Counseling Theory and Practice Midterm Flashcards
REBT
A short-term therapy developed by Albert Ellis that helps clients identify and change defeating thoughts and feelings
Goal of REBT
Help people reduce their underlying symptom-creating propensities. Minimization of musturbation, perfectionism, grandiosity, and low frustration tolerance
ABCDE Model
- Activating Events/ Adversity
- Irrational Beliefs about the events at “A”
- The emotional and behavioral Consequences
- Disputes/ arguments against irrational beliefs
- New Effect or the new, more effecive emotions and behaviors that result from more reasonable thinking about the original event
ABCDE
Activating events (A’s) in people’s lives contribute to their emotional and behavioral disturbances or consequences (C’s) largely because they are intermingled with or acted upon by people’s beliefs (B’s) about these activating events (A’s)
What Makes a Thought Irrational?
Irrational beliefs or dysfunctional attitudes that constitute people’s self-disturbing philosophies have two main qualities:
- They have at their core explicit or implicit rigid, powerful demands and commands, usually expressed as musts, shoulds, ought to’s, have to’s, go to’s. (“I absolutely must have my important goals fulfilled!”)
They also have derivatives of these demands:
Irrational Thoughts
Emptional upsets as distinguished from feelings of sorrow, regret, annoyance, and frustration – stem from irrational beliefs
REBT View of Neuroses
Neurotic thinking is the result of unrealistic, illogical, self-defeating thinking, and that is disturbance-creating ideas can be disputed
What does REBT do?
A cognitive-emotive-behavioristic method of psychotherapy uniquely designed to enable people to observe, understand, and persistently dispute their irrational, grandiose, perfectionistic shoulds, oughts, and musts and their awfulizing
Distraction (REBT Technique)
- Adult demanders can be transitorily sidetracked by distraction
- Therapist who sees someone who is afraid of being rejected (one who demands that significant others accept him) can try to divert him into activities such as sports, aesthetic creation, a political cause, yoga exercises, meditation, or preoccupation with the events of his childhood
- While the individual is diverted, he will not be so inclined to demand acceptance by others and make himself anxious
- Distraction techniques are mainly palliative, given that distracted people are still demanders and that they will probably return to their destructive commanding once they are not diverted
Satisfaction of Demands (REBT Technique)
If a client’s insistences are always catered to, she or he will tend to feel better (but will not necessarily get better)
- To arrange this kind of “solution,” a therapist can give her or his love and approval, provide pleasurable sensations (for example, put the client in an encounter group to be hugged or massaged), teach methods of having demands met, or give reassurance that the client eventually will be gratified
Magic and Mysticism (REBT technique)
- Adolescent and adult demanders can be led to believe (by a therapist or someone else) that their therapist is a kind of magician who will take away their troubles merely by listening to what bothers them
- A boy who demands may be assuaged by magic (ex: parents saying that a fairy godmother will satisfy his demands)
Minimization of Demandingnes
Best solution = to help individuals become less demanding
- As children mature, they normally become less childish and less insistent that their desires be immediately gratified
REBT encourages clients to achieve minimal demandingness and maximum tolerance
Temporary, palliative techniques may be used in REBT with clients who refuse more permanent resolution
Benefits/ What does REBT do?
- REBT assists patients in seeing how giving up perfectionism improves their lives
- REBT teaches patients to differentiate between desires and “musts.”
