Introduction to Adlerian counseling
And Psychotherapy:
Adlerian therapy is a cognitive
approach which means that clients are encouraged to look at and understand and
possibly change the ideas and beliefs that they hold about themselves, the word
and how they will behave in that world. In addition, Adlerian therapist set
assignments with their clients that challenge existing ideas and beliefs and
which represent changes in their habitual pattern of behavior. The Adlerian
approach has an optimistic view that people have created their own
personalities and therefore can choose to change. Clients are encouraged to
value their strengths and to acknowledge that they are equal members of society
who can make a worthwhile.
Biographical Sketch of Alfred Adler:
Alfred Adler was born in Vienna in 1870, of Jewish
parents. His father was a grain merchant whose work allowed the family to live
an affluent, middle-class life. Adler was the third of the seven children, five
boys and two girls, of whom the oldest was a boy and the second a girl. As a
child, he was delicate and sickly. He had rickets and spasms of the glottis
that put him in danger of suffocation.
During his early schooling, he was a
mediocre student. He did so poorly in mathematics that he had to repeat the
grade. Adler’s reaction was to work diligently on mathematical problems at home
until he had mastered them. He attended the Vienna Medical
School , where he studied
under a famous internist who stressed that the physician must always treat the
whole patient not just the ailment. Once he received his medical degree, Adler
established a private practice in a lower- middle class Vienna neighborhood near a famous amusement
park.
In 1899 Adler corresponded with
Freud him to provide a clinical diagnosis of the difficulties being experienced
by a female patient under Adler’s care. Three years later Freud asked Adler to
join a weekly discussion group at his home that centered on psychology and
neuropathology themes and issues. In 1908, Freud’s Wednesday Psychological
Society changed its name to the Vienna Psychoanalytic Society. In 1910, on
Freud recommendation, the group elected Adler to succeed Freud as its president
(Fiebert, 1997, pp. 241-247). In 1911 Adler along with nine other members leave
Freud. Soon after, Adler formed a group called the Society for Free
Psychoanalytical Research, a title chosen to show his obvious displeasure with
what he considered Freud’s dictatorial ways. In 1913, Adler changed the name of
association to the Society for Individual psychology, to reflect his concern
with understanding the whole personality-the individual as an indivisible
entity.
During World War 1, Adler worked as an
army doctor in a Vienna
hospital. Witnessing the savage effects of the war on people-effects generated
by lack of trust and cooperation on this basis he developed his concept of
social interest. He return to his writing and research with renewed purpose,
and focused much of his energies on disseminating information to the ordinary
person about the need for cooperation, love and respect among people. He was
also instrumental in establishing in the Vienna
school system some 30 child-guidance clinics that provided counseling for the
entire family. By the early 1920s, Adler had gained international recognition
and acceptance. In the late 1920s and 1930s, he authored a number of popular
books, including The Practice and Theory
of Individual Psychology (1927), Understanding
Human Nature (1927), The Science of
Living (1929/1969), the Education of
Children (1930a), The Pattern of Life
(1930b), What Life Should Mean to You
(1931), and Social Interest: A Challenge
to Mankind (1933). During the same period, he also accepted invitations to
lecture in various European cities and later in the United States . He succumbed to a
heart attack while on a European Lecture tour in Aberdeen , Scotland ,
in May 1937 (Furtmuller, 1973, pp.330-39)
Individual psychology
In German, the term Individualpsychologie
means the psychology of the unique, indivisible, and undivided person (Davidson
1991, 6). What Adler meant by this is that, first, Individual Psychology is an
idiographic science. How an individual develops is unique, creative, and
dependent on the subjective interpretations the person gives to life. Second,
Adler meant to convey that an individual behaves as a unit in which the
thoughts, feelings, actions, dreams, memories, and even physiology all lead in
the same direction. The person is a system in which the whole is greater than and
different from the sum of its parts. In this whole, Adler saw the unity of the
person. In the symphony of a person's behavior, he discerned the consistent
melodic theme running throughout. This theme may have many variations in tempo,
pitch, or intricacy, but it is nevertheless recognizable. Thus, to understand a
person, we must look at the whole person, not at the parts, isolated from one
another. After we grasp the guiding theme, however, it is easy to see how each
individual part is consistent with the theme.
Key Concepts:
Adler abandoned Freud’s basic theories
because he believed Freud was excessively narrow in his stress on biological
and instinctual determination. On many theoretical grounds Adler was in
opposition to Freud. According to Adler, for example, humans are motivated
primarily by social relatedness rather than by sexual urges; behavior is
purposeful and goal directed; and consciousness, more than unconsciousness, is
the focus of therapy.
1. View of Human Nature:
Following are the views that
Adlerians express about human nature.
Ø
Influence
of person’s perception and interpretation:
Adler holds that the individual
begins to form an approach to life some where in the first six years of living.
Adler’s focus is on how the person’s perception of the past and his or her
interpretation of early events have a continuing influence.
Ø
Striving
for significance and superiority:
Adler stressed choice and
responsibility, meaning in life, and the striving for success, completion, and
perfection. Adler’s theory focuses on inferiority feeling, which he sees as a
normal condition of all people and as a source of all human striving. Rather
than being considered a sign of weakness or abnormality, feelings of
inferiority can be the well spring of creativity. They motivate us to strive
for mastery, success (superiority), and completion. Humans are driven to
overcome our sense of inferiority and strive for increasingly higher levels
of development (Schultz & Schultz,
1998). Indeed, at around six years of age our fictional vision of ourselves as
perfect or complete begins to form into a life goal. The life goal unifies the
personality and becomes the source of human motivation; every striving and
every effort to overcome inferiority is now in line with this goal.
