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What are the 3 philosophical foundations of person-centered theory? |
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-phenomenology -humanism -existentialism |
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Study of human consciousness; focus on subjective, inner reality |
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All people tend to naturally move towards positive growth |
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Life as inherently meaningless or neutral until a person creates meaning |
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3 conditions promote client change: empathy, counselor genuineness, and unconditional regard (Approach) |
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People must be understood holistically and contextually (Approach) |
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Who developed person-centered theory? |
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First researcher to record counseling sessions |
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4 things PCT challenges against the directive and psychoanalytic approaches |
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Definition
-the assumption that "counselor knows best"
-the validity of suggestion/persuasion, teaching the disorder, and interpretation
-the belief that clients can not resolve their own problems without direct help
-the focus on problems over person |
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Humanistic vs. Psychoanalytic
Goals |
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Definition
Promote growth
Cure mental illness |
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Humanistic vs. Psychoanalytic
How to improve |
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Definition
Take responsibility for actions and feelings
Bring unconscious conflicts into conscious awareness |
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Humanistic vs. Psychoanalytic
Role of therapist |
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Definition
Provide an environment in which growth can occur
Provide interpretation |
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Humanistic vs. Psychoanalytic
Content of therapy |
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Conscious feelings, actual self, and ideal self
Unconscious conflicts |
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Humanistic vs. Psychoanalytic
Time focus |
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Term
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Client-centered
Non-directive
Process-oriented |
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Term
Who determines the goal of PCT counseling? |
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Definition
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Term
PCT places greater attention on ______ ("how" life is experienced) more than what "happens." |
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Definition
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3 underlying premises of PCT |
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Definition
-people are inherently good
-people have an innate need to grow and develop
-people have the ability to solve their own problems |
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Term
People have the innate need to grow and develop (PCT) |
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Definition
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6 process goals of PCT (increase) |
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Definition
-ability to identify emotions in the present
-sense of responsibility for own problems and their resolution
-sense of agency and proactive behavior in work life
-frequency of peak experience and flow in work life
-ability to set realistic expectations for self and others to increase acceptance
-ability to trust the evolving and changing nature of the self |
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One process goal of PCT (decrease) |
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Definition
use of facades in personal relationships to increase experience of intimacy |
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3 Core conditions of PCT that are necessary and sufficient for change |
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Definition
-counselor congruence/genuineness
-unconditional positive regard
-accurate empathetic understanding of the client |
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Term
Maslow's Hierarchy of Needs
(PCT) |
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Definition
1. Physiological needs 2. Safety and security 3. Love and belonging 4. Self-esteem 5. Self Actualization |
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Self-actualization (3)
(PCT) |
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-becoming that self which one truly is
-living an authentic. meaningful life
-fulfilling one's potential |
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7 things PCTherapists do NOT do |
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Definition
-reassuring cliches -give advice -request an explanation -agree with client -disagree with client -give approval -give disapproval |
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William Miller and James Rollnick |
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Definition
Motivational Interviewing |
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4 forces that block change
(MI) |
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Definition
diablos concidos fear of failure reactance/resistance lack of alternate coping techniques |
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the status quo is familiar, change is unpredictable and anxiety-provoking behavior |
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The Spirit of Motivational Interviewing |
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Definition
-collaborative
-evocative
-honoring patient autonomy |
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Term
What does MI seek to resolve in order to enhance intrinsic motivation? |
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Definition
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Term
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-express empathy -develop discrepancy -roll with resistance -support self-efficacy |
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What techniques does a MI counselor use to roll with resistance? |
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OARS O: open ended questions A: affirmations R: reflection S: summarizing |
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Term
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-strong research support for importance of empathy, positive regard, and congruence (necessary but NOT sufficient)
-the focus on individual's subjective experience allows it to be easily adapted to diverse populations |
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Term
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Definition
-non directive approach may be bad for clients who prefer structured, practical approach and who are not able to find their own answers
-difficult to standardize for research because the lack of specific techniques
-rose colored glasses; perhaps overly positive view of human condition
