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Counseling Theories

 Dr. Dawn-Elise Snipes
Overview
•   Counseling Theories
     – Person-Centered Therapy (Carl Rogers)
     – Rational-Emotive Behavior Therapy (Albert Ellis)/Cognitive-Behavioral Therapy
     – Reality Therapy (William Glasser)

•   Personality Theories
     – Psychoanalysis (Sigmund Freud)
     – Individual Psychology (Alfred Adler)
     – Erik Erikson

•   Learning Theories
     – Classical Conditioning
     – Operant Learning (Stimulus-Response Theory)
     – Social Learning
Purpose
• By understanding the origins of distress, we are
  better able to deal with distress.
• Counseling Theories assert that problems stem
  from ineffective relationships or thoughts in
  adulthood.
• Personality Theories speculate that distress
  stems from more innate, long standing problems
  often starting in childhood
• Learning Theories emphasize the fact that
  distress and behavior is learned from exposure to
  rewards and punishments
Theories: Person Centered
• Humans are good and forward moving unless
  they are blocked
• Blockages often occur from a lack of
  unconditional positive regard which leads to
  low self esteem and low self efficacy
• By creating a nurturing, positive environment,
  people will naturally move in the right
  direction.
Theories: Person Centered
• 6 necessary conditions required for change:

   – Therapist-Client Psychological Contact: a relationship
     between client and therapist in which each person's
     perception of the other is important must exist.
   – Client incongruence, or Vulnerability: incongruence
     exists between the client's experience and awareness
     causing vulnerability/anxiety increasing motivation.
   – Therapist Congruence, or Genuineness
   – Therapist Unconditional Positive Regard (UPR)
   – Therapist Empathic understanding
   – Client Perception of the therapist's UPR and empathic
     understanding.
Theories: REBT/CBT
• Focuses on changing the current evaluations
  and/or reactions
• Distress is caused by a combination of the
  event and the person’s perception of the
  event
• By using the A-B-Cs, people can evaluate their
  beliefs and reactions (consequences) to
  events.
A-B-C
– A= Activating Event
– B= Beliefs/assumptions about/interpretations of an
  event
– C= Consequences
– D= Dispute irrational beliefs
   • What is the evidence for my beliefs?
   • What are other possible explanations for what happened?
– E= Evaluate reactions/consequences for effectiveness
   • What are the implications of my believing this way, and do
     they make it worth holding on to my beliefs?
   • How useful are my beliefs? Do I or others get any benefits
     from holding on to them, or would we benefit more if we
     held other beliefs?
CBT/REBT: Irrational Thoughts
• Irrational Idea 1 - It is a dire necessity to be loved or
  approved by almost everyone for virtually everything
  he or she does.
• Irrational Idea 2 - One should be thoroughly
  competent, adequate, and achieving in all possible
  respects.
• Irrational Idea 3 - Certain people are bad or wicked,
  and should be severely blamed and punished.
• Irrational Idea 4 - It is terrible, horrible, and
  catastrophic when things are not going the way one
  would like them to go.
• Irrational Idea 5 - Happiness is externally caused and
  people have little or no ability to control their
  emotions.
Irrational Thoughts cont…
• Irrational Idea 6 - If something is dangerous or fearsome,
  one should dwell on it
• Irrational Idea 7 - It is easier to avoid facing many life
  difficulties and self-responsibilities than to undertake more
  rewarding forms of self-discipline.
• Irrational Idea 8 - The past is all-important and because
  something once strongly affected one’s life, it should
  indefinitely do so.
• Irrational Idea 9 - People and things should be different,
  and it is catastrophic if things do not immediately change.
• Irrational Idea 10 - Maximum human happiness can be
  achieved by inertia and inaction or by passively "enjoying
  oneself."
CBT/REBT: Irrational Thoughts
1. Emotional perfectionism: I should always feel happy,
   confident, and in control of my emotions.
2. Performance perfectionism: I must never fail/make a
   mistake.