Ø
Creative
Self:
This concept was Adler’s “crowning
achievement as a personality theorist” (Hall & Lindzey, 1978, p. 165). It
lies at the heart of the Adlerian theory of personality. From
the Adlerian perspective human behavior is not determined solely by heredity
and environment. Instead, humans have creative self which is defined as the
capacity to interpret, influence, and create events. Adler asserts that what we were born with is not as
important as what we do with the
abilities we possess. Although Adlerian’s rejected the deterministic stance of
Freud, they do not go to the other extreme and maintain that individuals can
become whatever they want to be. Adlerian’s recognized that biological and
environmental conditions limit our capacity to choose and to create.
“This creative power is a striving power;
this creative power can be seen in different views, in the power of evolution,
in the power of life, in the power which accomplishes the goal of an ideal
completion to overcome the difficulties of life." (From "The General System of Individual
Psychology," an unpublished manuscript in the AAISF/ATP Archives.)
2. A Phenomenological Psychology:
Adlerians attempt to view the world from
the client’s subjective frame of reference, an orientation described as Phenomenological. The phenomenological
perspective provides an understanding of clients from their internal frame of
reference. This subjective reality
includes the individual’s perceptions, thoughts, feelings, values, beliefs,
convictions, and conclusions. Behavior is understood from the vantage point of
this subjective perspective. How life is in realty is less important than how
the individuals beliefs life to be. Adler suggested that what individuals perceive
is biased according to the past experience (Ansbacher & Ansbacher, 1964).He
referred to this phenomenon as apperception.
A phenomenological perspective is therefore necessary to understand
client’s interpretation of their experiences.
3. Unity and Patterns of Human Personality/Holistic Psychology:
A basic
premise of Adlerian Individual Psychology is that personality can only be
understood holistically and systematically; that is, the
individual seen as an indivisible whole, born, reared, and living in specific
familial, social, and cultural contexts. It is therefore holistic psychology
that attempts to understand the overall life style as a unified whole. People
are social, creative, decision making beings who act with purpose and cannot be
fully known outside the context that have meaning in their lives (Sherman &
Dinkmeyer, 1987)
The human personality becomes unified
through development of a life goal. An individual’s thoughts, feelings,
beliefs, convictions, attitudes, character, actions are expressions of his or
her uniqueness and all reflect a plan of life that allows for movement towards
a self selected life goal. An implication of this holistic view of personality
is that the client is an integral part of a social system. There is a more
focus on interpersonal relationships than on the individual’s internal
psychodynamics.
4. Behavior as purposeful and goal-oriented:
Individual Psychology assumes that
all human behavior has a purpose. Humans set goals for themselves, and behavior
becomes unified in the context of these goals. Adler replaced deterministic
explanations with teleological (purposive, goal oriented) ones. Basic
assumption of the individual psychology is that what we are striving for is
crucial. Thus, Adlerians are interested in the future, without minimizing the
importance of the past influences. They assume that decisions are based on the
person’s experiences, on the present situation, and on the direction in which
the person is moving. They look for continuity by paying attention to themes
running through a person’s life.
Adlerians use the term fictional finalism to refer to an
imagined central goal that guides a person’s behavior. Adler was influenced by
the philosopher Hans Vaihinger (1965) view that people live by fictions (or
views of how the world should be). Applied to human motivation, a guiding
fiction might be expressed as: “Only when I am perfect can I am secured” or
“Only when I am important can I be accepted.” The fictional goal represents an individual’s
image of a perfected position, for which he or she strives in any given
situation. The term finalism refers
to the ultimate nature of person’s goal and the ever-present tendency to move
in a certain direction. Because of this ultimate goal person have the creative
power to choose what the person will accept as truth, how the person will
behave and interpret the event.
5. Birth Order and Sibling Relationship:
The Adlerian approach is giving
special attention to the relationships between siblings and the position in
one’s family .Adler identified five psychological positions: oldest, second of
only two, middle, youngest, and only. It should be noted that actual birth
order itself is less important than individual, s interpretation of his or her
place in the family .since Adlerian view human problems as social in nature,
they emphasize interfamily relationships.
Adler (1958) observes that many people
wonder why children of the same family often differ so widely. It is a fallacy
to assume that children of the same family are formed in the same environment.
Although they share aspects in common in the family constellation, the
psychological situation of each child is different from that of the others
because of the order of their birth. The following description of the influence
of birth order is based on Ansbacher and Ansbacher (1964), Dreikurs, (1953),
and Adler (1958).
(A). the oldest child generally receives a good deal of
attention, and during the time she is
the only child, she is typically somewhat spoiled as the center of attention.
He/She tends to be dependable and hard working and strives to keep ahead. When
a new brother or sister arrives on the scene, however, he/she finds herself
ousted from her favored position. She is no longer unique or special. She may
readily believe that the newcomer will rob her of the live to which she is
accustomed.
(B). the second child is in a
different position. From the time he/she is born, he shares the attention with
another child. The typical second child behaves as if he was in a race and is
generally under full steam at all times. It is through this second child were
in training to surpass the older brother or sister. This competitive struggle
between the two first children influences the later course of their lives. The
younger child develops a knack for finding out the elder, child weak spots and
proceeds to win praise from both parents and teachers by achieving success
where the older sibling has failed. If one is talented in a given area, the
other strives for recognition other abilities. The second born is often
opposite to the firstborn.
