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Case Analysis: Healing Modalities

Three types of counselling techniques and intervention techniques are referred to and evaluated. The three approaches are, person centred methodology, cognitive behavioural way and the feminist strategy.

The person-centred strategy originated by the American psychologist Carl Rogers in the 1940-1950's (Rogers 1942, Rogers 1951) which approach, also known as the client-centered or non-directive methodology, continues to be used widely to this day. As the name of the theory signifies, within the client-centered approach the counselling process places a heavy focus on the client's own ability to solve their problems. At that time it originated, Rogerian therapy designated a definite departure from the original psychotherapy in that the individual being consulted had not been termed to be the 'patient'. Carl Rogers presumed in the client's own capacity to develop and improve predicated on their resources alternatively than as the consequence of some techniques employed by the counsellor. The role of the counsellor became that of a facilitator rather than doctor, and the function of the therapy was to help your client utilize their own resources.

The person-centred procedure presupposes six center conditions necessary for therapeutic change: psychological contact between the customer and the therapist; consumer incongruence; therapist congruence; therapist unconditional positive regard; appropriate empathic understanding; consumer notion of the empathic understanding and unconditional positive regard (Corey 2009). These six conditions are believed to be sufficient and necessary for the success of a healing relationship.

The first condition, emotional contact, is the sense of dependency between the counsellor and your client that runs beyond the evident sensory contact. The partnership between your two is characterised by equality - both the therapist and your client are on the road of breakthrough, and both share close information. Therapists have role of helpful information on this voyage because they are more experienced, but it is a mutual quest nevertheless.

The condition of client incongruence the clients sense of unrest and anxiousness. Within the construction of Rogerian theory, personality incongruence is the imbalance between your self-concept, the ideal self applied, and organismic experience. The client's sense of incongruence is due to the desire to attain a balance between these three components (Rogers, 1951).

Therapist congruence, on the other palm, is the therapist's level of authenticity in their relationship with the client. Quite simply, the therapist must be completely available with the client, sharing their emotions, attitudes and reactions that develop in the course of the interaction. The role of the therapist is to provide as a style of a human being who is at peace using their inner-self and accept themselves as well as others without inhibition or wrong pretences. In an effective therapeutic relationship, the therapist will be honestly moved to communicate personal information and you will be genuinely involved in their marriage with your client.

The second important quality on the part of the therapist is unconditional positive regard for their client. The therapist is agreeing to of their client without approving or disapproving of the behavior, there are no judgmental emotions no conditions for endorsement. As Show up et al. (2004, p. 202) explain "Unconditional positive respect is more than acceptance; it is an unwavering respect for the humanity of the client that is not damaged by the behavior demonstrated by the client".

Another cornerstone of person-centered strategy is the concept of appropriate empathic understanding. This area of the therapist-client relationship is composed in the therapist's capacity to experience the client's feelings as if they were his own. Such empathy will allow the therapist to reach at an accurate knowledge of those elements of the client's experience that continue to be not verbalised immediately. The therapist is then in a position to help their client to clarify and work through feelings that lie only at the border of their mindful awareness.

Finally, the success of a restorative relationship also is determined by the client's belief of the therapist. The three features need to be sufficiently communicated to the client so they feels safe to reveal their interior world to the therapist. This final quality of the partnership speaks to the vibrant character of the person-oriented procedure - the therapist creates the necessary conditions for the client to progress, however the ultimate success hinges after the client's understanding and the client's determination to take good thing about those conditions.

The second restorative modality reviewed is the cognitive behavior remedy (CBT). In its modern version the idea came into being in the 1980's and 1990's as the result of convergence of two early on counselling approaches produced by Albert Ellis and Aaron Beck. The main difference of the therapeutic modality from the person-centered methodology is the fact that in CBT there's a stricter control by therapist in terms of the treatment techniques used. Cognitive behaviour approaches derive from the theory that the client's improvement is the result of cognitive restructuring and acquisition of new cognitive skills and pondering habits. Such learning is aimed by the therapist through a series of focused, goal-oriented treatment techniques.

Cognitive behaviour therapy can be an umbrella term that addresses a number of therapy types, which is thus more dispersed in terms of the precise intervention techniques used. A few examples of a lot more widely used and reviewed cognitive behaviour therapies are Cognitive Analytic Remedy, Rational Emotive Behaviour Remedy, and Multimodal Remedy. However, there are certain key points that form the foundation of different specific applications.

The Connection for Behavioural and Cognitive Treatments outlines the basic cognitive and behavioural interventions as: 'clients figure out how to identify between thoughts and feelings; become aware of the ways that their thoughts influence their feelings in ways that are not helpful; assess critically the veracity of these computerized thoughts and assumptions; develop the abilities to note, interrupt, and intervene at the level of automated thoughts as they happen' (ABCT, 2010).

To distinguish between thoughts and feelings allows the client to recognise the rational thoughts that regularly become precursors to the thoughts. Once such a distinction has been founded your client is then prompted to identify the unjustified and unreasonable aspects of their reactions to their own thoughts or stimuli. They further figure out how to take control of thoughts and emotions at the unconscious level, and engage in cognitive restructuring - forming new patterns of thinking and new reactions to occurrences.

The behavioural strand in CBT earns the two key key points of classic fitness and operant conditioning, which both target at motivating positive reinforcement of positive (adaptive) behaviours and minimize reinforcement of harmful (maladaptive) behaviours. Land et al. (2004) point out that in behavioural approaches to counselling, the counsellor focuses less on days gone by, and more so on today's and future, wanting to identify areas of the client's environment that can be modified to be able to reinforce adaptive behaviour patterns.