3. Perceived perfectionism: People will not love and accept me
   as a flawed and vulnerable human being.
4. Fear of disapproval or criticism: I need everybody’s approval
5. Fear of rejection: If I’m not loved, then life is not worth living.
6. Fear of being alone: If I’m alone, then I’m miserable
7. Fear of failure: My worth depends on my achievements
8. Conflict phobia: People who love each other shouldn’t fight.
9. Emotophobia: I should not feel angry, anxious, jealous etc.
10.Entitlement: People should always be how I expect
CBT/REBT: Irrational Thoughts
•   all or nothing thinking
•   overgeneralization
•   mental filter – dwell on the bad and let it discolor everything
•   discount the positives
•   jumping to conclusions/overgeneralization
•   magnification
•   emotional reasoning –we FEEL bad so we believe we are
•   shoulds
•   labeling – we label ourselves negatively instead of trying to learn
    from the situation or thinking about the best way to overcome it
•   blame – we hold other people responsible for our pain or blame
    ourselves entirely for every problem
•   mind reading
•   catastrophizing - we expect disaster.
•   personalizing - we think that everything people do or say is some
    kind of reaction to us
CBT/REBT: Irrational Thoughts
• Control Fallacy - If you feel externally controlled, you see
  yourself as a totally helpless victim of fate. Conversely, it
  can hold you responsible for the pain and happiness of
  everyone around you.
• Fallacy of Fairness –Life is not fair.
• Fallacy of Change - You expect that other people will
  change to suit you if you just pressure or cajole them
  enough.
• Fallacy of Being Right - Being wrong is unthinkable, and
  you will go to any length to demonstrate your rightness.
• Heaven's Reward Fallacy - You expect all your sacrifice and
  self-denial to pay off, as if there were someone keeping
  score. You feel bitter when the reward does not come.
Theories: Reality Therapy
• Focus on the present
• Avoid discussing symptoms and complaints. These are the
  ineffective ways that counselees choose to deal with problems.
• Focus on what counselees can do directly-act and think.
• Spend less time on what they cannot do directly: changing their
  feelings and physiology.
• Avoid criticizing, blaming and/or complaining
• Remain non-judgmental, but encourage people to ask: Is what I
  am doing getting me closer to the people I need?
• Teach that excuses stand in the way of making needed
  connections.
Reality Therapy cont…
• Focus on specifics. Who are counselees are
  disconnected from
• Help them make specific, workable plans to
  reconnect with the people they need. Follow
  through on what was planned by helping
  them evaluate their progress.
• Be patient and supportive but keep focusing
  on the source of the problem,
  disconnectedness.
Personality Theories: Psychoanalysis
• The conscious mind is what you are aware of at any
  particular moment, your present perceptions,
  memories, thoughts, fantasies, feelings
• Working closely with the conscious mind is what Freud
  called the preconscious, what we might today call
  "available memory.“
• The largest part by far is the unconscious. It includes
  all the things that are not easily available to
  awareness, including many things that have their
  origins there, such as our drives or instincts, and things
  that are put there because we can't bear to look at
  themthe unconscious is the source of our motivations
Psychoanalysis cont…
The id, the ego, and the superego
   – The id (instinct)works with the pleasure principle to take
     care of needs immediately
   – The ego helps the person searches for objects to satisfy
     the id’s wishes
   – as the ego struggles to keep the id happy, it meets with
     obstacles in the world. It keeps a record of consequences.
     This record of things to avoid and strategies to take
     becomes the superego.
      • There are two aspects to the superego:
          – conscience, which is an internalization of punishments and warnings.
          – The other is called the ego ideal. It derives from rewards and positive
            models presented to the child.
Psychoanalysis cont…
• The defense mechanisms
• When the Id/superego conflict becomes
  overwhelming, the ego must defend itself.
