Professional Documents
Culture Documents
Psychotherapy
Client-centered therapy is deceptively simple in statement but decidedly difficult in practice.
Briefly, the client-centered approach holds that in order for vulnerable or anxious people to
grow psychologically they must come into contact with a therapist who is congruent and whom
they perceive as providing an atmosphere of unconditional acceptance and accurate empathy.
But therein lies the difficulty. The qualities of congruence, unconditional positive regard and
empathic understanding are not easy for a counselor to attain.
Like person-centered theory, the client-centered counselling approach can be stated in an if-
then fashion. If the conditions of therapist congruence, unconditional positive regard, and
empathic listening are present in a client-counselor relationship, then the process of therapy
will transpire. If the process of therapy takes place, then certain outcomes can be predicted.
Rogerian therapy, therefore, can be viewed in terms of conditions, process, and outcomes.
- Conditions
Counselor Congruence
- The first necessary and sufficient condition for therapeutic change is a congruent
therapist. Congruence exists when a person’s organismic experiences are matched by an
awareness of them and by an ability and willingness to openly express these feelings
(Rogers, 1980).
- Because congruence involves feelings, awareness and expression, incongruence can
arise from either of the two points dividing these three experiences.
1. There can be a breakdown between feelings and awareness.
2. There is a discrepancy between awareness of an experience and the ability or
willingness to express it to another.
- - As with unconditional positive regard and empathic listening, different degrees of
congruence exist.
Unconditional Positive Regard
- Positive regard is the need to be liked, prized, or accepted by another person. When this
need exists without any conditions or qualifications, unconditional positive regard
occurs.
- Therapists have unconditional positive regard when they are “experiencing a warm,
positive, and accepting attitude toward what is the client.” The attitude is:
1. without possessiveness
2. without evaluations
3. without reservations
Regard – there is a close relationship and the therapist sees the client as an important person.
Positive – indicates that the direction of the relationship is toward warm and caring feelings
Unconditional – suggests that the positive regard is no longer dependent on specific client
behaviors and does not have to be continually earned.
- Process
STAGES OF THERAPEUTIC CHANGE
Stage 1: Characterized by the unwillingness of the client to communicate anything about
oneself.
Stage 2: Clients become slightly less rigid.
Stage 3: Clients are more freely to talk about self, although still as an object.
Stage 4: Clients begin to talk of deep feelings but not ones presently felt.
Stage 5: Clients have begun to undergo significant change and growth.
Stage 6: Clients experience dramatic growth and an irreversible movement toward becoming
fully functioning or self-actualizing. In many ways, Stage 6 signals an end to therapy. Indeed, if
therapy were to be terminated at this point, clients would still progress to the next level.
Stage 7: It can occur outside the therapeutic encounter. Clients become fully functioning
“persons of tomorrow.”
- Outcomes
Roger’s Theory of Therapeutic Change
If the following conditions exist: Then therapeutic change occurs and the
1. A vulnerable or anxious client client will
2. contacts a counselor who possesses 1. become more congruent;
3. congruence in the relationship, 2. be less defensive;
4. unconditional positive regard for the 3. become more open to experiences;
client, and 4. have a more realistic view of the world;
5. empathic understanding for the client’s 5. develop positive self-regard;
internal frame of reference, and 6. narrow the gap between ideal self and real
6. the client perceives Conditions 3, 4 and 5 – self;
the three necessary and sufficient conditions 7. be less vulnerable to threat;
for therapeutic growth; 8. become less anxious;
9. take ownership of experiences;
10. become more accepting of others;
11. become more congruent in relationships
with others.
Philosophy of Science
- According to Rogers (1968), science begins and ends with the subjective experience,
although everything in between must be objective and empirical.
- Rogers (1968) believed that scientists should be completely involved in the phenomena
being studied.
SCIENTIFIC METHODS
1. Observation
2. Hypothesis
3. Methodology
4. Data analyzation
5. Conclusion
METHOD
- To assess change from an external viewpoint, the researchers used the Thematic
Apperception Test (TAT), the Self-Other Attitude Scale (S-O Scale), and the Willoughby
Emotional Maturity Scale (E-M Scale).