- Behavioral techniques are used in REBT to change habits as well as cognition
- REBT helps clients acquire a more realistic, tolerant philosophy of life
- REBT practitioners often employ a rapid-fire, active-directive-persuasive-philosophical methodology
Mechanism of REBT
No matter what feelings (which, by the way, do not distract the therapist) the patient discusses, the focus is on the patient’s irrational beliefs
Mechanism of REBT
Therapists do not hesitate to contradict a patient’s beliefs and are often one step ahead while showing acceptance
Mechanism of REBT
Therapists may do more talking than their patients
Mechanism of REBT
Therapist doesn’t just tell the patient his or her beliefs are irrational, but also attempts to encourage the patient to see this for him- or herself
Basic Personality Theory of REBT
Humans largely create their own emotional consequences
- They appear to be born with a distinct proneness to do so, and they learn through social conditioning to exaggerate (rather than minimize) that proneness
Client-Centered Therapy
Carl Rogers –> an orderly process of client self-discovery and actualization occurs in response to the therapist’s consistent empathic understanding of, acceptance of, and respect for the client’s frame
The therapist sets the stage for personality growth by reflecting and clarifying the ideas of the client, who is able to see himself or herself more clearly and come into closer touch with his or her real self
As therapy progresses, the client resolves conflicts, reorganizes values and approaches to life, and learns how to interpret his or her thoughts and feelings, consequently changing behavior that he or she considers problematic
3 Essential Therapist-Offered Conditions of Therapeutic Personality Change
- Congruence
- Unconditional Positive Regard
- Empathic understanding of the client’s internal frame of reference
6 Necessary and Sufficient Conditions for Change (Client-Centered)
1) Two persons are in psychological contact
2) The client is in a state of incongruence, being vulnerable or anxious
3) The therapist is congruent or integrated in the relationship
4) The therapist experiences unconditional positive regard for the client
5) The therapist experiences an empathic understanding of the client’s internal frame of reference and endeavors to communicate this experience to the client
6) The communication to the client of therapist’s empathic understanding and UPR is to a minimal degree achieved
Unconditional Positive Regard
A nonposessive caring and acceptance of the client as a human being, irrespective of the therapist’s own values
Warm acceptance
Non-judgmental openness to the client as a person and his/her behaviors, beliefs, and values
Empathic Understanding
The ability to absorb the expressed meanings of the client as if the therapist were seeing the world as the client sees; and to feel along with the client in their pain or joy
Congruence
A state of wholeness and integration within the experience of the person (hallmark of psychological adjustment)
Becoming more congruent, whole, and integrated, is a predictable outcome and can be observed in all relationships that provide therapeutic conditions
Incongruence
A discrepancy between the cleint’s self-image and actual experience leaves him or her vulnerable to fears and anxieties
Clients is unaware of this state
Actualizing Tendency
Organisms are motivated to maintain and enhance themselves
People do the best they can under the circumstances they perceive and that is acting on them
Unconditional Positive Regard
Therapist accepts the client’s thoughts, feelings, wishes intentions, theories, and attributions about causality as unique, human, and appropriate to their current experience
Acceptance does not mean agreeing with client
Psychological Contact (client-centered)
Therapist must be present in the room; two people that may influence each other
Incongruence (client-centered)
Client must be vulnerable (fearful, anxious, distressed)
Incongruence between self and experience
Congruence or Genuineness (client-centered)
Therapist must be genuinely themselves
Openness to experience the client
Express feelings
Empathy (client-centered)
Therapist must be able to enter into and experience client’s world (while not getting enveloped)
Empathic understanding of the client’s internal frame of reference
Active, immediate, continuous process involving the therapist’s cognitive processes, affective responses, and expressive behavior
Implies openness to the client’s communications including:
- Negative or critical reactions to the client
- A willingness to suspend one’s own opinions, prejudices, and theories
Places the client’s own expression and meanings at the center of the process as the therapist follows with understanding
Goals of Person-Centered Psychotherapy
Assist client in becoming congruent, self-accepting people
- Client specifies specific goals
- Therapist provides setting & relationship to allow client to increase positive self-regard and be fully functioning
Client-Centered Theory of Personality
Psychological development –> Grow from unique infant to self-aware children in need of positive regard from others (being emotionally & physically touched, valued, cared for)
Perception of received positive regard influences self-regard
Children find satisfaction through meeting needs of others
Conditional Positive regard (theory of personality in person-centered)
- Conditions of worth
- Evaluate one’s own experience based on beliefs, values of others
- Leads to anxiety
Client-Centered Therapists
- Respect clients
- Listen without prejudice
- Are open to either positive or negative feelings to either speech or silence
Mindfulness
Clear, objective awareness of experience
Being aware, attentive, and observant to all experiences and emotions in the present moment
Mindfulness
A psychological state of awareness, the practices that promote this awareness, a mode of processing information and a character trait
A state
Why Practice Mindfulness
- Helps to increase our ability to regulate emotions, decrease stress, anxiety and depression
- Can help focus our attention and observe our thoughts and feelings without judgment
Mindfulness can…
- Help relieve stress
- Treat heart disease
- Lower BP
- Reduce chronic pain
- Improve sleep
- Alleviate gastrointestinal problems
Goal of Mindfulness
Achieve a state of alert, focused relaxation by deliberately paying attention to thoughts and sensations without judgment
Goal of Mindfulness
Draw your attention to the world around you and redirect your attention away from your worries
Collectivistic
Those cultures in which individuals’ identity is associated with their relationships to others
Members endorse relational values, prefer interdependence, encourage sharing resources, value harmony, tolerate the views of significant others, and prefer communication that minimizes conflicts
Valuing connection, persons frequently contextualize and have a holistic orientation
Individualistic
Individuals who frequently view themselves independently from others are denominated
Ideal personal characteristics include being direct, assertive, competitive, self-assured, self-sufficient, and efficient
Western societies tend to be identified this way because their members define themselves primarily in terms of internal features such as traits, attitudes, abilities, and agencies