(C). the middle child often feels
squeezed out. She may become convinced of the unfairness of life and feel
cheated. This person can assume a “poor me” attitude and can become a problem
child. On the other hand, especially in families characterized by conflict, the
middle child will become the switchboard and the peacemaker, the person who
hold things together.
(D). the youngest child is always
is the baby of the family and tends to be the most pampered one. He has a
special role to play, for all other children are ahead of him. Youngest
children end to go their own way. They often develop in ways no others in the
family have thought about.
(E). the only child has a problem
of his/her own. Although he/she shares some of the characteristics of the
oldest child (namely, high achievement drive), he/she may not learn to share or
cooperate with other children. He/she will learn to deal with adults well, as
they make up their original familial world. Often, the only child is pampered
by his/her parents and may become dependently tied to one or both of them.
He/she may want to have centre stage all of the time, and if his/her position
is challenged, he/she will fell it unfair.
Birth order and the interpretation of
ones position in the family have a great deal to do with how adults interact in
the world. Individuals acquire a certain style of relating to others in
childhood and from, a definite picture of themselves that they carry into their
adult interactions. In Adlerian therapy, working with family dynamics,
especially relationships among siblings, assumes a key role. Although it is
important to avoid stereotyping individuals, it does help to see how certain
personality trends that began in childhood as a result of sibling rivalry
influence individuals throughout life.
6. Social Interest:
Adler’s
term Gemeinschaftsgefuhl has been
translated into English as “Social Interest” (Ansbacher & Ansbacher, 1964).
It refers to an inborn tendency to cooperate and work with others for the
common good (Ansbacher & Ansbacher, 1964).Alfred relate to this concept to
mental health when he observed that social interest is the barometer of mental
health (Ansbacher & Ansbacher, 1964). Glasser (1965) supports this position
when he suggests that all people need love and affection to be fulfilled.
Social interest is considered a major motivational force in Adlerian
Psychology.
7. The Style of life:
Hall and Lindzey (1978) suggest that
lifestyle became the recurrent theme in Adler’s later writings and the most
distinctive feature of his psychology.” The term Life Style refers to the
person’s basic orientation to life – the set patterns of recurrent themes that
run through his or her existence” (Dinkmeyer & Dinkmeyer, 1985, p.
123).According to Adler, lifestyle is relatively fixed by age 4 or 5. Once
established, the individual’s lifestyle guides the assimilation and utilization
of future experiences (Hall and Lindzey, 1978).
“The
style of life dominates.
The person is cast all of one piece. This you must find again in all its parts.
In this self-consistent casting, the striving for fictive superiority is
contained. There is no nervous patient who does not attempt to veil through his
symptoms the fact that he is worried about his fictive superiority” (From "The Technique of
Treatment," in "Superiority and Social Interest," edited by Heinz
and Rowena Ansbacher.).
8. Adler’s approach to personality:
He argued that human personality could be explained teleologically, separate strands dominated by the guiding purpose
of the individual's unconscious self ideal to convert feelings of inferiority
to superiority (or rather completeness). The desires of the self ideal were
countered by social and ethical demands. If the corrective factors were
disregarded and the individual over-compensated, then an inferiority complex
would occur, fostering the danger of the individual becoming egocentric,
power-hungry and aggressive or worse. Common therapeutic tools include the use
of humor, historical instances, and paradoxical injunctions.
Types of personality:
Adler (1956) developed a
scheme of the so called personality types. These types emerge from
combining degrees of activity with social interest.
- The Getting
or Leaning type is those who selfishly take without giving back. These people also tend
to be anti-social and have low activity levels.
- The Avoiding
types are those that hate being defeated. They may be successful, but have
not taken any risks getting there. They are likely to have low social
contact in fear of rejection or defeat in any way.
- The Ruling
or Dominant type strives for power and is willing to manipulate
situations and people, anything to get their way. People of this type are
also prone to anti-social behavior.
- The Socially Useful types are
those who are very outgoing and very active. They have a lot of social
contact and strive to make changes for the good.
These 'types' are typically formed in childhood and are expressions of the
Style of Life
9. Adler’s view of
Psychopathology:
Adler's view of psychopathology is
deceptively simple. He conceived of psychological disturbances generally
occurring in the presence of two conditions: an exaggerated inferiority feeling
and an insufficiently developed feeling of community. Under these conditions, a
person may experience or anticipate failure before a task that appears
impossible and may become "discouraged." Adler tended to use this
term as opposed to terms such as "pathological" or "sick."
When individuals are discouraged, they often resort to fictional means to relieve
or mask--rather than overcome--their inferiority feelings. What they are
attempting to do is bolster their feelings of self by "tricks," while
they avoid actually confronting their seemingly impossible difficulties. These
tricks may give them a comforting but fragile feeling of superiority. A woman
who was abused by her father as a child may choose to reject and depreciate all
men as vile creatures and never engage in a satisfactory love relationship. She
may feel lonely, but she can always feel morally superior to all abusive males
who are punished by her rejection. She would rather punish all men for the sins
of her father, than conquer her fears and develop the ability to love one man.
