PSY343 - 3. Existential Therapy and Client-Centred Therapy Flashcards

(63 cards)

1
Q

History of Humanistic-Experiential Therapies

A

US + Europe in 50s + 60s
client-centered, existential, experiential + gestalt therapies
phenomenology: study of consciousness first-person perspective

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2
Q

History of Humanistic-Experiential Therapies

A

can’t know myself unless reflecting on experience, relationships to others, world, objects

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3
Q

Assumptions of Humanistic-Experiential Therapies

A

growth tendency
self-reflective agents with capacity to grow + change
seperates us from other species and that allows us to grow
Relationships, including therapeutic relationship, matter

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4
Q

Existential Therapy

A

European philosophers questions about essential nature + meanings of human existence
Reaction against rise of positivism; emphasized phenomenology

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5
Q

Existential Therapy

A

Influenced by destruction of WWI + II

central goal of existential theory is struggle to create meaning + live authentically

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6
Q

Theory of Personality

A

Existence emergent process; deemphasize fixed sets or traits within individual
4 dimensions of experience + existence with which ppl inevitably confront: physical, social, psychological + spiritual

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7
Q

Theory of Personality

A

inner conflict: confrontation betw indiv + ultimate concerns/givens of existence

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8
Q

Dimensions of Existence

A

Physical (Umwelt)

Tension: domination over elements + natural law vs. need to accept limitations or natural boundaries

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9
Q

Dimensions of Existence

A

Psychological (Eigenwelt)

Tension: self-affirmation (resolution) vs. surrender (yielding)

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10
Q

Dimensions of Existence

A

Social (Mitwelt)
Tension: acceptance (belonging) vs. rejection (isolation)
Spiritual (Überwelt)
Tension: hope vs. despair

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11
Q

Ultimate Concerns

A

Death: awareness of inevitability of death
Freedom: authors of own lives + therefore must take responsibility for choices + actions

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12
Q

Ultimate Concerns

A

Isolation: always gap betw ourselves + others
Meaninglessness: live in universe with no coherent or grand design; we create own meaning

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13
Q

Theory of Psychopathology

A

Freudian Theory of Psychopathology: DRIVE → ANXIETY → DEFENSE MECHANISM
vs. Existential Theory of Psychopathology
AWARENESS OF ULTIMATE CONCERN → ANXIETY → DEFENSE MECHANISM

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14
Q

Theory of Psychopathology

A

Ontological security: having firm sense of reality + identity
No matter how secure person is in world, some events will shake foundations of security + bring ultimate concerns to foreground

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15
Q

Theory of Psychopathology

A

genetic predisposition more susceptible to concerns

Problems become more serious when anxiety or disturbance is denied or evaded

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16
Q

Goal of Treatment

A

help find value, meaning + purpose in their lives
help become more truthful with themselves
help identify barriers or obstacles that impede movement towards authentic + meaningful living

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17
Q

Goal of Treatment

A

highlights freedom and actualization
help achieve values and goals
limitations of reality - recognizing ultimate concerns and tensions

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18
Q

Therapeutic Relationship

A

real, genuine therapeutic relationship crucial
fellow traveller navigating concerns of human existence
therapist self disclose

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19
Q

Therapeutic Relationship

A

less formal, egalitarian as possible
get client to take responsibility - not in harsh tone
reality based - subtle ways we avoid ourselves

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20
Q

Therapy Process

A

not comprehensive psychotherapeutic system; frame of reference for understanding suffering
assumptions about sources (four dimensions and ultimate concerns)
rest of therapy is unfolding

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21
Q

Therapy Process

A

No clear stages/prescribed length

not problem focused, looking at experiences + contextualize

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22
Q

Therapy Process

A

Initial focus establishment of strong relationship
Present-focused exploration
awareness central component - through phenomenology, help client find ways of coping and accepting anxiety

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23
Q

Therapy Techniques

A

cultivating naive attitude - consistently meeting client with an open mind + spirit of exploration + discovery
leave as much as possible your biases - required a lot of discipline (there are some assumptions already)

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24
Q

Therapy Techniques

A

Facing limitations – alert for opportunities to help clients
face the limitations
any efforts avoiding concerns - therapist responsibility to highlight it

