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3 Core Conditions for Therapeutic Change

3 Core Conditions for Therapeutic Change

The person-centered counseling approach was established in the 1940’s by humanistic psychologist, Carl Rogers. The goal of a person-centered therapy is to create the necessary conditions for clients to engage in meaningful self-exploration of their feelings, beliefs, behavior, and worldview, and to assist clients in their growth process, enabling them to cope with current and future problems.

A major concept of this approach is that people are generally trustworthy, resourceful, capable of self-understanding and self-direction, able to make constructive changes, and able to live effective and productive lives. Another key concept is that the attitudes and characteristics of the therapist, and the quality of the client-therapist relationship are prime determinants of the outcome of the therapeutic process.

Rogers maintains that therapists must have three attributes to create a growth-promoting climate in which individuals can move forward and become capable of becoming their true self: (1) congruence (genuineness or realness), (2) unconditional positive regard (acceptance and caring), and (3) accurate empathic understanding (an ability to deeply grasp the subjective world of another person).

1. CONGRUENCE (GENUINENESS)
Congruence refers to the therapist being real, authentic, and genuine with their clients. It’s called congruence because their inner experience and outward expression match. In being authentic, the therapist shows they are trustworthy, which helps in building a good therapeutic relationship with the client. It also serves as a model for clients, encouraging them to be their true selves, expressing their thoughts and feelings, without any sort of false front.

2. UNCONDITIONAL POSITIVE REGARD and ACCEPTANCE
Unconditional positive regard means the therapist genuinely cares for their clients and does not evaluate or judge their thoughts, feelings, or behaviors as good or bad. Each client is accepted and valued for who they are, as they are, without stipulation. Clients need not fear judgment or rejection from the therapist.

3. ACCURATE EMPATHIC UNDERSTANDING
Accurate empathic understanding means that the therapist understands their client’s experience and feelings in an accurate and compassionate way. The therapist recognizes that each client’s experience is subjective and therefore strives to see things from the client’s unique perspective. An important part of accurate empathic understanding is for the therapist to convey that they “get it” by reflecting the client’s experience back to them. This encourages clients to become more reflective with themselves, which allows for greater understanding of themselves.

If you’ve ever had an experience where you felt like someone just really got you…they completely understood where you were coming from, or could truly relate to the way you felt – that’s accurate empathic understanding.

Rogers asserts that empathy helps clients (1) pay attention and value their experiencing; (2) see earlier experiences in new ways; (3) modify their perceptions of themselves, others, and the world; and (4) increase their confidence in making choices and pursuing a course of action. Jeanne Watson (2002) states that 60 years of research has consistently demonstrated that empathy is the most powerful determinant of client progress in therapy. She puts it this way:

“Therapists need to be able to be responsively attuned to their clients and to understand them emotionally as well as cognitively. When empathy is operating on all three levels – interpersonal, cognitive, and affective – it is one of the most powerful tools therapists have at their disposal.”

 

References:
1. Watson, J. C. (2002). Re-visioning empathy. In D. J. Cain (Ed.), Humanistic psychotherapies: Handbook of research and practice (pp. 445-471). American Psychological Association, Washington, DC.
2. Corey, Gerald. Theory and Practice of Counseling and Psychotherapy. Belmont. Thomas Learning, Inc. 2005.

Mental Attitude

Mental Attitude

I recently came across Elbert Hubbard’s essay on “Mental Attitude” in a book I was reading, and I enjoyed it so much that I wanted to share it with others. For me, it speaks an optimistic message of how having the right combination of self-confidence, courage, and determination will lead you to success. I hope you enjoy it as much as I do!

Whenever you go out of doors, draw the chin in, carry the crown of the head high, and fill the lungs to the utmost; drink in the sunshine; greet your friends with a smile, and put soul into every hand-clasp.

Do not fear being misunderstood, and never waste a minute thinking about your enemies.  Try to fix firmly in your mind what you would like to do, and then without veering off direction, you will move straight to the goal.

Keep your mind on the great and splendid things you would like to do; and then, as the days go gliding by, you will find yourself unconsciously seizing upon the opportunities that are required for the fulfillment of your desire, just as the coral insect takes form the running tide the elements it needs.  Picture in your mind the able, earnest, useful person you desire to be, and the thought you hold is hourly transforming you into that particular individual.

Thought is supreme.  Preserve a right mental attitude – the attitude of courage, frankness, and good cheer.  To think rightly is to create.  All things come through desire, and every sincere prayer is answered.  We become like that on which our hearts are fixed.  Carry your chin in and the crown of your head high. 

 

Works Cited:
Knox, George.  Thoughts That Inspire.  Des Moines.  Personal Help Publishing Co. 1906.
Carnegie, Dale. How to Win Friends & Influence People. New York. Simon and Schuster, Inc. 1981.