• The techniques are called the ego defense
  mechanisms
  –   Denial
  –   Sublimation
  –   Displacement
  –   Humor
  –   Reaction Formation
Personality Theories: Adler
• Striving for perfection is a single "drive" or motivating
  force behind all our behavior and experience
• Since we are not perfect, our personalities are accounted
  for by the ways in which we do -- or don't -- compensate or
  overcome our failures
• Adler felt that there were three basic childhood situations
  that most contribute to a faulty lifestyle.
   – Disabilities. If someone doesn't come along to draw their
     attention to others, they will remain focused on themselves.
   – pampering. Many children are taught, by the actions of others,
     that they can take without giving.
   – neglect. They learn inferiority because they are told and shown
     every day that they are of no value; They learn selfishness
     because they are taught to trust no one.
Personality Theories: Erickson
• We develop through a predetermined eight
  stages.
• Progress through each stage is determined by
  our success in all the previous stages.
• Each stage involves certain developmental
  tasks
• If a stage is managed well, we develop a
  certain virtue or strength
Erickson’s Stages
• hope - Basic Trust vs. Mistrust - Infant stage. Does the child
  believe its caregivers to be reliable?
• will - Autonomy vs. Shame and Doubt - Toddler stage. Child
  needs to learn it is safe to explore the world.
• purpose - Initiative vs. Guilt - Kindergarten - The child can do
  things on his own. If "guilty" about making choices, the child
  will not function well.
• competence - Industry vs. Inferiority - Around age 6 to
  puberty. Child comparing self worth to others.
• fidelity - Identity vs. Role Confusion - Teenager. Questioning
  of self. Who am I, how do I fit in? If the parents continually
  push him/her to conform to their views, the teen will face
  identity confusion.
• love (in intimate relationships, work and family) -
  Intimacy vs. Isolation - Young adult. Who do I want to
  be with or date, what am I going to do with my life?
  Will I settle down?
• caring - Generativity vs. Stagnation - the Mid-life crisis.
  Measure accomplishments/failures. Am I satisfied or
  not? The need to assist the younger generation.
  Stagnation is the feeling of not having done anything
  to help the next generation.
• wisdom - Ego Integrity vs. Despair - old age. Some
  handle death well. They reflect on the past, and either
  conclude at satisfaction or despair
Learning Theories: Classical
              Conditioning
• Classical conditioning involves presentations
  of a neutral stimulus along with a stimulus of
  some significance (usually an unconditioned
  stimulus)
• Classical conditioning is most important in
  helping us understand why seemingly neutral
  stimuli evoke a response from a client
Learning Theories: Operant
              Conditioning
• Operant conditioning is the use of
  consequences to modify the occurrence and
  form of behavior (Treatment planning)
• Reinforcement is a consequence that
  increases a behavior. +/-
• Punishment is a consequence that decreases
  a behavior. +/-
• Extinction is the elimination of a behavior by
  removing the reward.
Learning Theories: Social Learning
• People learn from one another, through
  observational learning, imitation, and modeling.
• People can learn by observing behavior and the
  outcomes of those behaviors.
• Learning can occur without a change in behavior.
• Cognition, awareness and expectations of future
  consequences can have a major effect on the
  behaviors that people exhibit.
• Reciprocal causation: The person, the behavior,
  and the environment can have an influence on
  each other.
Social Learning cont…
4 conditions that are necessary before an
  individual can learn
  – Attention: the person must first pay attention to
    the model/situation
  – Retention: the observer must remember the
    behavior that has been observed.
  – Rehearsal: the third condition is the ability to
    replicate the behavior.
  – Motivation: Learners must want to demonstrate
    what they have learned.
Social Learning cont…
• Self Regulation
  – Set goals and standards
  – Self-observe
  – Judge yourself
  – React, revisit and reinforce
Implications of Social Learning Theory
• Students often learn a lot by observing others.
• Describing the consequences of behavior can effectively
  increase the appropriate behaviors and decrease
  inappropriate ones.
• Modeling can be used in conjunction with shaping
• Expose people to a variety of other
  models/behaviors/lifestyles
• People must believe that they are capable or have a
  sense of self-efficacy.
