Humanistic Psychotherapy: Core Concepts and Goals

 
Chapter 13
 
Humanistic Psychotherapy
 
Humanism
 
Carl Rogers was a leading figure
Abraham Maslow was another
Humanism was a reaction against Freud’s
approach
Assumed that human nature wasn’t so bad
(e.g., id-driven)
Overlapping terms for humanism include
“nondirective,” “client-centered,” and
“person-centered”
 
Humanistic Concepts: Clinical
Implications
 
People have an inborn tendency toward self-
actualization
People also have a need for positive regard—
warmth, acceptance, “prizing”
Sometimes, people are forced to sacrifice self-
actualization in order to obtain positive regard
from important others (e.g., parents)
 
Goal of Humanistic
Psychotherapy
 
Primary goal of humanistic psychotherapy is
to foster self-actualization
Problems stem from stifled self-actualization
or growth
Therapist’s task is to create a climate in which
the client can resume their natural growth
toward psychological wellness
 
Goal of Humanistic Therapy
(cont.)
 
In humanistic therapy, there are no
conditions of worth on the client
Clients’ real selves can match their ideal
selves
This match is known as 
congruence
, and is
the root of psychological wellness
Mismatch between real and ideal selves is
known as 
incongruence
, and is the root of
psychopathology
 
Three Essential Therapeutic
Conditions
 
Empathy
The therapist is able to sense the client’s emotions
just as the client would
A deep, nonjudgmental, compassionate
understanding of the client’s experiences
Unconditional Positive Regard
Accepting or “prizing” the client “no matter what”
and without judgment
Genuineness
Honesty toward client, rather than playing a role
 
Necessary and Sufficient?
 
Rogers boldly argued that empathy,
unconditional positive regard, and
genuineness were necessary and sufficient for
successful therapy with any client
No other techniques needed for anyone
A controversial claim
Research is inconsistent; generally supports
necessary, but not sufficient
 
Therapist Attitudes, Not
Behaviors
 
Rogers emphasized that empathy,
unconditional positive regard, and
genuineness are attitudes, not specific
behaviors
Therapy should not be mechanical or
formulaic
Attitudes, not specific techniques or skills, should
be emphasized
 
Reflection: An Important
Therapist Response
 
Reflection of feeling is one therapist response
that humanists do emphasize
Reflection takes place when a therapist
responds to a client by rephrasing or restating
the client’s statements in a way that highlights
the client’s feelings or emotions
Communicates all three key ingredients
Should be done with humility and not
mechanically
 
Alternatives to Humanism
 
Historical alternatives
Existential psychotherapy
Rollo May, Victor Frankl, Irvin Yalom
Address anxiety of inescapable solitude of life
Gestalt therapy
Fritz Perls
Holistic approach to enhancing current
experience (“the now”); often uses role-plays
 
Motivational Interviewing
 
Contemporary variation of humanistic therapy
William Miller—leading figure
Address clients’ ambivalence or uncertainty about
making major changes
Help clients see the discrepancy between their
behavior and their own values
Elicit motivation to change from client; don’t impose
it on client
Much empirical data supporting its efficacy with
many problems
Consistent with positive psychology movement
 
Motivational Interviewing
(cont.)
 
Central principles of MI
Expressing empathy
Developing the discrepancy
Avoiding argumentation
Rolling with resistance
Identifying “sustain talk” and “change talk”
Supporting self-efficacy
 
Positive Interventions and
Strength-Based Counseling
 
Positive psychology
Emerged in 1990s
Martin Seligman
Emphasizes human strengths
Bolster strengths to prevent and treat
psychological problems
Therapies: positive interventions, strength-
based counseling
 
Other Contemporary
Alternatives
 
How Clients Make Therapy Work: The
Process of Active Self-Healing
Arthur Bohart and Karen Tallman
Therapist’s role is a collaborator
Goes against symptom-focused,
manualized approaches to therapy
 
How Well Does Humanism Work?
 
Carl Rogers was a pioneer of psychotherapy outcome
research, despite inherent problems in defining and
measuring humanistic concepts
However, in more recent years humanistic outcome
research has decreased
Recent meta-analyses suggest it is beneficial, at
about the same rate as most other major therapies
Extent to which empathy, positive regard, and
genuineness are present correlates significantly with
success of therapeutic relationship and ultimately
the therapy
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Humanistic psychotherapy, led by figures like Carl Rogers and Abraham Maslow, emphasizes self-actualization and positive regard in therapy. The goal is to foster natural growth and wellness by promoting congruence between real and ideal selves. Essential therapeutic conditions include empathy, unconditional positive regard, and genuineness. While controversial, these conditions are considered necessary for successful therapy.

