Counselling Therapeutic Approaches; Advantages and Disadvantages

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Counselling Therapeutic Approaches; Advantages and Disadvantages

Counselling has been developed for over 200 years and continues to evolve to adapt to modern societies: people of all ages, gender, sexual status, religion, cultural backgrounds, have all dealt at some point in their lives some psychological and behavioural issues that may be dysfunctional social norms (McLeod, 2009a). Counselling offers a variety of different therapeutic methods to treat, heal and support individuals. Therefore, this essay will be focusing on two theoretical methods that are widely used in counselling today – Person-Centred and Cognitive Behaviour Therapy. Explaining both the practices and key concepts of each approach and gather some evidence to support the use of their therapies. Where there are advantages, there are disadvantages, so the essay will also outline the negative aspects of these approaches before summarising some critical evaluations and recapping the importance’s. 

Person-Centred Therapy helps clients become aware of their inner-self and being able to reflect on their problems and recognising their behaviours and identifying new ways to change (Gendlin, 1996; Rogers, 1965; Watson, Greenberg and Lietaer, 1998). It practices not to solve problems or give advice but to shift client’s ways of repetitive thinking with alternative solutions (Watson, 2006). This approach consists of four key concepts: one of the core concepts is self-actualisation (1), this is when an individual becomes self-aware of their own potentials and abilities (Bulut, 2018). By realising their own innate abilities, they can structure their lives to overcome any future obstacles that may attempt to prevent them from making a positive change and allows them to react in a realistic way (Rogers, 1951., Rogers, 1959., Rogers, 1961., Corey, 2015., Dolliver, 1995., Morgan, 2011, cited in Bulut, 2018). The second concept (2) is positive-regard or moreover, unconditional positive-regard, and Carl Rogers believed for clients to acknowledge their potential and abilities they need an unconditional positive regard of warmth or love, to have an acceptance for the client and their values. (Farber and Doolin, 2011). For these two core concept models to successfully work, counsellor’s needs to have a congruence (3), a genuineness and realness within themselves to create a nurturing environment and an understanding of the client’s problems (Motschnig-Pitrik, 2004., Rogers, 1995 cited in Bryan et al., 2015) – to be self-confident, to have self-esteem and self-acceptance, counsellors can then express an empathetic attitude (4) so that clients know they are being heard, understood and accepted as a person (McLeod, 2009b).

To recognise the effectiveness of Person-Centred Therapy, a trial in 2002 over a five year period, 1098 clients had received therapy that strongly suggests it is effective, according to CORE-OM (i.e. a generic measurement) and given the returns of questionnaires with ninety-percent (988) said to have found the therapy useful and sixty-nine per-cent (737) reported that their feelings and emotions were better or far better than they did before receiving Person-Centred Therapy; the results gives evidence that not only does it work for mild to moderate issues (e.g anxiety and depression) but also to those with more moderate to severe mental problems over a longer duration (Gibbard and Hanley, 2008). Other cases of a client experiencing Social Anxiety Disorder (i.e. a fearful condition as a result of other significance) had participated in twenty sessions of PCT, using the form of therapy from Carl Rogers (1951, 1957 cited in Stephen, Elliott and McLeod, 2011). This client was reluctant, but over the course of therapy there was a change in client’s behaviour because of the empathy and acceptance from the therapist had allowed the client to feel safe and have the willingness to engage with the therapists (Stephen, Elliott and McLeod, 2011).

However strong evidence may be, there are disadvantages to this approach. Person-Centred Therapy does not have any specific technique or specific guidelines that are applied that may be useful for every day situations, as the counsellor themselves use their skills to consider what they feel is more appropriate to discuss (Clarke, 1994 cited in Gatongi, 2007), because it is not a goal-oriented approach (O’Hara, 1995; Vitz, 1994 cited in Gatongi, 2007). Another reason this could be at a disadvantage. It is very difficult and seen almost impossible to achieve; to offer total unconditional positive regard to clients (Liestaer,1984; Clarke, 1994 cited in Gatongi, 2007), and if this were possible it could still lead to the client being dysfunctional (Gatongi, 2007), and this dysfunctional behaviour is what makes way for Cognitive Behaviour Therapy, which is more goal-oriented towards a plan of action to produce a change in clients (McLeod, 2009).

