging
Power
Freedom
Fun
Survival (Physiological needs)
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W
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Total Behavior
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In group, members explore new courses of behavior that will bring them
closer to getting what they want out of life
Feedback from leaders and group members can help individuals design
realistic and attainable plans
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There is a danger for the therapist of imposing his or her personal views on
clients by deciding for the client what constitutes responsible behavior
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