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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.

People-Pleasing: Is it really such a good thing?

People-Pleasing: Is it really such a good thing?

Excerpts from The Disease to Please (Harriet B. Braiker)
Additional annotations by Molly Pierce, MA, LPC, NCC

Has anyone ever told you that you’re a people-pleaser?  Don’t be so flattered…it’s not really a compliment.  It feels better to view people-pleasing as an admirable attribute, rather than look at it for what it truly is: a serious psychological problem. 

In actuality, the “disease to please” is a compulsive — even addictive — behavior pattern in which you feel controlled by your need to please others, and addicted to their approval.  At the same time, you feel out of control over the pressures and demands on your life that these needs have created. 

The Disease to Please is comprised of three components: (1) People-Pleasing Mindsets, or distorted ways of thinking; (2) People-Pleasing Habits, or compulsive behaviors; and (3) People-Pleasing Feelings, or fearful emotions

People-Pleasing Mindset
If you fall into this category, your behavior is driven by a fixed thought that you need and must strive for everyone to like you.  You measure your self-esteem and define your identity by how much you do for others whose needs, you insist, must come before your own.  You believe that being nice will protect you from rejection and other hurtful treatment from others.  You impose demanding rules, harsh criticism, and perfectionist expectations on yourself in an attempt to gain universal acceptance from others.

People-Pleasing Habits
If you fall into this group, you are driven to take care of others’ needs at the expense of your own.  You do too much, too often for others, almost never say “no,” rarely delegate, and inevitably become overcommitted and spread too thin.  And, while these self-defeating, stress-producing patterns take their toll on your health and closest relationships, they maintain a firm grip on your behavior because they are driven by your excessive, even addictive, need for everyone’s approval.

People-Pleasing Feelings
Under this category, your behavior is primarily caused by the avoidance of frightening and uncomfortable feelings. You will recognize the high anxiety that merely the anticipation or possibility of any angry confrontation with others evokes.  (All you conflict avoiders out there — this is you!)  Your people-pleasing behaviors are primarily an avoidance tactic intended to protect you from your fears of anger, conflict, and confrontation.  These fears don’t actually diminish; they intensify as long as the avoidance pattern persists!  (Long story short: you have to face your fears in order to overcome them).  Because you avoid difficult emotions, you never allow yourself to learn how to effectively manage conflict or how to appropriately deal with anger.  As a consequence, you relinquish control too easily to those who would dominate you through intimidation and manipulation.

Living a life of people-pleasing is not the way to go.  Your self-esteem takes a massive toll.  Your identity and sense of self-worth is all tied up in how much you do for others and how successful you are at pleasing them.   It causes your relationships to lose their authenticity; If your niceness prevents you from telling others what is making you unhappy, angry, upset, or disappointed — or from hearing their complaints — there is little chance of fixing what has gone wrong.

Under the surface of your selfless niceness, resentment and frustration will begin to boil and churn, threatening to eventually erupt in open hostility and uncontrolled anger.  It takes a physical toll, as well.  It may come out in the form of migraine or tension headaches, back pain, stomach pain, high blood pressure, or any of a host of other stress-related symptoms.  You will eventually hit the proverbial wall with your energy exhausted and you’ll want to give up, not knowing what else to do.  In the end, your trusty habits of people-pleasing will fail you. So save yourself the trouble, and don’t spend your whole life living hostage to its ways.