A report that reflects on Person Centred Therapy

I reflected on Person-centred Therapy ( sh are) as the comparative forge because of the conflict that exists between this and Cognitive Behavioural Therapy (CBT). The conflict is historical, political and from face-to-face find out. In therapy twenty years ago I became frustrated with my bursting charges person-centred betterment. I challenged my counsellor to provide me with more(prenominal) fight down and help. I at that placefore had preconceived ideas of part which may be similar to stereotypic thinking of these sets. It was excessively warm, completely non-directive and only reflected back to the knob, which I order frustrating.I interpret now it was because my coping style was externalised and I had no arrest over external blushts, which suited a more direct advise approach. So, how would this influence my execute as a counsellor? In theoretical terms and in observed practice I appreciated the benefits of pct for its empathetic understanding and for guests w ho require a non-directive approach to gain steamy awareness. Presenting bulges that keister be helped by PTS are bereavement, drug and alcohol issues, depression, apprehension and anxiety, eating difficulties, egotism-harm, childhood sexual abuse (Tolan and Wilkins, 2012).I take away used the model affectively for bereavement and sexual abuse as an offer of a direction would have been in separate and incongruent at the time. My preconceptions of CBT were solution focused, challenging and that woeful intensity based interventions ignore the leaf nodes old. I opinion competent in using certain behavioral intervention in my practice and challenge maladaptive thinking patterns in sessions. CBT is a aesculapian model and although we have been taught the disadvantages to diagnoses, CBT is seen as the treatment of choice for many presenting problems overdue to the amount of empirical evidence available.These are anxiety disorders, panic, phobias, obsessive-compulsive disorder , PTSD, binge-eating syndrome and depression as identified by NICE (NICE, 2008, Accessed online 27/06/201). This composing reflects on the appropriate use of the models. Stereotypes have some element of truth, and at the same time, are not the truths. I wanted to understand the similarities and parallels while respecting the fact that, in practise, I use both models. I didnt want to do a bit of distributively badly, nevertheless use a model in full at the appropriate time and understand my sympathy for doing so (Casemore, and Tud management, 2012). both(prenominal) percent and CBT are deeply rooted in the same philosophical underpinning of humanism, existentialism, and both are phenomenology particularly to the nature of suffering. However, there are differences in the understanding and interpretation of the philosophy. Both approaches view a person as continually seeking emersion and self-actualisation. There are incompatible dogmas between the models. (Casemore, and Tudw ay, 2012). per centum observes that seeking ontogenesis and self-actualisation is a way of universe and in itself therapeutic.Rogers professed that there were six unavoidable conditions for therapeutic growth that alone were sufficient to lead to a to the full functioning person. The separate is the testify expert who ignore determine their aver move around of their reality and rear end heal themselves with the core, being the relationship itself. The organise of the self includes self-concept and introjected beliefs. PCT communicates acceptance of the clients own puzzle and encourages then to identify alternate choices. It is a continual journey of self-awareness and knowledge, with the drive always towards growth (Mearns & Thorne, 2012).CBT views growth and self-actualisation as a shared out goal of therapy to be r severallyed with a set of tools, to be implemented in therapy. CBTs view comes from Ellis who defines a person as irrational and rational. In CBT terms dy sfunctional beliefs are similar to introjected beliefs and led to overrefinement in the self-concept. The irrational causes distress and rational directs the somebody to fully functioning. CBT primary belief is self distortion and the process of cognitive dissonance.Interventions such as the ABCDE framework are used to challenge and contention irrational thinking and are aimed at increasing clients self-awareness and self-understanding. CBT sees the relationship as more collaborative and facilitates new learning. An individuals construct of reality is dimensional and irrationality stops the client from changing. Therefore, a persons drive is not always towards growth (Casemore, and Tudway, 2012). A similarity of both approaches is the understanding of self-worth and unconditional self-acceptance. The nature of suffering is seen the same. cosmos are flawed, imperfect and we cause our own disturbance.Both see the client as the expert in the relationship. Authenticity is of great imp ortance to both PCT and CBT as is the therapeutic relationship. It is the emphasis on the process of swap, to become oneself, where the differences in two models lie (Castonguay, & Hill, 2012). From a PCT eyeshot a client discovers some hidden aspect of them self that they werent aware of previously and moves towards a greater degree of acceptance of self by being prized by the therapist (unconditional compulsory regard), have a sense of reality (genuineness) and listen to them self (empathy).A client moves towards seeing new meaning. These convinces are feature film of therapeutic movement. The client moves along a continuum from rigid structure to menstruate which can be seen in the seven stages of therapeutic change. Rogers term was organismal experiencing which was interpersonal in the therapeutic relationship through unconditional positive regard and intrapersonal within the client accepting a new experience into their awareness (Castonguay, & Hill, 2012). In PCT, the p rocess of change there are antithetic corrective experiences for a client.For me practising with a client group from a womens refuge I use PCT and Rogers condition-of-worth. The incongruence between the self-concept and authentic self is evident due to the abuse. This creation of a false self is right with unconditional positive regard, empathy and genuineness. Process Theory is where, change in the experience of whims and the recognition that the client is the creator of their own construct occurs. The therapeutic change has a developmental sequence.There is a change in the clients manner of experiencing facial expressionings and recognition of being the creator of their own constructs, accepting