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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.

Raised by an Addict [Part III]

Raised by an Addict [Part III]

[Story Continued from Part II]

Brooke’s self-awareness and mindfulness allow her to break the cycle of addiction and dysfunction in relationships. She is empowered to make her own decisions and do things differently with her children.

A bad childhood mustn’t equate to a bad future.

In a letter to her mother, Brooke reminds us of a very important lesson: not only do you not have to repeat the mistakes of your parents, you get to TAKE THE GOOD, AND DISCARD THE BAD.

      I learned about humor survival and perseverance. I learned the power of observation. I learned how to always work hard and try my best. I learned how to never take no for an answer and how to fight for what I want. I learned to pick myself up when I fall and never allow defeat to define me. You taught me to cast of any negative comments and not to sweat the small stuff. You taught me to look for the good in people and to admit that life could always be worse. You taught me how to adapt to my surroundings and to jump into life with both feet. You taught me how to sneak into a second movie, and be silly for a laugh. Throughout the good and the bad, I would not have traded you for any other mother. I would have exchanged some of your behaviors, sure, but I can say that about practically everyone I know, including myself. You did the best you could, and so did I.

There is hope for all of us. We can still become our true selves, even if it’s been hampered for a while. Even if it doesn’t happen until adulthood.

We get to acknowledge the parts of our life that haven’t been ideal, learn from mistakes (whether our own, or those of our parents), and then write the rest of our story. We get to make a better future for ourselves. Our past experiences need not continue to control our lives.

The rest is up to you.

Raised by an Addict [Part III]

Raised by an Addict [Part II]

[Story Continued from Part I]

After Brooke’s mother passed away, she felt completely lost. How do you find your way in this world without someone telling you how and who to be?

Her mother had been all-knowing. She was smarter than everyone, knew better than everyone. Brooke idealized her mom, because she didn’t have the option to question or doubt her: “I loved you so much, that for so long I put you before me. I blindly defended you because you are my mom. It was often just that simple.”

Now, as a mom herself, Brooke sometimes catches herself acting like her mother with her own children…wanting them to idealize her and think she always knew best: “As a mom, I admit I sometimes wish my daughters looked up to me with the same undaunted devotion as I did you because I imagine it felt good.”

She admits moments of feeling hurt, and even indignant when her daughters question her, or point out her mistakes. Then she realizes: this is a good thing – they are secure, independent and confident – this is how you want them to be.

    I also don’t want them to have to carry that burden. I carried you, mom, because I loved you and needed you, but I needed to learn to care for myself too. I remain conflicted because I felt like you never really let me in, yet you absorbed me so far in that I could hardly find my way out. I was navigating your demons. I was trying to do for you what only you could do for yourself. I was never going to ‘fix” you. I see too, that much of your happiness was independent of anything I did or was, but as a child, one carries that responsibility. I did not have faith that you would be okay, so I kept trying to be the source of your happiness and self-worth.

[Story Continues in Final Section: Part III]

Raised by an Addict [Part III]

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]

A Look at Test Anxiety

A Look at Test Anxiety

Interview with Kansas City Blogger Local

High school and college students are no strangers to the effects of anxiety and depression.  This segment of the population however, faces a unique type of anxiety and depression that the general population rarely comes in contact with.  Test anxiety is a major issue for students the Kansas City metro area.  We met up with one local counselor to discuss test anxiety and how to deal with it.

Ben: Hello there.  This is Ben Hartman from Blogger Local Kansas City.  We’re out in Leawood with Molly Pierce, a Kansas licensed professional counselor  and owner of True Self Counseling.  We’re meeting with her today to discuss some of the upcoming anxiety that is related to the school season being in full swing.  There are a lot of tests coming up.  We met with Linden at Get Smarter Prep the other day, and she was actually talking about the ACTs coming up on September 21st.  Molly, if you can just tell us a little bit about yourself and True Self Counseling, that would be awesome.

Molly: Aright.  I started True Self Counseling in 2010.  I really have a passion to help people deal with common everyday problems, such as anxiety, depression, and communication/relationship problems.

Ben: Okay, so you deal with individuals, and then you deal with people in relationships, and then some group counseling as well?