Ten Rules for Confidence

Ten Rules for Confidence

[from The Confidence Gap: A Guide to Overcoming Fear and Self-Doubt, by Russ Harris]

Rule 1: The actions of confidence come first; the feelings of confidence come later.
The concept of confidence is defined as “an act of trust or reliance” (trusting and relying on one’s abilities and competencies), rather than viewing confidence as “having a feeling of absolute certainty or assurance.” This is a better approach, because if you wait for the feelings of confidence to come before taking any sort of action, then there’s a chance you might end up waiting forever. That’s not very effective. Harris offers four steps to follow in order to become more confident in any action: (1) Practice the skills, (2) Apply them effectively, (3) Assess the results, and (4) Modify as needed.

Rule 2: Genuine confidence is not the absence of fear; it is a transformed relationship with fear.
People believe many myths about fear, such as: fear is a sign of weakness; fear is the enemy; fear holds you back; confidence is the absence of fear. But the truth is that when anyone steps out of their comfort zone, takes a risk, or faces a challenge, they will experience fear. That’s not a sign of weakness; it’s the natural human response. Fear doesn’t have to be viewed as an enemy, or something to hold you back, rather, it can be used as a motivating source of energy to be used for your benefit. It is not true that confident people don’t feel anxious or afraid, but perhaps they have figured out how to handle it and channel it effectively.

Rule 3: Negative thoughts are normal. Don’t fight them; defuse them.
Dealing with negative thoughts can be annoying, but the fact that we have them is actually a good thing! It’s a sign that our brains are working: trying to anticipate what could hurt us or harm us, trying to predict what might go wrong, etc. If your mind has negative or anxious thoughts, congratulations – you have a normal brain. Negative thoughts are not inherently problematic, they only become so if we get all caught up in them, give them all our attention, treat them as the gospel truth, allow them to control us, or get into a fight with them. The goal is defusion: separate from your thoughts and realize that they are simply words.

Rule 4: Self-acceptance trumps self-esteem.
Having high self-esteem means evaluating oneself positively. The trouble is that it gets hard to do this when one is not successful, or when one makes mistakes. On the other hand, self-acceptance means accepting oneself in spite of deficiencies. It involves letting go of all self-judgments. It doesn’t mean that we stop paying attention to the way we behave, and the impact of our actions; it simply means that we let go of blanket self-judgments. When we make a mistake, we reflect on it and assess our actions. Harris puts it well when he poses: “If beating ourselves for every mistake we make was productive, wouldn’t we all be perfect by now?”

Rule 5: Hold your values lightly, but pursue them vigorously.
Values are one’s guiding principles of behavior, according to what is important to them in life. Harris likens values to a compass: they give us direction, guide our journey, and help us stay on track. (Goals are what we want to achieve along the way). Examples of values include: adventure, authenticity, connection, contribution, courage, creativity, flexibility, honesty, humor, intimacy, open-mindedness, respect, self-awareness, spirituality, and trust. One reason to hold your values lightly is the tendency for them to turn into inflexible requirements, such as, “I must be adventurous at all times.” Remember, the goal is to live by guiding values, not rigid rules.

Rule 6: True success is living by your values.
This means using one’s values to set goals, and to sustain movement toward set goals. You don’t have to wait until you achieve a goal in order be successful; you can be successful right now through living by your values. Maybe a goal of yours is to become a doctor because you hold the value of helping others. It will take you several years to actually become a doctor, but you can do many things to help people along the way.

Rule 7: Don’t obsess about the outcome; get passionate about the process.
Process is the way you go about doing something, whereas outcome is the result of what you’ve done. The idea here is not to give up on your goal(s), but to shift the emphasis to engaging fully in the process, and embracing it as an opportunity for learning, rather than obsessing about the outcome.

Rule 8: Don’t fight your fear: allow it, befriend it, and channel it.
Russ Harris Speaks of using “The ABC of Fear-Whispering” for dealing with fear (A=allow, B=befriend, C=channel). Trying to fight against or avoid an emotion oftentimes just makes the unpleasant emotion stronger. So, instead of fighting your experience of fear, try simply allowing it to be. Harris encourages befriending one’s fear: building a positive relationship with it. You don’t necessarily have to like it, but haven’t you ever been friendly to a person whom you don’t necessarily like? It’s kind of like that. Also, fear is worth befriending if it helps you live by your values, achieve your goals, perform at your peak, and live a richer, more meaningful life. Fear is kind of like nervous energy, but it can be less scary if you frame it as feeling “excited” or “pumped” instead. Think to yourself, “How can I make good use of this energy? What can I channel it into?” Use your fear to your benefit. And remember, you can have fear and confidence at the same time. If you recall Rule 2: Genuine confidence is not the absence of fear, it is a transformed relationship with fear.

Rule 9: Failure hurts – but if you’re willing to learn, it’s a wonderful teacher.
In the words of John Dewey (American philosopher): “Failure is instructive. The person who really thinks learns quite as much from his failures as from his successes.” Just like fear, failure is a fact of life. It’s also a natural part of learning; we reflect on what didn’t work, and think about what might work better next time. It is productive to acknowledge what went “wrong,” while also appreciating what went well. It provides good feedback from which to learn!