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25
Therapy Techniques
Exploring personal worldview - trying to understand their take on the world explore client’s world from inside out - not entirely possible dealing in approximations
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Therapy Techniques
Enquiring into meaning - understanding of what makes | world meaningful to client
27
Psychotherapy Research on Existential Therapy
Scope + sample size of studies insufficient to firmly establish effectiveness Success beneficial impact of approach on couples groups dealing with chronic illness
28
Critique of Existential Therapy
highly focused on assumption of self-determination may not take into account complex factors that many ppl who have been oppressed must deal with
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Critique of Existential Therapy
many cultures it not possible to talk about self + self-determination apart from context of social network + environmental conditions highly secular - less inclusive
30
Critique of Existential Therapy
Vontress argues existential treatment suitable from all cultural backgrounds Issues about meaning of life raised in many nonWestern contexts
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Video Clip of Existential Therapy
``` not taking responsibility: i guess pointing out lip biting freedom: perfection psychological: fractured sense of self social tension: fear of rejection ```
32
Video Clip of Existential Therapy
empathic, but also confrontational exploring her world - sense of her values taking responsibility means going into something with no knowledge of outcome no freedom in her head because everything is so controlled
33
History of Client-Centred Therapy
1930s by Carl Rogers new approach emphasized therapeutic relationship Focused on clients’ innate tendency towards growth
34
Rogers’ (1957) : Necessary and Sufficient Conditions of Personality Change
1. 2 ppl in psychological contact | 2. client in state of incongruence, being vulnerable or anxious
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Rogers’ (1957) : Necessary and Sufficient Conditions of Personality Change
3. therapist is congruent or integrated in relationship | 4. therapist experiences unconditional positive regard for the client
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Rogers’ (1957) : Necessary and Sufficient Conditions of Personality Change
5. therapist experiences empathic understanding of client's internal frame of reference + endeavors to communicate this experience to client
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Rogers’ (1957) Necessary and Sufficient Conditions of Personality Change
6. communication to client of therapist's empathic understanding + unconditional positive regard minimal degree achieved
38
Rogers’ (1957) Necessary and Sufficient Conditions of Personality Change
No other conditions necessary. If these exist + continue over a time, sufficient. process of constructive personality change will follow.
39
Assumptions of Client-Centred Therapy
Self-actualizing tendency motivates towards enhancement + growth self actualizing force points us to what we aspire to but organismic valuing system will guide us
40
Assumptions of Client-Centred Therapy
Organismic valuing system allows to differentiate those value that maintain or enhance our lives from those that negate our growth
41
Theory of Personality
develop sense of self as begin to distinguish themselves from others developing child need for positive regard from others, to be accepted + loved, + fulfill blueprint for self-actualization
42
Theory of Personality
parents place conditions of worth on love, child start trying to please parents instead of following organismic valuing process listening to passenger seat instead of own gps
43
Theory of Psychopathology
Judgmental parents: love condition upon child’s behaviour more conditional love, more pathology likely self concept driven by introjected conditions of worth source of anxiety and conflict
44
Theory of Psychopathology
Conditions of worth lead to split betw real + ideal self “threat”/anxiety when perceives betw real + ideal self too much anxiety creates defenses
45
Theory of Psychopathology
Defenses reduce incongruity + anxiety Distortion alters way experience is perceived Denial: disavowal of experience
46
Theory of Psychopathology
defenses too strong: too far away from internal experience + disintegrates loses sense of self - dissolves when defences too strong
47
Theory of Psychopathology
Reintegration when conditions of worth lose significance + person becomes more open to their experience
48
Theory of Psychopathology
too much discrepancy focus on reintegration and/or increase positive self-regard process often requires helping or faciltating relationship
49
Goal of Treatment
create warm, safe, nonjudgmental environment | respond with deep understanding of experience
50
Goal of Treatment
help clients become aware of their incongruence | assist clients find ways to move towards integration + wholeness
51
Therapy Process
Core conditions for change: | Empathy – trying to understand client’s experience + expressed back to check with their experience
52
Therapy Process
Congruence (genuineness) – therapist is freely + deeply him/herself; no discrepancy betw experience + expression in contact with own internal experience so that it’s an authentic encountering
53
Therapy Process
have to be in touch with themselves so you can treat them as a subject not as an object genuineness: what they’re doing is congruent with their beliefs
54
Therapy Process
Unconditional positive regard - valuing client’s experience without judgment; accepting client unconditionally often working on reflection rather than confrontation core conditions create facilitative environment client can pursue own trajectory of growth
55
Critique of Client-Centred Therapy
Emphasis on separate autonomous self that self-actualizes based on Western values of individualism, + White, male ideals societies where group is more important these goals may be inappropriate
56
Critique of Client-Centred Therapy
safe, accepting environment - client will do work because of self-actualizing potential create environment where they can do the work they just stick close to client’s experience
57
Critique of Client-Centred Therapy
Non-directiveness – therapist following client – may be challenging in hierarchical cultures, where clients tend to defer to therapist as expert issue with non-authoritative stance + may feel misunderstood
58
Critique of Client-Centred Therapy
Feminist critique – focuses only on indiv without educating client to political context of her problems problems seen to reside within indivi rather than society
59
Critique of Client-Centred Therapy
privileged client without awareness of context | solutions also in the realm of the client
60
Psychotherapy Research on Client-Centred Therapy
Nondirective as effective as other treatments | No evidence core conditions necessary or sufficient for therapeutic change - facilitative of therapeutic change
61
Psychotherapy Research on Client-Centred Therapy
Empathy single strongest therapist determinant of successful psychotherapy
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Video Clip of Client-Centred Therapy
``` mmhm, repeating checking in: is that part of it, is that what you’re saying facilitative transition let’s her dictate silence ```
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Video Clip of Client-Centred Therapy
acceptance vs rejection: how does someone be open and safe at the same time core concern brought into the relationship fear of getting too close congruence: he’s not clear so he goes back for clarification Gloria Tapes