Molly: Yes, absolutely.

Ben: You have a test anxiety clinic going on over at Get Smarter Prep.  Tell us about it.

Molly: It’s a one hour clinic in the evening to help students prepare to manage their anxiety, to get the best score that they can on their ACT or SAT.  With the ACT test coming up, we actually just did a test anxiety clinic last week.

Ben: Is it open to only people that go to Get Smarter Prep already or is it open to the general public?

Molly: This was the first one we did, and it was just Get Smarter Prep students, but I’m sure that outside people would be welcome to come.  There’s just a $25 fee.

Ben: Okay, so this is something that you guys are developing and working on, and it seemed successful this time?  There was a good turnout?

Molly: It did seem successful.  It seemed like the students really benefited from it.

Ben: There’s kind of two sides to being anxious about tests, the side where it’s impending and you’re stressed and you’re trying to learn as much you can before it comes.  Then for some people, afterwards there’s the anxiety of not having gotten the goal they strived for and being let down by or disappointed by their performance.  Can you maybe talk a little bit about the difference in the problems face on either side of the test?

Molly: Sure.  A lot of the students are getting the help they need in learning how to solve the problems on the exams and they feel confident in that aspect, but they really get freaked out about being timed and running out of time, and then there’s just this train of negative thoughts of like, what if I run out of time?  What if I fail?  Then I’m not going to get into the school I want to get into, and into my preferred profession.

Ben: It’s a compounding cycle?

Molly: Yes, it can go down this compounding hole of anxiety.  Same thing for after the test if they don’t get the score they were hoping for.  It’s almost like this sense of impending doom that now they can’t pursue the career that they want.

Ben: Yes, that their life is over.

Molly: Their life is over, even though they can really just go retake the test and go on with life.

Ben: Yes.  For some people, they feel like it speaks about them and tells people outwardly something they don’t want to convey.

Molly: That is absolutely true.  A lot of people equate their self-worth with how well they perform whether it’s on the test, or in sports, or relationships, or jobs, or whatever, so not getting a good score can actually make people feel pretty bad about themselves.

Ben: Yes.  There’s that misconception that the test score you get is a reflection of your worth, and those things are really completely exclusive.

Molly: Exactly, and that type of thinking really leads into depression and just feeling bad about yourself.

Ben: For some people that didn’t come to the clinic what could you recommend?  What are some tips that people can follow to get in their habitual nature that will help them avoid getting test anxiety or help them in reducing test anxiety?

Molly:  Anxiety is really a twofold issue.  There are the physical symptoms of anxiety, so when you feel like your breathing is getting short and shallow, and you might feel tingly.  You might feel butterflies in your stomach.  One thing you can do is deep abdominal breathing, which really calms your body and soothes the physical symptoms of anxiety. 

The other aspect of anxiety is the mental part of it.  It’s the thoughts, so if you’re thinking, oh my gosh, I’m so nervous.  I’m going to do horrible. I’m going to fail. That thinking is not going to be helpful, so you need to identify that negative thinking and change it into more positive and accurate thinking, such as I’ve prepared for this test.  I know what I’m doing.  It’s going to work out, and so forth.

Ben: Okay.  Do you have any recommended reading for people that need some encouragement, that need to help to and reinforce a better positive mental frame of mind before a test?  

Molly: Sure.  There’s lots of good reading out there on anxiety and changing negative thinking.  One book is the Anxiety and Phobia Workbook  by Edmund J. Bourne. Another good one is When Panic Attacks, which is written by David Burns, and he really does a lot in the treatment of anxiety and depression.  He’s pretty big in that world.

Ben: Okay, so that would be some good recommended reading?

Molly: Absolutely.

Ben: We will check back in with you soon so we can learn about some of the group work you’ve been doing over at the  Leawood Church of The Resurrection on the topics of depression and anxiety.  Thanks for your time, and we encourage our readers to check out your test anxiety clinic over at Get Smarter Prep as well as many of the services you offer.

Molly: Absolutely, and really, anyone struggling with anxiety, depression, marital issues can feel free to check out True Self Counseling to see if we might have services that are helpful for them.

Ben: Definitely. Thanks for your time, Molly.

Molly: Thank you.