Cognitive Behaviour Therapy (CBT) developed by Beck (1970) and Elliss (1962) and other influences, implemented the core concepts that maladaptive cognitions (i.e automatic thoughts such as general beliefs or schemes about the world, the self and what the future holds) are the consequences of emotional distress and behavioural problems: this original model suggest changing cognition will lead to changes in feelings and behaviour (Hofmann, et al., 2012). This model of CBT was to improve clients functioning by highlighting their thoughts, feelings and behaviours – both the therapists and clients work on the phycological disturbances by critically assessing and analysing the components, to promote ways of adapting to those behaviours (King and Boswell, 2019). However, since these early developments, CBT has changed protocols on several specific disorders, continuing its development with new dimensions and contributions from cognitive and behavioural theorists with increased new ways of understanding the role of cognition and emotional processes (Wells, 2009 cited in Wills and Sanders, 2013). The overall goal of CBT is to reduce the symptoms by improving the functioning of clients and exempting the dysfunctional disorders (Hofmann, 2011Hofmann, Asmundson, & Beck, 2013, cited in Hofmann et al., 2013). During CBT treatment sessions, the therapists establish clearly to the clients what the rationale and goal orientation framework is; this is found to be the primary goal from the start; by working together, allows an open relationship that is positive in therapeutic treatment to achieve the common goals that are agreed between clients and therapists (Wilson, 1999).

To support the use of CBT with evidence, this section will look at anxiety disorders, again, similarities to the cases in Person-Centred Therapy. Anxiety disorder in youths are a very common mental health disorder which usually arises in childhood or early adolescences (Kessler et al., 2005), and if untreated can lead to an array of problems, such as poor levels of functioning in areas of life and increases the significant risk of developing psychopathy (Copeland, Angold, Shanahan, & Costello, 2014; Swan & Kendall, 2016). A study over fifteen randomised trials were conducted for youth anxiety with a variety of settings cultures and ages ranges between the youths – results were successful with 65% no longer meeting the diagnostic criteria for this disorder (Barrett, Dadds, and Rapee, 1996; Ginsburg and Drake, 2002; Hayward et al., 2000; Kendall, 1994; Kendall et al., 1997; Masia, Klein, Storch, and Corda, 2001). Some of the methods used were positive reinforcement – the therapist had praised the child for effort in communicating for responding back to questions being asked. It is this reinforcement that allows children to engage in next tasks with less anxiousness, as they feel more confident through complimentary self-achievements and rewards such as toys, sweets, games, with a list of things the child likes (Kendall, et al., 2005).

The downside to Cognitive Behaviour Therapy is that the sessions are time-limited (typically of five to twenty sessions) with an aim to change client’s automatic negative thoughts over a short period of time – clients are required to self-help once outside of face-to-face sessions, and they are likely to be provided with homework and report weekly on their own behaviours and moods (Beck, 2011). This can be very time-consuming for clients and may lead to a delay in the progress of theopoetic treatment or worse; a dysfunctional healing. Another problem with CBT. To make a long-lasting change in the client’s automatic negative thoughts, both the therapist and clients must challenge these deeper thoughts persistently (Stewart-Sicking, 2013), and doing so might lead to more distress to the clients.

CONCLUSION

Person-Centred Therapy and Cognitive Behavioural Therapy are both successful each in their own rights – both methods do its best in therepetuic towards clients.

 The large number of clients that had received PCT for five years were indeed successful and felt a positive gain from it. ….

The core models of unconditional positive regard and empathetic understanding 

Person-Centred Therapy all about the here and now, allowing clients to self-actualise their own problems with the support and a reflection from counsellors with the showing of an empathic understanding of that person, to feel comfortable enough and discuss their current issues. It is like a caregiver in some ways with expressions of an unconditional positive regard yet remaining professional. With a high percentage of evidence that supports the use of PCT. The client suffering from social anxiety, showed difficulties in adapting to sessions, however, with an empathic attitude and accepts from the therapist allowed this client to open up.