10. Safe guarding devices:
Individuals can use safeguarding
devices in attempts both to excuse themselves from failure and
depreciate others. Safeguarding devices include symptoms, depreciation,
accusations, self-accusations, guilt, and various forms of distancing. Symptoms
such as anxiety, phobias, and depression, can all be used as excuses for
avoiding the tasks of life and transferring responsibility to others. Depreciation
can be used to deflate the value of others, thereby achieving a sense of
relative superiority through aggressive criticism or subtle solicitude. Accusations
attribute the responsibility for a difficulty or failure to others in an
attempt to relieve an individual of the responsibility and to blame others for
the failure. Self-accusations can stave off criticisms from others or
even elicit comforting protestations of value from them. Guilt may
create a feeling of pious superiority over others and clear the way for
continuing harmful actions rather than correcting them. Distancing from
tasks and people can be done in many ways including procrastination, avoiding
commitments, abuse of alcohol and/or drugs, or suicide.
These safeguarding devices are largely
unconscious and entail very real suffering on the part of individuals who
employ them. For them, however, the protection and elevation of the sense of
self is paramount, and they prefer to distress themselves or others rather than
reveal their hidden exaggerated feeling of inferiority.
Theory of Counseling and
Psychotherapy:
Adlerian counseling and psychotherapy
stresses the role of the cognition in psychological functioning. It begins by
using the lifestyle analysis to gain an understanding of the client. Through
various techniques and procedures such as encouragement and such as acting as-if,
clients are helped to reorient themselves toward more positive ways of
functioning.
Adlerians attempt to go beyond overt
behavior and understand the motivation behind the behavior (Nystul, 1985). This
approach is therefore more concerned with modifying motivation than with modifying
behavior.
Sonstegard, Hagerman, and Bitter
(1975) elaborate on this position:
The Adlerian counselor is not
preoccupied with changing behavior; rather he is concerned with understanding
the individual’s subjective frame of reference and the identification of the
individual’s mistaken notion or goal within that frame work. Indeed, the
behavior of an individual is only understood when the goals are identified….
(p.17)
Mosak (2005) summarizes the major
goals of Adlerian Psychotherapy as the following:
- Increasing client’s social interest
- Helping clients overcome feelings of discouragement and reducing inferiority feelings
- Modifying client’s views and goals and changing their life scripts
- Changing faulty motivation
- Helping clients feel a sense of equality with others
- Assisting clients to become contributing members of society
The counseling process is
educationally oriented, providing information, guiding and attempting to
encourage discouraged clients. The approach attempt to reeducate clients so
they can live in society as equals, both giving and receiving from others (Mosak,
2005).
The counseling process is based on
equality. Adlerians avoid placing the clients in a subservient position as in a
doctor-patient relationship. They consider a sense of mutual respect to be
vital to all relationships, including the counseling relationships.
Dinkmeyer and Dinkmeyer (1985)
identify four stages of Adlerian psychotherapy:
Establishing the relationship,
performing analysis and assessment, promoting insight, and reorientation. The
authors observe that these stages are not intended to be separate or distinct
processes but instead tend to overlap and blend in clinical practice. This can
be especially true in the process of establishing a positive relationship. Adlerians
believe it is important to maintain a positive relationship throughout the
counseling process.
The Therapeutic Process:
The Therapeutic Goals:
Adlerian counseling rests on a
collaborative arrangement between the client and the counselor. In general, the
therapeutic process includes forming a relationship based on mutual respect and
identifying, exploring, and disclosing mistaken goals and faulty assumptions within the person’s style living. This is
followed by a reeducation of the client toward the useful side of life. His
main aim of therapy is to develop the client’s sense of belonging and to assist
in the adoption of behaviors and processes characterized by community feelings
and social interest. This is accomplished by increasing the client’s self
awareness and challenging and modifying his or her fundamental premises, life
goals, and basic concepts (Dreikurs, 1967, 1997).
Adlerian
don’t see clients as being “sick” and in need of being “cured”. Rather, the
goal is to reeducate client so that they can live in society as equals, both
giving to society and receiving from others (Mosak, 1995). Therefore the
counseling process focuses on providing information, teaching, guiding, and
offering encouragement to discouraged clients.
Adlerian counselors educate clients in
new ways of looking at themselves, others and life. Through the process of
providing clients with a new “cognitive map”, a fundamental understanding of
the purpose of their behavior, counselors assist them in changing their
perceptions.
Mosak (1995) lists these goals
for the educational process of therapy:
- Fostering social interest
- Helping clients overcome feelings of discouragement and inferiority
- Modifying client’s views and goals that is changing their lifestyle
- Changing faulty motivation
- Assisting clients to feel a sense of equality with others
- Helping clients become contributing members of society
Therapist’s Function and Role:
Adlerian counselors realize that clients
can become discouraged and function ineffectively because of mistaken beliefs,
faulty values, and goals in the useless side of life. They operate on the
assumption that client s will feel and behave better if they discover and
correct their basic mistakes. Therapists tend to look for major mistakes in
thinking and valuing such as mistrust, selfishness, unrealistic ambitions, and
lack of confidence.