• Help students set realistic expectations
• Teach self-regulation techniques
Summary
• There are a multitude of theories
• Most boil down to clients lacking self
  confidence or motivation to do the correct
  behaviors
• By helping people identify obstacles to their
  behaviors or motivation, we can help them
  improve their quality of life.
Further Reading
• Personality Theories:
  http://webspace.ship.edu/cgboer/persconten
  ts.html

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Theories

  • 1. Counseling Theories Dr. Dawn-Elise Snipes
  • 2. Overview • Counseling Theories – Person-Centered Therapy (Carl Rogers) – Rational-Emotive Behavior Therapy (Albert Ellis)/Cognitive-Behavioral Therapy – Reality Therapy (William Glasser) • Personality Theories – Psychoanalysis (Sigmund Freud) – Individual Psychology (Alfred Adler) – Erik Erikson • Learning Theories – Classical Conditioning – Operant Learning (Stimulus-Response Theory) – Social Learning
  • 3. Purpose • By understanding the origins of distress, we are better able to deal with distress. • Counseling Theories assert that problems stem from ineffective relationships or thoughts in adulthood. • Personality Theories speculate that distress stems from more innate, long standing problems often starting in childhood • Learning Theories emphasize the fact that distress and behavior is learned from exposure to rewards and punishments
  • 4. Theories: Person Centered • Humans are good and forward moving unless they are blocked • Blockages often occur from a lack of unconditional positive regard which leads to low self esteem and low self efficacy • By creating a nurturing, positive environment, people will naturally move in the right direction.
  • 5. Theories: Person Centered • 6 necessary conditions required for change: – Therapist-Client Psychological Contact: a relationship between client and therapist in which each person's perception of the other is important must exist. – Client incongruence, or Vulnerability: incongruence exists between the client's experience and awareness causing vulnerability/anxiety increasing motivation. – Therapist Congruence, or Genuineness – Therapist Unconditional Positive Regard (UPR) – Therapist Empathic understanding – Client Perception of the therapist's UPR and empathic understanding.
  • 6. Theories: REBT/CBT • Focuses on changing the current evaluations and/or reactions • Distress is caused by a combination of the event and the person’s perception of the event • By using the A-B-Cs, people can evaluate their beliefs and reactions (consequences) to events.
  • 7. A-B-C – A= Activating Event – B= Beliefs/assumptions about/interpretations of an event – C= Consequences – D= Dispute irrational beliefs • What is the evidence for my beliefs? • What are other possible explanations for what happened? – E= Evaluate reactions/consequences for effectiveness • What are the implications of my believing this way, and do they make it worth holding on to my beliefs? • How useful are my beliefs? Do I or others get any benefits from holding on to them, or would we benefit more if we held other beliefs?
  • 8. CBT/REBT: Irrational Thoughts • Irrational Idea 1 - It is a dire necessity to be loved or approved by almost everyone for virtually everything he or she does. • Irrational Idea 2 - One should be thoroughly competent, adequate, and achieving in all possible respects. • Irrational Idea 3 - Certain people are bad or wicked, and should be severely blamed and punished. • Irrational Idea 4 - It is terrible, horrible, and catastrophic when things are not going the way one would like them to go. • Irrational Idea 5 - Happiness is externally caused and people have little or no ability to control their emotions.
  • 9. Irrational Thoughts cont… • Irrational Idea 6 - If something is dangerous or fearsome, one should dwell on it • Irrational Idea 7 - It is easier to avoid facing many life difficulties and self-responsibilities than to undertake more rewarding forms of self-discipline. • Irrational Idea 8 - The past is all-important and because something once strongly affected one’s life, it should indefinitely do so. • Irrational Idea 9 - People and things should be different, and it is catastrophic if things do not immediately change. • Irrational Idea 10 - Maximum human happiness can be achieved by inertia and inaction or by passively "enjoying oneself."