References

  • Barrett, E. M., Dadds, M. R., & Rapee, R. M. (1996). Family treatment for childhood anxiety: A controlled trial. Journal of Consulting and Clinical Psychology, 64, 333-342.
  • Beck, S. J. (2011). Cognitive Behavior Therapy: Basics and Beyond. (4thed). New York: The Guildford Press. p.125.
  • Bryan, D. V., Lindo, J., Johnson, A. P., Weaver, S. (2015). Using Carl Roger’s person-cent
  • red model to explain interpersonal relationship at school of nursing. Journal of Professional Nursing. p.142-143. https://doi.org/10.1016/j.profnurs.2014.07.003
  • Bulut, S. S. (2018). Obstacles to self-actualization of college students-the case of Gazi Faculty of Education. Universal Journal of Educational Research. p.2272.doi: 10.13189/ujer.2018.061026
  • Clarke, P. T. (1994). A person-centred approach to stress management. British Journal of Guidance & Counselling. p. 22.
  • Copeland, W. E., Angold, A., Shanahan, L., & Costello, E. J. (2014). Longitudinal patterns of anxiety from childhood to adulthood: The Great Smoky Mountains Study. Journal of the American Academy of Child & Adolescent Psychiatry, 53, 21–33. http://dx.doi.org/10.1016/j.jaac.2013 .09.017
  • Corey, G. (2005). Psikolojik danışma, psikoterapi kuram ve uygulamaları. Ankara: Mentis.
  • Dolliver, R. H. (1995). Carl Rogers’s personality theory and psychotherapy as a reflection of his life experience and personality. Journal of Humanistic Psychology, 35(4): 111-128.
  • Farber, A. B., Doolin, M. E. (2011). Positive regard. American Psychological Association. p.59doi: 10.1037/a0022141
  • Gatongi, F. (2007). Person-centred approach in schools: Is it the answer to disruptive behaviour in our classrooms? Counselling Psychology Quarterly. p. 207. doi: 10.1080/09515070701403406Gendlin, E. T. (1996). Focusing-oriented psychotherapy: A manual of the experiential method. New York: Guilford Press.
  • Gibbard, I., Hanley, T. (2008). A five-year evaluation of the effectiveness of person-centred counselling in routine clinical practice in primary care. British Association for Counselling and Psychotherapy. p. 219-220.doi: 10.1080/14733140802305440
  • Ginsburg, G. S., & Drake, K. L. (2002). School-based treatment for anxious African-American adolescents: A controlled pilot stud)~ Journal of the American Academy of Child and Adolescent Psychiatry. 41, 768-775.
  • Hayward, C., Varady, S., Albano, A. M., Thienemann, M., Henderson, L., & Schatzberg, A. E (2000). Cognitive-behavioral group therapy for social phobia in female adolescents: Results of a pilot 148 Kendall et al. study. Journal of the American Academy of Child and Adolescent Psychiatry. 39, 721-726.
  • Hofmann, S. G. (2011) An introduction to modern CBT: Psychological solutions to mental health problems. Oxford, UK: Wiley-Blackwell.
  • Hofmann, S. G., Asmundson, G. J., Beck, A. T. (2013) The science of cognitive therapy. Behavior Therapy. (in press).
  • Hofmann, S. G., Asnaani, A., Vonk Imke, J. J., Sawyer, A. T., Fang, A. (2013). The efficenty of cognitive behavroual therapy: a review of meta-analyses. US National Library of Medicine, National Institutes of Health. (5): 427–440. doi: 10.1007/s10608-012-9476-1
  • Kessler, R. C., Berglund, P., Demler, O., Jin, R., Merikangas, K. R., & Walters, E. E. (2005). Lifetime prevalence and age-of-onset distributions of DSM–IV disorders in the National Comorbidity Survey Replication. Archives of General Psychiatry, 62, 593– 602. http://dx.doi.org/10.1001/ archpsyc.62.6.593
  • Kendall, E C. (1994). Treating anxiety disorders in children: Results of a randomized clinical trial. Journal of Consulting and Clinical Psychology, 62, 100-110.
  • Kendall, E C., Flannery-Schroeder, E., Panichelli-Mindel, S. M, SonthamGerow, M. A., Henin, A., & Warman, M. (1997). Therapy for youths with anxiety disorders: A second randomized clinical trial. Journal of Consulting and Clinical Psychology, 65, 366-380.
  • Kendall, C. P., Robin, A. J., Hedtke, A. K., Suveg, C. (2005). Considering CBT with anxious youth? think exposures. Association for Advancement of Behavior Therapy. P.141 https://doi.org/10.1016/S1077-7229(05)80048-3
  • King, R. B., Boswell, F. J. (2019). Therapeutic strategies and techniques in early cognitive-behavioral therapy. American Psychological Association. Advance online publication. http://dx.doi.org/10.1037/pst0000202
  • Liestaer, G. (1984). Unconditional positive regard: A controversial basic attitude in client centred therapy. Cited in P. T. Clarke (1994). A person-centred approach to stress management. British Journal of Guidance & Counselling, 22.
  • Masia, C. L., Fdein, R. G., Storch, E. A., & Corda, B. (2001). Schoolbased behavioral treatment for social anxiety disorder in adolescents: Results of a pilot study. Journal of the American Academy of Child and Adolescent Psychiatry. 40, 780-786.