A major function of e therapist is to
make a comprehensive assessment of the clients functioning. Therapists gather
information on the client’s family
constellation, which includes parents, siblings and others living in the
home, by means of a questionnaire. When summarized and interpreted, this
questionnaire gives a picture of the individual’s early social world. From this
information the therapist is able to get a perspective on the client’s major
areas of success and failure and on the critical influences that have had a
bearing on the role the client has decided to assume in the world. The
counselor also uses early recollections
as a diagnostic tool. These recollections are of single incidents from
childhood that we are able to re experience. They reflect our current
convictions, evaluations, attitudes, and biases (Griffith, powers, 1984). These
memories provide a brief picture of how we see ourselves and others and what we
anticipate for our future. After these early recollections are summarized and
interpreted, the therapist identifies some of the major success and mistakes in
the client’s life. The aim is to provide a point of departure for the
therapeutic venture. This process is called a lifestyle assessment. When this process is completed, the counselor
and the client have targets for therapy.
Client’s Experience in Therapy:
How do clients
maintain their lifestyle, and why do they resist changing it? Generally, people
fail to change because they don’t recognize the errors in their thinking or the
purposes of their behaviors, don’t know what to do differently, and are fearful
of leaving old patterns for new and unpredictable outcomes. Thus, even though
their ways of thinking and behaving are not successful, they tend to cling to
the familiar patterns (Manaster, corsini, 1982; Sweeney, 1998). Clients in Adlerian
counseling focus their work on desired outcomes and lifestyle, which will
provide a blueprint for their actions.
In therapy clients explore what
Adlerian call private logic, the concepts about self, others and life that constitute
the philosophy on which an individual’s lifestyle is based. Client’s problems
arise because the conclusions based on their private logic often don’t confirm
to the requirements of social living. The core of the therapy experience
consists of client’s discovering the purpose of behavior or symptoms and the
basic mistakes associated with their coping. Learning how to correct faulty
assumptions and conclusions is central to therapy.
To provide a concrete example,
think of a chronically depressed middle aged man who begins therapy. After a
lifestyle assessment is completed, these basic mistakes are identified:
·
He has convinced himself that nobody could
really care about him.
·
He rejects people before they have a chance to
reject him.
·
He is harshly critical of himself, expecting perfection.
·
He has expectations that things will rarely work
out well.
·
He burdens himself with guilt because he is
convinced he is letting everyone down.
Even though this man may have
developed these mistaken ideas about life when he was young, he is still clinging
to them as rules for living. His expectations, most of which are pessimistic,
tend to be fulfilled because on some level he is seeking to validate his
beliefs. Indeed, his depression will eventually serve the purpose of helping
him avoid contact with others, a life task at which he expects to fail. In
therapy this man will learn how to challenge the structure of his private
logic. In this case the syllogism goes as follows:
·
“I am basically unlovable”
·
“The world is filled with people who are likely
to be rejecting.”
·
“Therefore, I must keep to myself so I won’t be
hurt.”
This person has held onto several basic
mistakes. His private logic declares a psychological focus for him. Mosak
(1997) would say that there are central themes and convictions in this client’s
life, some of which may be: “I must get what I want in life.” “I must control
everything in my life.” “I must know everything there is to know, and a mistake
would be catastrophic.” “I must be perfect in everything I do.”
It is easy to see how depression might follow
from this thinking, but Adlerian also know that the depression serves as an
excuse for this man’s retreat from life. It is important for the therapist to
listen for the underlying purposes of this client’s behavior. Adlerians see
feelings as being aligned with thinking and as the fuel for behaving. First we
think, then feel, and then act. Because cognitions and emotions serve a purpose
and aim at a goal, much therapy time is spent discovering and understanding
that purpose and reorienting the client in a useful way. Because the client is
not perceived by the therapist to be “sick”, but as mainly discouraged, the
therapist will give the client much encouragement that change is possible. Through
the therapeutic process, the client will discover that he has resources and
options to draw on in dealings with significant life issues and life tasks.
Relationship between Therapist and
Client:
Adlerians consider a good
client/therapist relationship to be one between equals that is based on
cooperation, mutual trust, respect, confidence, and alignment of goals. They pay
special value on the counselor’s modeling of communication and acting in good
faith. From the beginning of therapy the relationship is a collaborative one,
characterized by two persons working equally toward specific, agreed on goals.
Dinkmeyer, Dinkmeyer, and Sperry (1987) maintain that at the outset of
counseling clients should begin to formulate a plan, or a contract, detailing
what they want, how they plan to get where they are heading, what is preventing
them from successfully attaining their goals, how they can change nonproductive
behavior into constructive behavior, and how they can make full use of their
assets in achieving their purposes. This therapeutic contract sets forth the
goals of the counseling process and specifies the responsibilities of both
therapist and client. Developing a contract is not a requirement of Adlerian
therapy, but it brings a tight focus to therapy.
Clients are not viewed as passive recipients;
rather, they are active parties in a relationship between equals. Through this collaborative
partnership, clients recognize that they are responsible for their
behavior. Although Adlerians view the quality of therapeutic relationship as
relevant to the outcomes of the therapy, they don’t assume that this
relationship alone will bring about change. However, without initial trust and
rapport, the difficult work of changing one’s style of living is not likely to
occur.
Adlerian counseling stages and Techniques:
1. Establishing the Relationship:
Hallmark of the Adlerian relationship is its equalitarian quality. The
counselor is likely to dispel any notions of superiority by showing a genuine;
non possessive care for the individual, not unlike a friend. Early in
counseling, the counseling will ask the client to discuss his or her reason for
seeking assistance. Adlerians establish agreements concerning the goals of
counseling. An understanding of what the individual hopes to attain is
established, including some indication of his or her expectations for the
counselor's role. Rapport is established and nurtured throughout the counseling
relationship on the basis of mutual respect, cooperation, and desire to achieve
agreed upon goals. Adlerians utilize many techniques to establish a positive
relationship. Three of these techniques are
·
Using of listening Skills:
Dinkmeyer and Sperry (2000) note that effective listening skills are
necessary to promote mutual trust and mutual respect which are two essential
elements of the Adlerian counseling relationship.