  • 10. CBT/REBT: Irrational Thoughts 1. Emotional perfectionism: I should always feel happy, confident, and in control of my emotions. 2. Performance perfectionism: I must never fail/make a mistake. 3. Perceived perfectionism: People will not love and accept me as a flawed and vulnerable human being. 4. Fear of disapproval or criticism: I need everybody’s approval 5. Fear of rejection: If I’m not loved, then life is not worth living. 6. Fear of being alone: If I’m alone, then I’m miserable 7. Fear of failure: My worth depends on my achievements 8. Conflict phobia: People who love each other shouldn’t fight. 9. Emotophobia: I should not feel angry, anxious, jealous etc. 10.Entitlement: People should always be how I expect
  • 11. CBT/REBT: Irrational Thoughts • all or nothing thinking • overgeneralization • mental filter – dwell on the bad and let it discolor everything • discount the positives • jumping to conclusions/overgeneralization • magnification • emotional reasoning –we FEEL bad so we believe we are • shoulds • labeling – we label ourselves negatively instead of trying to learn from the situation or thinking about the best way to overcome it • blame – we hold other people responsible for our pain or blame ourselves entirely for every problem • mind reading • catastrophizing - we expect disaster. • personalizing - we think that everything people do or say is some kind of reaction to us
  • 12. CBT/REBT: Irrational Thoughts • Control Fallacy - If you feel externally controlled, you see yourself as a totally helpless victim of fate. Conversely, it can hold you responsible for the pain and happiness of everyone around you. • Fallacy of Fairness –Life is not fair. • Fallacy of Change - You expect that other people will change to suit you if you just pressure or cajole them enough. • Fallacy of Being Right - Being wrong is unthinkable, and you will go to any length to demonstrate your rightness. • Heaven's Reward Fallacy - You expect all your sacrifice and self-denial to pay off, as if there were someone keeping score. You feel bitter when the reward does not come.
  • 13. Theories: Reality Therapy • Focus on the present • Avoid discussing symptoms and complaints. These are the ineffective ways that counselees choose to deal with problems. • Focus on what counselees can do directly-act and think. • Spend less time on what they cannot do directly: changing their feelings and physiology. • Avoid criticizing, blaming and/or complaining • Remain non-judgmental, but encourage people to ask: Is what I am doing getting me closer to the people I need? • Teach that excuses stand in the way of making needed connections.
  • 14. Reality Therapy cont… • Focus on specifics. Who are counselees are disconnected from • Help them make specific, workable plans to reconnect with the people they need. Follow through on what was planned by helping them evaluate their progress. • Be patient and supportive but keep focusing on the source of the problem, disconnectedness.
  • 15. Personality Theories: Psychoanalysis • The conscious mind is what you are aware of at any particular moment, your present perceptions, memories, thoughts, fantasies, feelings • Working closely with the conscious mind is what Freud called the preconscious, what we might today call "available memory.“ • The largest part by far is the unconscious. It includes all the things that are not easily available to awareness, including many things that have their origins there, such as our drives or instincts, and things that are put there because we can't bear to look at themthe unconscious is the source of our motivations
  • 16. Psychoanalysis cont… The id, the ego, and the superego – The id (instinct)works with the pleasure principle to take care of needs immediately – The ego helps the person searches for objects to satisfy the id’s wishes – as the ego struggles to keep the id happy, it meets with obstacles in the world. It keeps a record of consequences. This record of things to avoid and strategies to take becomes the superego. • There are two aspects to the superego: – conscience, which is an internalization of punishments and warnings. – The other is called the ego ideal. It derives from rewards and positive models presented to the child.