  • Humanistic Psychotherapy
  • Self-Actualization
  • Carl Rogers
  • Abraham Maslow
  • Therapy

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  1. Chapter 13 Humanistic Psychotherapy

  2. Humanism Carl Rogers was a leading figure Abraham Maslow was another Humanism was a reaction against Freud s approach Assumed that human nature wasn t so bad (e.g., id-driven) Overlapping terms for humanism include nondirective, client-centered, and person-centered

  3. Humanistic Concepts: Clinical Implications People have an inborn tendency toward self- actualization People also have a need for positive regard warmth, acceptance, prizing Sometimes, people are forced to sacrifice self- actualization in order to obtain positive regard from important others (e.g., parents)

  4. Goal of Humanistic Psychotherapy Primary goal of humanistic psychotherapy is to foster self-actualization Problems stem from stifled self-actualization or growth Therapist s task is to create a climate in which the client can resume their natural growth toward psychological wellness

  5. Goal of Humanistic Therapy (cont.) In humanistic therapy, there are no conditions of worth on the client Clients real selves can match their ideal selves This match is known as congruence, and is the root of psychological wellness Mismatch between real and ideal selves is known as incongruence, and is the root of psychopathology

  6. Three Essential Therapeutic Conditions Empathy The therapist is able to sense the client s emotions just as the client would A deep, nonjudgmental, compassionate understanding of the client s experiences Unconditional Positive Regard Accepting or prizing the client no matter what and without judgment Genuineness Honesty toward client, rather than playing a role

  7. Necessary and Sufficient? Rogers boldly argued that empathy, unconditional positive regard, and genuineness were necessary and sufficient for successful therapy with any client No other techniques needed for anyone A controversial claim Research is inconsistent; generally supports necessary, but not sufficient

  8. Therapist Attitudes, Not Behaviors Rogers emphasized that empathy, unconditional positive regard, and genuineness are attitudes, not specific behaviors Therapy should not be mechanical or formulaic Attitudes, not specific techniques or skills, should be emphasized

  9. Reflection: An Important Therapist Response Reflection of feeling is one therapist response that humanists do emphasize Reflection takes place when a therapist responds to a client by rephrasing or restating the client s statements in a way that highlights the client s feelings or emotions Communicates all three key ingredients Should be done with humility and not mechanically

  10. Alternatives to Humanism Historical alternatives Existential psychotherapy Rollo May, Victor Frankl, Irvin Yalom Address anxiety of inescapable solitude of life Gestalt therapy Fritz Perls Holistic approach to enhancing current experience ( the now ); often uses role-plays

  11. Motivational Interviewing Contemporary variation of humanistic therapy William Miller leading figure Address clients ambivalence or uncertainty about making major changes Help clients see the discrepancy between their behavior and their own values Elicit motivation to change from client; don t impose it on client Much empirical data supporting its efficacy with many problems Consistent with positive psychology movement

  12. Motivational Interviewing (cont.) Central principles of MI Expressing empathy Developing the discrepancy Avoiding argumentation Rolling with resistance Identifying sustain talk and change talk Supporting self-efficacy

  13. Positive Interventions and Strength-Based Counseling Positive psychology Emerged in 1990s Martin Seligman Emphasizes human strengths Bolster strengths to prevent and treat psychological problems Therapies: positive interventions, strength- based counseling

  14. Other Contemporary Alternatives How Clients Make Therapy Work: The Process of Active Self-Healing Arthur Bohart and Karen Tallman Therapist s role is a collaborator Goes against symptom-focused, manualized approaches to therapy

  15. How Well Does Humanism Work? Carl Rogers was a pioneer of psychotherapy outcome research, despite inherent problems in defining and measuring humanistic concepts However, in more recent years humanistic outcome research has decreased Recent meta-analyses suggest it is beneficial, at about the same rate as most other major therapies Extent to which empathy, positive regard, and genuineness are present correlates significantly with success of therapeutic relationship and ultimately the therapy

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