Rule 10: The key to peak performance is total engagement in the task.
Peak performance requires practice, defusing from reasons not to do it, making room for discomfort or fear, and fully engaging in the process. The key to peak performance is having focused attention on the task at hand. This requires mindfulness: defusing from unhelpful thoughts, such as, what you look like, what others are thinking, judging your performance, thinking about past or future events, etc. While you can’t eliminate unhelpful thoughts or feelings, you can make space for them while remaining focused and engaged in what you are doing in the present moment. It is in this state of mindful, focused action that we perform at our best.

Raised by an Addict [Part I]

Raised by an Addict [Part I]

In her memoir, There was a Little Girl: The Real Story of My Mother and Me, Brooke Shields paints an honest and vivid picture depicting her experience of being raised by an alcoholic mother.

Much of her childhood was filled with chaos, and a lack of structure and stability, which is quite common in families with addiction.

She speaks about the enmeshed, codependent relationship she shared with her mother for many years:

    I never thought I could live without you. I knew and understood you better than anyone else in your life. I became the meaning in your life when it would have served you to find the meaning from within. Your approval meant the world to me, as did your happiness. That was the hard part, because I wanted your approval for my growing up independently of you, yet I feared my independence was the root of your unhappiness. But if I had not fought to differentiate myself from you and from our tight bond, I would not have been able to survive.

There are many themes in her life story that are shared by others who have lived with an addicted or mentally ill family member:

Being constantly afraid and worried for their safety and well-being
Feeling like it’s your responsibility to keep them sober and alive
Becoming panic-stricken when you haven’t heard from them in a while
Desperately trying to control their addiction…AND NOT BEING ABLE TO.

Brooke lacked a sense of confidence and security, despite becoming famous at such a young age. She never felt good enough. How could she, when she wasn’t enough to keep her mother from drinking?

She was not her own person. Her existence and purpose were for her mother, not for herself. How can you be your own person, when you spend all of your energy trying to please someone else? There’s no room for you to discover who you are. Her job was to intuit the moods and needs of her mom: “She was my barometer for joy. If she was happy, I was happy.”

Like many children of addicts, Brooke became parentified, taking care of her mother, instead of getting to be a kid. It affected her as she got older, as well. While others her age were going out and dating, she was afraid to intimately connect with another person, for fear of mom feeling abandoned. As if by loving someone else, she would somehow love her mother less. There wasn’t enough space for anyone else.

[Story Continues in Part II]

Perfectionism as a Roadblock to Productivity – James Ulrich

Perfectionism as a Roadblock to Productivity – James Ulrich

Perfectionism as a Roadblock to Productivity by James Ulrich
The truth behind the personality trait
Published on September 26, 2013 by James Ullrich, M.A. LMHCA in The Modern Time Crunch

Far from being a motivator for productivityperfectionism (or more precisely, the byproducts of it) can be a debilitating pattern that inhibits healthy functioning.

Though it’s driven many of the great feats of art, science, and sports, it has driven many others to distraction and led to significant problems with beginning and finishing projects. One of the main roadblocks to productivity created by perfectionists is a tendency to procrastinate.

While procrastination is often confused with plain laziness, sometimes it is the byproduct of perfectionism. The daunting nature of the unrealistic goal of perfection can be so intimidating that it leads to a crippling fear of beginning. This is particularly true when one’s self-esteem is closely tied into (or contingent) upon success.

This tendency for perfectionists to yoke their sense of worth to the success of a project can be a prime driver of procrastination. It’s that fear of failure (and the ego-crushing that would inevitably result) that is powerful motivation for avoiding the situation altogether.

Falling short of an unreasonable goal too many times can lead to a sort of learned helplessness, i.e. “no matter what I do, it’s never quite good enough.” Disempowerment follows, which is another significant nail in the coffin of productivity—not perfectionism per se.

The best way to fight this self-reinforcing pattern of negativity is, of course, to water down the perfectionism and thus its unwelcome side effects. How? It’s simple: First, try beginning any project with a good-enough plan and a good-enough skill set. Remind yourself that you can always adjust your plan as you go along, and that you can always find a work-around or draft in help when you’re in over your head.

The important thing is beginning, taking the first steps of the journey. Only then you can develop momentum that can carry you along. Remember the Newtonian gravity rule that, “an object at rest tends to stay at rest”. This can help break through the icy barrier of anxiety that causes procrastination.

Second, decouple your performance from your sense of self-worth. One is not dependent on the other, and punishing yourself for failing to meet an unrealistic goal is simply counterproductive. Talking yourself into a very negative self-image as you castigate yourself is dangerous. Take a more holistic view of yourself and your role in life. Perspective is the key.

This is all easier said than done, and therapy can help.

With these initial steps, you can begin to better manage the anxiety and insecurity issues that drive procrastination and negative self-esteem, the insidious byproducts of perfectionism.