Translate

Wednesday 17 October 2012

Techniques of Humanistic Approach


Humanistic psychology emerged as a third force during the late 1950s in the United States as an alternative to the deterministic orientations of behaviorism and psychoanalysis It emphasizes on personal Worth of Individual, creative and active nature of human beings, self awareness, free will, their ability to reach full potentials if given opportunities and self-actualization

The humanistic perspective is not applied universally, perhaps because of its emphasis on the individual and its optimistic view of human potential.
Person-centered therapy, which is also known as client-centered, non-directive, or Rogerian therapy, is an approach to counseling and psychotherapy that places much of the responsibility for the treatment process on the client, with the therapist taking a nondirective role.
Rogers’s main contribution to the counseling field is that he opposed to administer techniques and gave the notion that the quality of the therapeutic relationship is the primary agent of growth in the client. (Coray,      ) According to Rogers, techniques do not function independently from the person to the counselor.

Techniques of Humanistic Approach:

In the person centered framework the techniques are:

  1. Listening,
  2. Accepting,
  3. Respecting,
  4. Understanding and
  5. Responding.

The techniques must be an honest expression of the therapist, they cannot be used self-consciously. (Thorne, 1992)

Some other techniques of Humanistic Therapy are:

  • Be Present:

William offman called it H-E, humanistic-existentialism, and he believed that the personal encounter between him and his client was important. Be Present was the essence of his approach. What the client was willing to do in the therapy moment would be an appliqué on that client’s life.
The humanistic therapist is present and in the moment, energetically and philosophically, with each client.


  • Act Responsibly:

According to humanistic view, humanistic therapist is responsible to be honest and confront the client in a non-threatening yet unambiguous way. Rather than lecturing, the therapist presumes and encourages responsibility.

  • Providing a stimulating environment:

In a humanistic sense, everything is a part of life: color, music, noise, and even unavoidable interruption. Everything that happens is seen as part of the therapy.

  • Look for client code-words:
     
      Therapist looks at he client’s own remedy.

  • Provides a safe environment:

In humanistic therapy, the client’s feelings of safety are paramount. It is often the case that a client’s reasons for being in therapy are at least influenced by feeling threatened, having a sense of fear of loosing a person, health, freedom, love.
Having them visualize a familiar safe place in their personal history can enhance a client’s safety.

For constructive personality change to occur, it is necessary that these conditions exist and continue over a period of time:
  • Two persons are in psychological contact.
  • The first, whom we shall term the client, is in a state of incongruence, being vulnerable or anxious.
  • The second person, whom we shall term the therapist, is congruent or integrated in the relationship.
  • The therapist experiences unconditional positive regard for the client.
  • The therapist experiences an empathic understanding of the client's internal frame of reference and endeavors to communicate this experience to the client.
  • The communication to the client of the therapist's empathic understanding and unconditional positive regard is to a minimal degree achieved.
  • No other conditions are necessary. If these six conditions exist, and continue over a period of time, this is sufficient. The process of constructive personality change will follow.

A Relationship:
The first condition specifies that a minimal relationship, a psychological contact, must exist.
All that is intended by this first condition is to specify that the two people are to some degree in contact, that each makes some perceived difference in the experiential field of the other. Probably it is sufficient if each makes some "subceived" difference, even though the individual may not be consciously aware of this impact. Thus it might be difficult to know whether a catatonic patient perceives a therapist's presence as making a difference to him–a difference of any kind–but it is almost certain that at some organic level he does sense this difference.
Except in such a difficult borderline situation as that just mentioned, it would be relatively easy to define this condition in operational terms and thus determine, from a hard-boiled research point of view, whether the condition does, or does not, exist. The simplest method of determination involves simply the awareness of both client and therapist. If each is aware of being in personal or psychological contact with the other, then this condition is met.
This first condition of therapeutic change is such a simple one that perhaps it should be labeled an assumption or a precondition in order to set it apart from those that follow.
Without it, however, the remaining items would have no meaning, and that is the reason for including it.
The State of the Client:
It was specified that it is necessary that the client be "in a state of incongruence, being vulnerable or anxious."
Incongruence is a basic construct in the theory we have been developing. It refers to a discrepancy between the actual experience of the organism and the self picture of the individual insofar as it represents that experience. Thus a student may experience, at a total or organismic level, a fear of the university and of examinations which are given on the third floor of a certain building, since these may demonstrate a fundamental inadequacy in him. Since such a fear of his inadequacy is decidedly at odds with his concept of himself, this experience is represented (distortedly) in his awareness as an unreasonable fear of climbing stairs in this building, or any building, and soon an unreasonable fear of crossing the open campus. Thus there is a fundamental discrepancy between the experienced meaning of the situation as it registers in his organism and the symbolic representation of that experience in awareness in such a way that it does not conflict with the picture he has of himself. In this case to admit a fear of inadequacy would contradict the picture he holds of himself; to admit incomprehensible fears does not contradict his self concept. ( Chodorkoff, B. 1954, pg.508-512).
Another instance would be the mother who develops vague illnesses whenever her only son makes plans to leave home. The actual desire is to hold on to her only source of satisfaction. To perceive this in awareness would be inconsistent with the picture she holds of herself as a good mother. Illness, however, is consistent with her self concept, and the experience is symbolized in this distorted fashion. Thus again there is a basic incongruence between the self as perceived (in this case as an ill mother needing attention) and the actual experience (in this case the desire to hold on to her son).
When the individual has no awareness of such incongruence in himself, then he is merely vulnerable to the possibility of anxiety and disorganization. Some experience might occur so suddenly or so obviously that the incongruence could not be denied. Therefore, the person is vulnerable to such a possibility. ( Chodorkoff, B. 1954, pg.508-512).