- To measure change from the client’s point of view, the researchers relied on the Q sort
technique.
- The researchers used two different methods of control:
1. Own-control or wait group
2. “Normals” group
- To assess change from an external viewpoint, the researchers used the Thematic
Apperception Test (TAT), the Self-Other Attitude Scale (S-O Scale), and the Willoughby
Emotional Maturity Scale (E-M Scale).
- To measure change from the client’s point of view, the researchers relied on the Q sort
technique.
- The researchers used two different methods of control:
1. Own-control or wait group
2. “Normals” group
FINDINGS
- The researchers found that the therapy group showed less discrepancy between self
and ideal self after therapy than before, and they retained almost all those gains
throughout the follow-up period.
- On the other hand, as expected, the “normal” controls had a higher level of congruence
than the therapy group at the beginning of the study, but in contrast to the therapy
group, they showed almost no change in congruence between self and self-ideal from
the initial testing until the final follow-up.
- In addition, the therapy group changed their self-concept more than their perception of
the ordinary person.
- In general, the findings reported that there are no significant behavioral changes in the
clients from the pretherapy to posttherapy, However, this global rating of no change
was due to a counterbalancing effect.
SUMMARY OF RESULTS
- The Chicago studies demonstrated that people receiving client-centered therapy
generally showed some growth or improvement. However, improvement fell short of
the optimum.
- Looking at these outcomes another way, the typical person receiving client-centered
therapy probably never approaches Stage 7 hypothesized by Rogers. A more realistic
expectation might be for clients to advance to Stage 3 or 4.
- Client-centered therapy is effective, but it does not result in the fully functioning person.
Related Researches
• In the 1980s, E. Tory Higgins developed a version of Roger’s theory that continues to be
influential in personality and social psychological research. Higgin’s version of the theory
is called self-discrepancy theory and argues not only for the real self-ideal self-
discrepancy but also for real self-ought self-discrepancy (Higgins, 1987).
• Some of the recent research has sought to clarify the conditions under which self-
discrepancies predict emotional experience (Philipps & Silvia, 2005).
• In yet more research on self-discrepancy, Rachel Calogero and Neill Watson (2009)
examined whether individuals’ perceived real-ideal and real-ought discrepancies to
predict a unique form of self-consciousness they termed “chronic social self-
consciousness.”
Motivation and Pursuing One’s Goals
Setting and pursuing goals is a way for people to organize their lives in a way that leads
to desirable outcomes and adds meaning to daily activities.
According to Rogers, a source of psychological distress is incongruence, or when one’s
ideal self does not sufficiently overlap with his or her self-concept and this incongruence
can be represented in the goals the person chooses to pursue.
Rogers (1951) expanded on these ideas to propose that we all have an organismic
valuing process (OVP) – that is, a natural instinct directing toward the most fulfilling
pursuits.
Critique of Rogers
• Although Rogerian theory has produced much research in the realm of psychotherapy
and classroom learning, it has been only moderately productive outside these two areas
and thus receives only an average rating on its ability to spark research activity within
the general field of personality.
• Rogerian theory has a high rate on falsification.
• Although much of the research generated by the theory has been limited to
interpersonal relations, Rogerian theory nevertheless can be extended to a relatively
wide range of human personality.
• Rogers suggested that the three conditions are both necessary and sufficient to affect
growth in any interpersonal relationship, including those outside of therapy.
• The person-centered theory has a very high rating for its consistency and its carefully
worked-out operational definitions.
• The theory itself is unusually clear and economical, but some of the language is
awkward and vague.
Concept of Humanity
- Rogers contended that people have some degree of free choice and some capacity to be
self-directed.
- His concept of humanity is optimistic.
- Roger’s theory is also high on teleology, maintaining that people strive with purpose
towards goals that they freely set for themselves.
- Rogers placed more emphasis on individual differences and uniqueness than on
similarities.
- Although Rogers did not deny the importance of unconscious processes, his primary
emphasis was on the ability of people to consciously choose their own course of action.
- On the dimension of biological versus social influences, Rogers favored the latter.
- Rogers did not claim that, if left alone, people would be righteous, virtuous, or
honorable. However, in an atmosphere without threat, people are free to become what
they potentially can be.