·
Winning Respect and offering hope:
Nystul (1985) suggests that a counselor can increase the client’s
motivation for becoming involved in counseling by winning the client’s respect
and offering hope.
·
Encouragement:
Encouragement communicates a sense of support and can also help client’s
learn to believe in themselves. Dinkmeyer and Losoney (1980) identified
important skills that are involved in the encouragement process. Some of these
skills are focusing on progress, assets, and strengths; helping clients see the
humor in life experiences; communicating respect and confidence; being
enthusiastic, helping the client become aware of choices; combating self-defeating,
discouraging processes; and promoting self-encouragement.
2. Psychological
Investigation (Performing Analysis and Assessment):
Adlerians typically do an
in-depth analysis and assessment as early as the first session. This usually
involves conducting a life style analysis to explore how early life experiences
can contribute to the adult personality.
Dream analysis can be a part
of the life style analysis (Mosak, 2005). Adlerians do not attempt to analyze
dreams in terms of their symbolic content, as do Freudians. Instead, they see
dreams in an attempt to deal with the difficulties and challenges applied. In
this sense, dreams become a problem-solving activity, allowing the person a
chance to rehearse for some future actions (Mosak, 2005). The life style
analysis can also be used to identify the client’s strengths or assets that can
be used to overcome the client’s problem. It can also be used to identify
faulty or irrational views that may interfere with the client’s growth. These are
referred to as basic mistakes, and the following description of these
statements by Mosak (2005) are listed with examples.
·
Overgeneralization: “People cannot be trusted”.
·
False or impossible goals of security: “I must please every body”.
·
Misrepresentation of life and life’s demands: “I never get any breaks”.
·
Minimization or Denial of one’s worth: “I am dumb”.
·
Faulty values: “It doesn’t matter how you plan the game as
long as you win”
3. Promoting Insight:
Adlerians believe that insight is an important
prerequisite to a long term change. Insight allows clients to understand the
dynamics of self-defeating patterns so they can be corrected during the
re-orientation process. The major tool for providing insight is interpretation
which focuses on creating awareness of basic mistakes that are impeding the
client’s growth. Counselor can use confrontation technique during the insight
process if they encounter resistance from client’s client. Shulman (1973) notes
that confrontation can challenge a client to make an immediate response or
change or to examine some issue. It can also foster immediacy in the
relationship by enabling a client to know how the counselor is experiencing the
client at the moment (Dinkmeyer & Dinkmeyer, 1985). The following techniques
can be used in this phase.
- Socratic Questioning.
The Socratic method of leading an individual
to insight through a series of questions lies at the heart of Adlerian practice
(Stein 1990; Stein 1991). It embodies the relationship of equals searching for
knowledge and insight in a gentle, diplomatic, and respectful style, consistent
with Adler's philosophy. In the early stages of psychotherapy, the therapist
uses questions to gather relevant information, clarify meaning, and verify
feelings. Then, in the middle stages of therapy, more penetrating, leading
questions uncover the deeper structures of private logic, hidden feelings, and
unconscious goals. The therapist also explores the personal and social
implications of the client's thinking, feeling, and acting, in both their short
and long term consequences. Throughout, new options are generated
dialectically, examined, and evaluated to help the client take steps in a
different direction of her own choosing. The results of these new steps are
constantly reviewed. In the latter stages of therapy, the Socratic Method is
used to evaluate the impact of the client's new direction and to contemplate a
new philosophy of life. The Socratic style places the responsibility for
conclusions and decisions in the lap of the client. The role of the therapist
is that of a "co-thinker," not the role of a superior expert. Just as
Socrates was the "midwife" attending the birth of new ideas, the
Adlerian therapist can serve as "midwife" to the birth of a new way of
living for a client.
·
Guided and Eidetic Imagery.
For many
clients, cognitive insight and new behavior lead to different feelings. Some
clients need additional specific interventions to access, stimulate, or change
feelings. Guided and eidetic imagery, used in an Adlerian way, can lead to
emotional breakthroughs especially when the client reaches an impasse. Eidetic
imagery can be used diagnostically to access vivid symbolic mental pictures of
significant people and situations that are often charged with emotion. Guided
imagery can be used therapeutically to change the negative imprints of
childhood family members that weigh heavily on a client and often ignite
chronic feelings of guilt, fear, and resentment. These techniques are typically
used in the middle stages of therapy. Alexander Müller recommended the use of
imagery when a client knew that a change in behavior was sensible, but still
didn't take action (Müller 1937). Some clients need a vivid image of themselves
as happier in the future than they presently are, before they journey in a new
direction that they know is healthier.
4. Re-Orientation:
The final phase of Adlerian
psychotherapy involves putting insight into actions. Clients are encouraged to
make necessary changes in their life as they develop more functional beliefs
and behaviors. Counselors can use the following techniques during the
orientation phase.
- Spitting in the client’s soup:
This technique can be used when
clients engage in manipulative games such as acting like a martyr. Spitting in
their soup involves determining the payoff of the games and interpreting it to
the client. For instance, a client may say, “My husband is such a drunk; I
don’t know why I put with him.” The counselor could response by saying, “You
must gat a lot of sympathy from others because you have to put up with so much.