  • 17. Psychoanalysis cont… • The defense mechanisms • When the Id/superego conflict becomes overwhelming, the ego must defend itself. • The techniques are called the ego defense mechanisms – Denial – Sublimation – Displacement – Humor – Reaction Formation
  • 18. Personality Theories: Adler • Striving for perfection is a single "drive" or motivating force behind all our behavior and experience • Since we are not perfect, our personalities are accounted for by the ways in which we do -- or don't -- compensate or overcome our failures • Adler felt that there were three basic childhood situations that most contribute to a faulty lifestyle. – Disabilities. If someone doesn't come along to draw their attention to others, they will remain focused on themselves. – pampering. Many children are taught, by the actions of others, that they can take without giving. – neglect. They learn inferiority because they are told and shown every day that they are of no value; They learn selfishness because they are taught to trust no one.
  • 19. Personality Theories: Erickson • We develop through a predetermined eight stages. • Progress through each stage is determined by our success in all the previous stages. • Each stage involves certain developmental tasks • If a stage is managed well, we develop a certain virtue or strength
  • 20. Erickson’s Stages • hope - Basic Trust vs. Mistrust - Infant stage. Does the child believe its caregivers to be reliable? • will - Autonomy vs. Shame and Doubt - Toddler stage. Child needs to learn it is safe to explore the world. • purpose - Initiative vs. Guilt - Kindergarten - The child can do things on his own. If "guilty" about making choices, the child will not function well. • competence - Industry vs. Inferiority - Around age 6 to puberty. Child comparing self worth to others. • fidelity - Identity vs. Role Confusion - Teenager. Questioning of self. Who am I, how do I fit in? If the parents continually push him/her to conform to their views, the teen will face identity confusion.
  • 21. • love (in intimate relationships, work and family) - Intimacy vs. Isolation - Young adult. Who do I want to be with or date, what am I going to do with my life? Will I settle down? • caring - Generativity vs. Stagnation - the Mid-life crisis. Measure accomplishments/failures. Am I satisfied or not? The need to assist the younger generation. Stagnation is the feeling of not having done anything to help the next generation. • wisdom - Ego Integrity vs. Despair - old age. Some handle death well. They reflect on the past, and either conclude at satisfaction or despair
  • 22. Learning Theories: Classical Conditioning • Classical conditioning involves presentations of a neutral stimulus along with a stimulus of some significance (usually an unconditioned stimulus) • Classical conditioning is most important in helping us understand why seemingly neutral stimuli evoke a response from a client
  • 23. Learning Theories: Operant Conditioning • Operant conditioning is the use of consequences to modify the occurrence and form of behavior (Treatment planning) • Reinforcement is a consequence that increases a behavior. +/- • Punishment is a consequence that decreases a behavior. +/- • Extinction is the elimination of a behavior by removing the reward.
  • 24. Learning Theories: Social Learning • People learn from one another, through observational learning, imitation, and modeling. • People can learn by observing behavior and the outcomes of those behaviors. • Learning can occur without a change in behavior. • Cognition, awareness and expectations of future consequences can have a major effect on the behaviors that people exhibit. • Reciprocal causation: The person, the behavior, and the environment can have an influence on each other.
  • 25. Social Learning cont… 4 conditions that are necessary before an individual can learn – Attention: the person must first pay attention to the model/situation – Retention: the observer must remember the behavior that has been observed. – Rehearsal: the third condition is the ability to replicate the behavior. – Motivation: Learners must want to demonstrate what they have learned.
  • 26. Social Learning cont… • Self Regulation – Set goals and standards – Self-observe – Judge yourself – React, revisit and reinforce
  • 27. Implications of Social Learning Theory • Students often learn a lot by observing others. • Describing the consequences of behavior can effectively increase the appropriate behaviors and decrease inappropriate ones. • Modeling can be used in conjunction with shaping • Expose people to a variety of other models/behaviors/lifestyles • People must believe that they are capable or have a sense of self-efficacy. • Help students set realistic expectations • Teach self-regulation techniques
  • 28. Summary • There are a multitude of theories • Most boil down to clients lacking self confidence or motivation to do the correct behaviors • By helping people identify obstacles to their behaviors or motivation, we can help them improve their quality of life.
  • 29. Further Reading • Personality Theories: http://webspace.ship.edu/cgboer/persconten ts.html