accountability and in relating to others extendly and freely. This is compatible with the condition of worth. A person moves with acceptance to a fully functioning person. The persons overall way of being is changed. Relating to a congruent therapist, the client learns to be open and congruent themselves (Castonguay, & Hill, 2012). Unblocking or Focusing is where the self-correcting, self-healing process of the organism is blocked.The person cant refer inwardly, focus on feelings or articulate meaning. They have a rigid self-concept. Empathic listening within the therapeutic relationship opens the issue to re-examination and unblocks the person self-healing process. There is an interaction between the feeling and the attention the client brings to create a new meaning. This is Gendlins felt sense, an unexpected feeling of flow. The client becomes an active self-healer who has been felt heard and understood (Castonguay, & Hill, 2012).In practice build Meaning Bridges new understanding which identifying introjects enforce by others who imposed external systems of value has been paramount because of the external pressure that have be imposed through a close relationship. Internal opposing voices can be accepted, examined and resolved through compromise and colla borative solution. Until now, I apothegm this as CBT hardly can now see this as PCT with Rogerss necessary and sufficient conditions of therapeutic change all that is necessary for the process of change and this change occurs without engaging in cognitive process, but in the moment (Castonguay, & Hill, 2012).I am able to draw personal parallels from watching Rogers session with Gloria. Gloria wanted an answer from Rogers. In the session she found it for herself, even though she actively interpreted that he had helped her to the decision even though he hadnt. She makes the decision of honesty for herself. Although non-directive, Rogerss session had a focused, this was of self-healing and self-direction. Refuting the belief that the person-centred way is only to reflect back to the client. The warmth from the counsellor is also part of the process of condition of worth.This helps me challenge my preconceived ideas and understand what is contingency in practice. In practise, I am aware from a CBT perspective the therapeutic approach can teach clients new skills. The therapist is regarded as more of a coach. The client benefits from new skills and perspectives which facilitate the learning and have a sense of efficacy. I have used CBT to look at specific problem behaviours and conceptualise them as having cognitive, affective, behavioural and physiological elements each of which can have a legitimate target for intervention and can be check for validity (Castonguay, & Hill, 2012).The process of change occurs in practice as old ways are challenged through exposure exercise, behavioural experiments and cognitive restructuring techniques. Change occurs in the therapeutic setting or foreign in a person everyday life. It may require repeating to produce a lasting effect and reduce maladapted patterns. This is where CBT and PCT are similar as this requires a strong therapeutic alliance, but CBT belles-lettres takes this as a given and may be a reason it is crit icised. Clients are taught emotional regulation and basic functioning skills, such as problem-solving skills, breathing relaxation and active coping.Specific interventions are then used to actuate and foster the therapeutic relationship, such as cost benefit analysis, workaday thought records, and in vivo exposure. Aligning clients goals with interventions in a formulation develops the therapeutic alliance and collaborates with the client, with hypothesis-testing strategies used to undergo the process of change Casemore, and Tudway, 2012). CBT is focused on corrective experiences and facilitates through interventions rather than challenging a client.It respects the importance of the therapeutic relationship and uses Rogers core conditions but does not see the conditions as sufficient. In-depth schema focused CBT takes the therapy to a deeper level and deals with past issues, than the low intensity offered by the NHS. Again my preconceptions are challenged for the benefit of my pra ctice. I can see how the two models are not rivals, as Roger Casemore and Jeremy Tudway call forth in their book Person-centred Therapy and CBT, and that sibling as a metaphor plant life well (Casemore, and Tudway, 2012).For me, the therapeutic relationship and the advanced empathy required in PCT are important in my practise along with the core conditions in order to create change. Rogers believes interventions as wrong, from a philosophical point of view, as the client always having to lead the therapy. This is because Rogers sees a person as having immeasurable potential. For me, CBT in offering intervention and gentle coaching helps a client on their journey to self-healing and a seed can be implanted and therapeutic change can happen outside the counselling session.I support the views not all humans have the same drive and there is an unconscious element to being rational or irrational. It is a more real idea and not as optimistic as Rogers. It is observance of this therap eutic change and this idea that supports the use of CBT in my practise (Casemore, and Tudway, 2012). The BACP respectable framework has been written with Rogers core conditions in brain. Therefore, PCT offers the client and the therapist the need to fulfil the principles of self-care, of being trustworthy and providing autonomy.As to the personal moral qualities the PCT requires the therapist to have advanced empathy. CBT has been criticised for focusing too much on the intervention and not being of beneficence. In CBT extra competence in the implementation of the intervention is required, so the criticism of the technique becoming the therapy cannot be applied . In writing this report and in my practise, I feel the difference are enough not to combine the models, but that each model can go into the same toolkit and used separately in the same session with a client.With the collaborative element in mind and further reading I am interested in the approach by Mick Cooper and John Mc Leod. The pluralistic perspective which believes individual clients would benefit from different therapeutic methods used at different points in time. Therapist would work collaboratively with clients. Help them identify what they want from therapy and how this can be achieved. It leaves the question of the process of therapy integration in practice open for debate. (Cooper, and McLeod, 2010, Assessed Online26/06/13).