As this client will realize that someone is aware of the payoffs she is
receiving from her martyr syndrome, the game may seem less enjoyable.
- The
push-button technique:
This technique is based on Ellis’s
(1962) rational emotive therapy. It involves having clients concentrate on
pleasant and unpleasant experiences and the feelings they generate (Dinkmeyer
& Dinkmeyer, 1985). When clients discover that their thoughts influence
their emotions, they recognize that they can take control of their emotional
responses. The push-button concept symbolizes the amount of control clients can
exert when they “push the button” and put a stop to self-defeating processes.
They can then create a constructive way of reacting to their situation,
producing a more positive a more positive emotional response.
- Catching oneself:
Clients can use this technique to
avoid old self-defeating patterns. Initially, clients may catch themselves in
the process of self-defeating behaviors, such as playing a manipulative game.
Eventually, they can catch themselves just before they start playing a
manipulative game. Eventually, they can catch themselves just before they start
playing the game. Clients can be encouraged to use humor when they catch
themselves, learning to laugh at low ridiculous their self-defeating tendencies
are.
- Acting
as-if:
This technique involves clients
acting as if they could do whatever they would like to do, such as being more
confident or being a better listener. The technique promotes a positive a
positive “can-do” spirit and a self-fulfilling prophecy, which can help clients
experience success.
Areas of Application:
Individual psychology is based on
a growth model ,not a medical model, it is applicable to such varied spheres of
life as child guidance, parent/child counseling, marital counseling, family
therapy, group counseling, individual counseling with children, adolescents,
and adults, cultural conflicts, correlation
and rehabilitation counseling, and mental health institution Its
principles have been widely applied to substance abuse programs, social
problems to comate poverty and crime, problems of the aged , school system , religion,
and business.
Application to Education:
Adler had a keen interest to applying
his ideas in education, especially in findings ways to remedy faulty lifestyle
of school children. He initiated a process to work with students in groups and
to educate parents and teachers. By providing teachers with ways to prevent and
correct basic mistakes of children, he sought to promote social interests and
mental health. Besides Adler, the main proponent of Individual Psychology as a
foundation for the teaching /learning process was Dreikurs (1968).Major teacher
education models are based on Adlerian /Dreikursian principles.
Application to Parent education:
Parent education to improve the
relationship between parent and child by promoting greater understanding and
acceptance has been a major Adlerian contribution. Parents are taught simple
Adlerian principles of behavior that can be applied in the home. Initial topics
include understanding the purpose of child’s misbehavior, learning to listen,
helping children accept the consequences of their behavior, applying emotion coaching,
holding family meeting, and using encouragement. The book considered to be the
mainstays of many Adlerian parent study groups is Children: The Challenge, by
Dreikurs and Soltz (1964).Other books that present Adlerian parent education
materials are Step: The parent Handbook (Dinkmeyere, McKay, Dinkmeyere, and
Mckay, 1987) and Active Parenting Today (Popkin, 1993)
Application To Marriage Counseling:
Adlerian marital therapy is designed to
assess a couples, s beliefs and behavior while educating them in more effective
ways of meeting their goals. Clair Hawes has developed an approach to couples
counseling within the Adlerian brief therapy model. In addition to addressing
the compatibility of lifestyles, Hawes looks at the early recollections of the
marriage and each partners, s relationship to a broad set of life tasks,
including occupation , social relationships, intimate relationship, kin keeping,
spiritually, self care, and self worth(Bitter et al,1998,Hawses, 1993,Hawes
& Blanchared.1993)
The full range of techniques applicable
to other form of counseling can be used in working with couples. In marriage
counseling and marriage education and, couples are taught specific techniques
that enhance communication and cooperation. Some of these techniques are listening,
paraphrasing, giving feed back, having marriage conferences, listening
expectations, doing home work and enacting problem solving.
Adlerians will see sometimes
married peoples as a couple, sometimes individually, and then alternately as a
couple and as individuals. Rather than looking for who is at fault in the
relationship , the therapist considers
the lifestyle of the partners and the interaction of the two lifestyles .Emphasis
given to helping them decide if they want to maintain their marriage and , if
so, what changes they are willing to make.
Application to family counseling:
With its emphasis on the family
constellation, holism, and the freedom of the therapist to improvise, Adler’s
approach contributed to the foundation of the family therapy perspective.
Adlerians working with families
focus on the family atmosphere, the family constellation and the interactive
goals of each member. The family atmosphere is the climate characterizing the
relationship between the parents and their attitude toward life, sex roles,
decision making, and competition, cooperation, dealing with conflicts,
responsibility and so forth. This atmosphere, including the roles of models the
parents provide, influences the children as they grow up. The therapeutic
processes seek to increase awareness of the interaction of the individuals
within the family system. Those who practice Adlerian family therapy strives to
understand the goals, beliefs, and behaviors of each family members and family
as an entity in its own right.
Application to Group Work:
Adler and coworkers used a group
approach in their child guidance centers in Vienna as 1921 (Dreikurs.1969), a colleague,
extended and popularized Adler’s work with groups and used group
psychotherapy[y in his private practice for 40 years. Although he introduced
group psychotherapy into his psychiatric practice as a way to save time, he
quickly discovered some unique characteristics of groups that made them am
effective way of helping people change. Dreikurs,(1969)rationale for groups is
as follows: ”Since man ,s problems and conflicts are recognized in their social
nature, the group is ideally suited not only to highlight and reveal the nature
of a person’s conflicts and maladjustments but to offer corrective
influences”(p.43.Inferiority feelings can be challenged and counteracted
effectively in groups and the mistaken concepts and values that are at root of
social and emotional problems can be deeply influenced because the group is a value
forming agent (Sonstegared ,1998a).
