Lecture 1: Client-Centered Therapy Flashcards

1
Q

What are 2 important aspects of Rogers theory and explain them

A
  1. Self-actualization tendency = organisms are motivated to maintain/enhance themselves, this may be thwarted in individuals with mental illnesses; allows growth (development of capacities) and integration of new skills and knowledge
  2. Congruence vs. Incongruence = when someone is congruent they are a fully functioning person —> you show the emotions you feel and there is healthy growth and integration; when you are incongruent there are internal/external conflicts/tensions, you no longer show/do what you feel and you start to conform actions to the norms of the environment instead of your own intuition
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2
Q

Best possible adaptation

A

= when a person does not have perfect circumstances and they therefore become the best person they can be under certain circumstances —> this does not mean this is a good adaptation

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3
Q

What are 3 important aspects related to change in the client and explain them

A
  • self-concept; this enhances through (unconditional) positive regard
  • locus of evaluation; evaluation shifts from external (eg. others) to internal factors (eg. inner experiences)
  • experiencing; shift from rigid to more open and flexible
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4
Q

What are 9 concepts related to the theory of personality by Rogers

A
  1. experience = private world of the individual
  2. reality = reality as perceived by the individual
  3. actualization tendency
  4. internal frame of reference = perceptual field of the individual
  5. symbolization = process by which an individual becomes aware of an experience
  6. the Self/Concept of Self/Self-Structure = characteristics of “I” or “me” and their relation to others
  7. psychological (mal)adjustment = (absence of) congruence between experiences and self-concept —> adjustment means being open to experiences
  8. fully functioning person = able to experience all feelings, are afraid of none of them and are aware of their experiences
  9. organismic valuing process = relying on own senses to make value judgements
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5
Q

What are the 3 important aspects of the therapeutic relationship

A
  1. Congruence
  2. Unconditional positive regard; warmth, liking, respect and sympathy
  3. Empathy; putting own frame of reference aside and using it when necessary, creating space/resonating/validating, address elements that move you or are expressed vividly, be curious, welcome correction
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6
Q

What are 2 aspects of congruence and explain them

A
  1. Genuineness; open to/in contact with experimental flow/here-and-now, self-knowledge and honesty
  2. Transparency; personal presence, consistency in verbal/non-verbal behavior, self-disclosure, disciplined spontaneity
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7
Q

How to communicate UPR (3)

A
  • supportive/caring statements
  • unique responsiveness (= therapist is deeply attentive)
  • simple affirmations (= commenting on particular behaviors) and complex affirmations (= commenting on persons positive traits/strengths)
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8
Q

What are 2 components of trait empathy

A
  1. Cognitive perspective-taking = reading inner experiences/intentions of the other
  2. Shared affect responding = recognize and experience another’s emotions
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9
Q

What are 12 roadblocks to empathetic listening

A
  1. probing = asking questions to gather more info
  2. advising = making suggestions/providing solutions
  3. reassuring = comforting/sympathizing/consoling
  4. agreeing
  5. directing = telling client what to do/ordering/commanding
  6. persuading = lecturing/arguing/disagreeing/giving reasons/convincing
  7. analyzing = reinterpretation/explanation of actions/words
  8. warning
  9. distracting
  10. moralizing = telling people what to do and why
  11. judging
  12. shaming
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10
Q

What to reflect on with accurate empathy

A
  • underlying feelings/emotions
  • client’s experiences (especially intensely vulnerable ones)
    —> depends on the needs of the client
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11
Q

How does one communicate acceptance (3)

A
  • be collaborative rather than directive, confront gently to promote self-exploration/change
  • refrain from judgement and use accurate empathy, underlying attitude matters
  • mindfulness and affirmation
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12
Q

Explain Zimring’s ideas and the 2 different contexts he described

A

Human being become persons through interaction with other persons which takes place within a particular culture
—> the self crystallizes and dissolves constantly in each moment of each new situation
1. Objective context = stressed in culture as significant —> “me”
2. Subjective context = having little real-world value —> “I” (= internal frame of reference)

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13
Q

What are 2 criticisms of Rogers’ theory

A
  1. Too optimistic
    - in the fact that self-actualization develops naturally under favorable circumstances —> behaviorists say person should be reinforced/corrected in learning process and if environment doesn’t provide this, self-actualization doesn’t ensue
    - in the range of applicability of theory/methods to different people
    - in the way it assumes innate good in people and does not stimulate change, it should point out negative consequences and the client’s responsibility for them more
  2. Too vague
    - in lack of directivity and insufficient influence in modifying cognitive processes
    - in the sense that its unclear about the way in which process of self-actualization is brought about
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14
Q

Explain the cognitive theory of experiencing (Wexler)

A

Says that we experience our world in an active way, person should be selective/discriminating about info and give it meaning (the way this is done is unique per person).
Feelings don’t occur by themselves and are linked to cognitive processes, they occur as a result of info processing.

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15
Q

What 3 aspects are important in info processing according to Wexler

A
  • language; the way we express ourselves helps us to understand ourselves and others
  • differentiation = refining beliefs/attitudes on the basis of incoming info
  • integration = making connection between pieces of info/finding patterns
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16
Q

What 3 things does whether info elicits emotions depend on (according to Wexler)

A

1) Significance of the info to the person
2) The degree to which the person’s world is in a state of change
3) Whether info causes you to reexamine your beliefs/opinions

17
Q

Specificity myths

A

= belief that specific disorders require specific treatments

18
Q

What are 5 important things when practicing empathy in the therapeutic context

A
  • dare to interrupt
  • dare to use silences
  • welcome correction
  • be tentative and curious
  • adapt to language use
19
Q

What are 2 effects of using empathy

A
  1. Improves contact and alliance
  2. Invitation to further exploration
20
Q

What are 3 criticisms of application of Roger’s theory (that are believed to be wrong)

A
  1. Focused on white, middle class, western, verbal people; not applicable to minority groups
  2. Ineffective, limited and superficial, specifically for more severe disorders
  3. Too focused on reflecting, not offering any treatments
21
Q

What are 5 kinds of treatment used in CCT

A
  • play therapy; children playing to overcome obstacles to self-realization
  • client-centered group process
  • classroom teachings; non-directive way of teaching and taking exams, focus on self-evaluation
  • the intensive group; basic encounter is when an individual in the group responds with undivided empathy to another who’s sharing and not holding back —> importance of accepting/respecting the group as a whole and the individual members
  • peace and conflict resolution; searching for peaceful ways to resolve conflict
22
Q

What are 4 common factors identified in research

A
  • therapeutic effects; the effects of the actual interventions
  • extra therapeutic factors; factors in the environment of the client that have an influence
  • effect of the therapist
  • willingness of the client