Lisa Rogers
Spring 2016
A LOOK AT MY THEORETICAL ORIENTATION
Since I have completed practicum and one semester of my internship, I have found that
my theoretical perspective has changed a lot more than I had anticipated. After finishing my
theories class, I had a mostly cognitive-behavioral perspective, although I also liked some
aspects of reality therapy and person centered therapy. Since then, I think that I have become
much more eclectic in my use of counseling theory and therapeutic techniques. I try to match
therapy techniques and theoretical perspectives based upon the client themselves versus on own
I would say that my main theoretical orientation is Person Centered Therapy (Sommers-
Flanagan & Sommers-Flanagan, 2013). I believed that all therapy should be person-centered to
an extent. I believe in the power of unconditional positive regard as an element of change where
the person feels comfortable being able to be their true self. I also believe in the counselor being
genuine and authentic, because if I am not being genuine and authentic during therapy, I do not
believe that I can ask or expect my clients to be genuine and authentic with me (Sommers-
Flanagan & Sommers-Flanagan, 2013). I also feel more comfortable during sessions when I am
being myself. Since I am doing what comes naturally for me, I am able to focus less on myself
and more on being in the present moment with my clients. I also frequently employ the use of
reflections, especially reflections of emotions, because I feel that these can help clients to go
deeper in the session. In addition to a person centered perspective, I also frequently employ
to work with clients who are ambivalent about change. Motivational Interviewing also emphasis
rapport building and connection with clients and motivational interviewing recommends
spending part of the session building rapport with clients and engaging in conversations with
them (Keeley et al., 2016). I think that doing this is incredibly useful for me because the stronger
A LOOK AT MY THEORETICAL ORIENTATION
the rapport I have with a client, the more they will keep coming back and the more ability I have
to engage in caring confrontation with clients. I also think that it helps me to be a better clinician
I also use a little bit of Reality Therapy during sessions at times. I often emphasis to my
clients that we cannot change others and can only change our own actions, which is something
that I have borrowed from reality therapy (Sommers-Flanagan & Sommers-Flanagan, 2013). I
frequently use caring confrontation with my clients as well. In addition to using some aspects of
Reality Therapy, I also borrow concepts from Dialectal-Behavioral Therapy (DBT). Most often I
use the concept of mindfulness in order to help clients stay in the present so that they can enjoy
their life instead of being caught up in the future or the past (Linehan & Wilks, 2015). I also
commonly use Socratic questioning and guessing the thought. One of the things that I do very
2013). I frequently have clients write down their negative thoughts that they frequently have, and
then in counseling we work on reframing those statements. After the client is able to recognize
their negative thoughts easily as they are occurring and after they are more comfortable
reframing their negative thoughts in counseling, they begin to reframe their negative thoughts
themselves outside of therapy, and then they begin to do it in the moment when those thoughts
I would not say that I have one specific theoretical orientation, because I personally
believe that that would be extremely limiting. Every type of therapy has its strengths but also has
its limitations. I also think that if clinicians get too locked down on using one theoretical
A LOOK AT MY THEORETICAL ORIENTATION
orientation and is not able to adapt to the needs of the client, that can be detrimental to the client.
However, there are certain techniques and theories that I use most often. I use Person Centered
Therapy in all of my sessions to some extent. I also commonly use techniques from CBT, such as
Socratic questioning, guessing the thought, and cognitive reframing and challenging negative
thoughts. I also borrow a little bit from Reality Therapy and DBT.
A LOOK AT MY THEORETICAL ORIENTATION
References
theories in context and practice (2nd edition). New Jersey: JohnWiley & Sons.
Keeley, R. D., Brody, D. S., Engel, M., Burke, B. L., Nordstrom, K., Moralez, E., & ...
Linehan, M. M., & Wilks, C. R. (2015). The course and evolution of dialectical behavior