The group provides the social
context in which members can develop a sense of belonging and a sense of
community. Sonstegared (1998b) writes that group participants come to see that
many of their problems are interpersonal in nature, that their behavior has
social meaning, and that the goals can best be understood in the framework of
social purposes.
Contributions of Adlerian Counseling:
One important function of this useful
theory is to generate research, and on this criterion this theory rated a
little above average. Much of the research suggested by individual psychology
has investigated early recollections and style gives Adlerian theory a moderate
to high rating on its ability to generate research.
Adlerian
therapy is diverse, both in practice and in theory. This flexibility is seen by
many as one of its greatest strengths. Because of its emphasis on goals, the
social learning of Adlerian therapy is greatly beneficial to couples, Families,
and groups.
Individual psychology is sufficiently
broad to encompass possible explanation for much of what is know about human
behavior and development. Adler’s practical view of life’s problems allows us
to rate his theory high on its ability to make sense out of what about human
behavior.
Adlerian therapy focuses on applications
in individual psychology with intent to provide prevention services designed to
assist during growth. This educational focus is utilized with teachers and
parent to identify the importance of social interaction and the development of
social interests. Further, parents are taught the importance of the family
relationships and the legacy that is passed between generation through birth
order and individual personality.
In the use of group work, Adlerian
therapy works to develop group cohesion, which mirrors healthy functioning in
social settings. Members of the group are able to develop a sense of belonging
and community that may be unavailable in their present situation. Due to the
flexibility and integrative nature of this theory, individual, families, and
groups are
helped with the tools of this
approach.
Adler addressed a wide rang of the
phenomena involved in disorder behavior. He discussed at length the etiology
and curve of many different kinds of neurosis and psychosis. But Adler also
sought to understand the ways in which political, educational and religious
institution affect personality development. He tried not only to assess the
impact of the destructive elements of the institution on the individual but
also to outline the ways in which they could be restructured to promote
psychological health and well being.
Adlerian
theory rate high to guide action. The theory serves the psychotherapist, the
teachers, and the parent with the guide lines for the solutions to practical
problems in a variety of settings.
Adlerian parishioners gather
information through reports on birth order, dreams, early recollections,
childhood difficulties, and organ deficiencies. They then use this will both
increase that person, s individual apply those specific techniques that will
both increase that person, individual responsibility and broaden his or her freedom
of choice.
Another important aspect of this
theory is simplicity, or parsimony. On this standard we rate individual
psychology about average.
Individual psychology is based on a
growth model and is applicable to many areas: child guidance, parent child
counseling, marital counseling, family therapy, group counseling, individual
counseling, cultural conflicts, correction and rehabilitation counseling,
substance abuse program, combating poverty and crime.
Clearly the chief contribution of
the Adler’s theory is the number of subsequent investigators of human
personality who have been influenced by it. Adler, s position has contributed
to the theory in the areas of existential theory and psychiatry, Neo-Freudian
psychoanalysis, personality diagnosis including dream interpretation, the
practice of psychotherapy and the theory of positive mental health. Adlerian
has directly influenced such prominent psychologist and psychiatrist as Albert
Ellis, Carl Rogers, Abraham Maslow, and has had considerable impact on the
experimental work of Jullian Rotter.
Limitations Of Adlerian Counseling:
Adler
was a more effective speaker than writer. His often incoherent writings
detracted from his ability to effectively communicate his theories through the
written word.
Individual psychology continues to fall
short on some of the criteria of a useful theory, especially its ability to be
falsified. Adler produced many concepts that don’t easy lend themselves to
either verification or falsification e.g. results don’t verify Adler’s notion
that present style of life shapes one’s early recollections.
Adlerian theory is a model for self
consistency; it suffers from a lack of precise operational definitions. Terms
such as goal of superiority and creative power have no scientific definition.
The terms creative power is an especially illusory one.
Adlerian therapy is frequently
criticized for its lack of depth. Seen by many as somewhat superficial, it lacks the
constitution necessary to fully deal with the vast array of the
psychological issues clients bring to the counseling room. While its
flexibility is wide in scope, its fortitude is frail, and many see it as a
therapy that is akin to one who dabbles in everything but masters in nothing.
Through its emphasis on the birth orders and early recollections, UN testable
assumptions are made that many psychologists see as placing undue weight on
concepts not critical to human growth.
Adlerian theory is not acknowledged as
scientific in an empirical sense, but rather a reflection of his personal
views.
It does not provide immediate solutions
to client problems with more of a long term focus. With less of a simplistic
approach, this therapy is suited more for individual who are prepared to taken
to understand family of origin issues.
This is great, thank you. Easy to understand and very comprehensive.
ReplyDeleteAdlerian play therapy is a process that moves through four distinct phases, each with their own unique goal and purpose.The role of the therapist evolves over the course of treatment. It starts with building a strong relationship, continues as the therapist gathers information about the child and his or her family, turns directive as the therapist begins to confront maladaptive behaviors, and switches finally to a role of teacher and encourager.
ReplyDeleteGreat post.
ReplyDeletehttps://medicalcentre.bcz.com/