 

  • McLeod, J. (2009a and 2009b). An introduction to counselling. (4th ed.). Maidenhead: Open University Press. (TEXTBOOK) FINISH OFF a p1 and b p182)
  • Morgan, J. H. (1961). On becoming a person Carl Rogers’ celebrated classic in memoriam. Journal of Psychological Issues in Organizational Culture, 2011, 2(3): 95-105.
  • Motschnig-Pitrik, R. (2004). Person centred e-learning in a major academic course: What are the results and what can we learn from them? Retrieved from, http://www.networkedlearningconference. org.uk/past/nlc2004/proceedings/symposia/symposium12/ motschnig_pitrik.htm 2004.
  • O’Hara, M. (1995). Rogers as scientist and mystic. In B. Thorne & E. Lambers (Eds.), Person-centred therapy. A European perspective. London: Sage Publishers.
  • Rogers, C. R. (1951). Client-centered therapy. Boston: Houghton Mifflin; 1951.
  • Rogers, C. R. (1959). A theory of therapy, personality, and interpersonal relationships: as developed in the client-centered framework. New York: McGraw Hill.
  • Rogers, C. R. (1961). On becoming a person, Boston: Houghton Mifflin Company; 1961.
  • Rogers, C. (1965). Client-centered therapy: Its current practice, implications, and theory. Boston: Houghton Mifflin.
  • Rogers, C. R. (1957). The necessary and sufficient conditions of therapeutic personality change. Journal of Consulting Psychology. 21, 95103.
  • Rogers, C. R. (1995). Client-centered therapy in its context of research. In P. D. Kramer (Ed.). On becoming a person. (pp. 243–270). Boston: Houghton Mifflin.
  • Rogers, C. R. (1995). In I. Yalom (Ed.). A way of being. New York: Houghton Mifflin Company.
  • Stephen, S., Elliott, R., McLeod. R. (2011). Person-centred therapy with a client experiencing social anxiety difficulties: A hermeneutic single case efficacy design. British Association for Counselling and Psychotherapy. p. 63.DOI: 10.1080/14733145.2011.546203
  • Stewart-Sicking, A. J. (2013). Cognitive therapy and the punctual self: using an ascetical framework to Critique approaches to psychotherapy. Pastoral Psychol. p. 119. DOI 10.1007/s11089-013-0588-7
  • Swan, A. J., & Kendall, P. C. (2016). Fear and missing out: Youth anxiety and functional outcomes. Clinical Psychology: Science and Practice, 23, 417– 435. http://dx.doi.org/10.1111/cpsp.12169
  • Vitz, P. (1994). Psychology as religion: The cult of self worship, mystic. In B. Thorne & E. Lambers (Eds.), Person-centred therapy. A European perspective. London: Sage Publishers.
  • Watson, C. J. (2006). A reflection on the blending of person-centred therapy and solution-focused therapy. The American Psychological Association. p. 16-14. doi: 10.1037/0033-3204.43.1.13
  • Watson, J. C., Greenberg, L. S., & Lietaer, G. (1998). The experiential paradigm unfolding: Relationship & experiencing in therapy. In L. S. Greenberg, J. C. Watson, & G. Lietaer (Eds.), Handbook of experiential psychotherapy (pp. 3–27). New York: Guilford Press.
  • Wells, (2009). Metacognitive therapy for anxiety and depression. Chichester: Wiley.
  • Wills, F., Sanders, D. (2013). Cognitive behaviour therapy: Foundations for practices. (3rded)

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