The two strands, cognitive and behavioural, merge in CBT methods to produce treatment that is usually short-term and skills-based. Which means that most of the client's progress happens outside of the counselling periods, in real life, where they practice the behaviours and considering patterns described in the counselling sessions. CBT is, thus, empirically founded both theoretically and practice, as the client's progress is measured by studies of useful successes in their attempts to change both their environment and their reactions to their environment.

Finally, the 3rd therapeutic modality is the feminist approach to therapy. It emerged as the outcome of the revision of traditional counselling theories from the feminist perspective. Such a revision brought about a new agenda and a fresh eye-sight of women's mental health as a distinctive category individual from concerns that are quality of the male human population. Worell & Remer (2004, p. 6) name 15 issues in the original psychotherapy that stimulated the introduction of feminist solutions. Included in this are 'dissatisfaction with the original theories of feminine and male development and behaviour that depicted stereotyped man traits as the norm and females as deficient by contrast', and 'annoyance with the carrying on omission of women from the knowledge base of mindset'.

Although the word 'feminist remedy' also slices across a number of strategies and techniques in healing practice, regarding to Worell & Remer (2004, p. 23), there are four core ideas that form its basis: focus on the diversity of women's personal and communal identities; a consciousness-raising procedure; an egalitarian relationship between client and therapist; and a woman-valuing and self-validating process.

Attention to the variety of women's personal and communal identities is the belief that women carry multiple functions in their personal and public lives. These jobs and identities are reviewed and analysed in order to ascertain their impact on the client's behavior. The consciousness-raising techniques try to raise the client's awareness of the external communal forces which may have an influence on the way they live their lives and experience simple fact. A differentiation between socially-conditioned behavior and intrapsychic resources of behaviour is manufactured with an exploration of the politics of sexist and racist societal buildings that may exist. Furthermore, the partnership between the client and the therapist is that of equality - the client's resourcefulness is emphasised and respected. The therapist empowers the client not so much through writing their own judgments and knowledge, as through facilitation of the self-exploration functions and self-healing resources that the client is assumed to possess. This perspective of the client-therapist relationship integrates with the target to foster such features as emotional appearance, matter for others and community-building among women. Such woman-valuing process is further increased by linguistic framing, e. g. 'enmeshing' or 'fused' may be reframed as 'nurturing' or 'nurturing' (ibid).

Worell & Remer (2004) also present an Empowerment Model that is an application of the above principles for counselling purposes. The goal of Empowerment counselling isn't just to reduce whatever dysfunctional symptoms the client may exhibit and not just to come back them to their baseline normal level of performing, but to 'empower' them and make them more resilient than before. You can find ten the different parts of a woman's well-being that the Empowerment Model seeks to attain as the consequence of counselling: advanced self-evaluation; advanced comfort-distress ratio; gender- and culture-role consciousness; personal control/ self-efficacy; self-nurturance; problem-solving skills; assertiveness; increased access to social, economical, and community support; gender and cultural flexibility; and social activism.

The specific involvement techniques which may be used in order to achieve the above goals are in the discretion of individual therapists, since feminist therapy cuts across a variety of different counselling ideas. As Worell & Remer (2004, p. 26) word, 'Some theories may be more conducive to this change process than others, depending on extent to which they endorse gender-biased or ethnocentric ideas or procedures'. For example, the authors signify that they individually count on two strategies while working within the construction of the Empowerment Model - cognitive-behavioural and psychodrama.

However, it continues to be possible to identify several strategies that lend themselves best to feminist philosophy and objectives: gender-role evaluation, power research, and demystifying methods. In gender-role examination the treatment targets analysing gender-specific stereotypes and objectives imposed by society and techniques they relate with the client's life. Electricity analysis, centers is on ways that your distribution of politics, social or economic electric power between genders has molded the client's personality and life alternatives. The customers are led toward a deeper knowledge of both advantages and detrimental repercussions of such electricity circulation. Finally, demystification is used as an ancillary technique in order to reduce the power balance between your consumer and the therapist. More recently, feminist remedy engages social perspectives in order to take into account client's diverse cultural backgrounds. Such diversity of perspectives relates right to the interest that feminist remedy pay to honouring and accounting for the multiple assignments and identities of a female.

The three restorative modalities detailed in this newspaper will vary by their composition, therapeutic goals, and sensible techniques. With a single creator, the person-centered strategy is the most unified of the three as a theory and method. There are often identifiable six core concepts that form the building blocks of the procedure. The cognitive-behavioural theory is due to two theoretical resources and has branched out into a number of different specific applications. It really is characteristic of CBT applications to be disorder-specific. Finally, feminist therapy is more of any viewpoint of counselling when compared to a functional method and draws on other remedy types, such as CBT, to find sensible treatment techniques most ideal for their target populace. Feminist remedy is also different in its assumption that therapy cannot be universally applied to all populations and that women require solutions fine-tuned to their particular contexts.

There are certainly also similarities across the several approaches. In every of these, an open up, non-judgmental nature of the partnership between client and therapist is an integral to the success of the therapy. However, the relationship between client and therapist in feminist techniques are nearer to being person-centered than cognitive-behavioural. In both feminist and person-centered idea of counselling, the client sometimes appears as the foundation of their own well-being. The therapist can take the role of a more experienced peer rather than a mentor leading your client towards well-being.

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