-theory has not evolved much since 60s |
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5 Pros of therapist self-disclosure |
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Definition
-normalizes client condition -validates client -increases empathy -increases credibility -humanizing |
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4 Cons of therapist self-disclosure |
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-may detract from work of therapy -loss of credibility -crossing boundaries -risk of countertransference |
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Psychoanalytic view of self disclosure |
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Definition
-discourages it because it favors neutrality
-therapists should be a blank screen upon which clients can project thoughts/feelings
-see neutrality as essential for uncovering, interpreting, and resolving client transference |
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CBT view of self disclosure |
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Definition
-can be used to model coping strategies and problem solving techniques
-expressly encourages judicious SD |
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Definition
-it shows therapist is genuine and has positive regard for the client (which are vital to promote openness, intimacy, trust, self-understanding, and change)
-therapists can serve as role models
-equalizes the power in therapeutic relationships |
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3 Guiding principles of self disclosure |
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Definition
-disclosure should always be made in service of client's benefit
-be mindful of content
-return focus to client after disclosure |
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Gestalt = whole or form
We are more than just the sum of our parts |
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Awareness of the here and now and accepting responsibility for one's self (Gestalt) |
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Definition
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According to Gestalt therapy, when do psychological problems arise? |
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Definition
When a person avoids direct contact with parts of themself |
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(Gestalt) People can deal with problems if _______. |
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Definition
they become aware of what is happening within and outside themselves. |
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Definition
help client achieve greater sense of wholeness, awareness, and aliveness |
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Perl's 5 part process of becoming more authentic |
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1. phony layer 2. phobic layer 3. impasse layer 4. implosive layer 5. explosive layer |
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(Layer) Person lives according to "shoulds" and habit; inauthentic life |
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(Layer) Person becomes worried and fearful that something is amiss |
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(Layer) Person feels stuck and more open to seeking help; don't know where to go |
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(Layer) Person feels empty and lost inside |
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(Layer) Person lets go of old pretenses, releasing bursts of new energy for authentic action |
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Examined dysfunctions in ailing marriages and functions in working ones
Research-based and data driven |
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Gestalt counselors view people as: |
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never-ending sequence of polarities or complementary parts |
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4 examples of polarities/disowned parts |
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-social self vs. natural self -adult vs. child -perfect vs. failure -emotional vs. logical |
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Change happens when:
(Gestalt) |
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Definition
a disowned part is reintegrated into the rest of the identity |
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Term
The more one tries to change and be what they're not, the more one stays the same |
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Definition
The Paradoxical Theory of Change |
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What is the goal behind the Paradoxical Theory of Change? |
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Definition
Accept that what "is," is and to make peace with what one is |
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Shares thoughts, perceptions, and feelings as they occur in session to awaken client's authentic self |
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Willing to model for imperfection; does NOT hide behind professional veneer |
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Here and now; presence and spontaneity |
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Gestalt therapeutic relationship |
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any incompletely expressed or non-expressed feelings which often become resentment |
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Interventions of Gestalt therapy |
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-empty chair/2 chair -body awareness -dream work -semantics/language modification |
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(Intervention) Talk to empty chair as if another person or part of self Not venting Opportunity to experiment with authentic expression in safe context |
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Definition
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(Intervention) -Every emotion has a physiological component -Repressed/suppressed emotions are expressed in the body -Exercise helps clients identify and more effectively manage crisis emotions |
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Differences in Gestalt dream work |
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-Therapist does not know more than client -Integration not interpretation -Dreams are attempts to integrate the parts of self -Explore what characters/parts of self may represent, what is neglected or emphasized in a person's life |
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Direct clients to modify their language to highlight their autonomy, choice, and responsibility |
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Contribution of Gestalt therapy |
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Definition
The focus on the individual's subjective experience allows it to be adapted to diverse populations |
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3 Criticisms of Gestalt therapy |
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Definition
-little research on process/outcomes (except for chair intervention) -emotionally reserved clients may find emphasis on feelings offputting -may not be useful for clients who had difficulty abstracting and imagining |
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