The Therapist's Genuineness in the Relationship:

The third condition is that the therapist should be, within the confines of this relationship, a congruent, genuine, integrated person. It means that within the relationship he is freely and deeply himself, with his actual experience accurately represented by his awareness of himself. It is the opposite of presenting a facade, either knowingly or unknowingly.
It is not necessary (nor is it possible) that the therapist be a paragon who exhibits this degree of integration, of wholeness, in every aspect of his life. It is sufficient that he is accurately himself in this hour of this relationship, that in this basic sense he is what he actually is, in this moment of time. ( Chodorkoff, B. 1954, pg.508-512).
It should be clear that this includes being himself even in ways which are not regarded as ideal for psychotherapy. His experience may be "I am afraid of this client" or "My attention is so focused on my own problems that I can scarcely listen to him." If the therapist is not denying these feelings to awareness, but is able freely to be them (as well as being his other feelings), then the condition we have stated is met.
It would take us too far afield to consider the puzzling matter as to the degree to which the therapist overtly communicates this reality in him to the client. Certainly the aim is not for the therapist to express or talk out his own feelings, but primarily that he should not be deceiving the client as to himself. ( Chodorkoff, B. 1954, pg.508-512).
Unconditional Positive Regard:

To the extent that the therapist finds himself experiencing a warm acceptance of each aspect of the client's experience as being a part of that client, he is experiencing unconditional positive regard.( Standal, S. 1954).
It means that there are no conditions of acceptance, no feeling of "I like you only if you are thus and so." It means a "prizing" of the person, as Dewey has used that term. It is at the opposite pole from a selective evaluating attitude–"You are bad in these ways, good in those." It involves as much feeling of acceptance for the client's expression of negative, "bad," painful, fearful, defensive, abnormal feelings as for his expression of "good," positive, mature, confident, social feelings, as much acceptance of ways in which he is inconsistent as of ways in which he is consistent. It means a caring for the client, but not in a possessive way or in such a way as simply to satisfy the therapist's own needs. It means a caring for the client as a separate person, with permission to have his own feelings, his own experiences. ( Standal, S. 1954). One client describes the therapist as "fostering my possession of my own experience . . . that [this] is my experience and that I am actually having it: thinking what I think, feeling what I feel, wanting what I want, fearing what I fear: no 'ifs,' 'buts,' or 'not really.'" This is the type of acceptance which is hypothesized as being necessary if personality change is to occur. ( Standal, S. 1954).
Like the two previous conditions, this fourth condition is a matter of degree, as immediately becomes apparent if we attempt to define it in terms of specific research operations. ((Fiedler. F, 1950 , pg.436-445))
To the extent that items expressive of unconditional positive regard are sorted as characteristic of the relationship by both the therapist and the observers, unconditional positive regard might be said to exist. Such items might include statements of this order: "I feel no revulsion at anything the client says": "I feel neither approval nor disapproval of the client and his statements–simply acceptance"; "I feel warmly toward the client–toward his weaknesses and problems as well as his potentialities"; "I am not inclined to pass judgment on what the client tells me"; "I like the client." ((Fiedler. F, 1950, pg.436-445))

Empathy:

The fifth condition is that the therapist is experiencing an accurate, empathic understanding of the client's awareness of his own experience. To sense the client's private world as if it were your own, but without ever losing the "as if" quality–this is empathy, and this seems essential to therapy. To sense the client's anger, fear, or confusion as if it were your own, yet without your own anger, fear, or confusion getting bound up in it, is the condition we are endeavoring to describe. ((Fiedler. F, 1950, pg.436-445)) When the client's world is this clear to the therapist, and he moves about in it freely, then he can both communicate his understanding of what is clearly known to the client and can also voice meanings in the client's experience of which the client is scarcely aware. As one client described this second aspect: "Every now and again, with me in a tangle of thought and feeling, screwed up in a web of mutually divergent lines of movement, with impulses from different parts of me, and me feeling the feeling of its being all too much and suchlike–then whomp, just like a sunbeam thrusting its way through cloudbanks and tangles of foliage to spread a circle of light on a tangle of forest paths, came some comment from you. ((Fiedler. F, 1950 , pg.436-445))

The Client's Perception of the Therapist:

The final condition as stated is that the client perceives, to a minimal degree, the acceptance and empathy which the therapist experiences for him. Unless some communication of these attitudes has been achieved, then such attitudes do not exist in the relationship as far as the client is concerned, and the therapeutic process could not, by our hypothesis, be initiated.
Since attitudes cannot be directly perceived, it might be somewhat more accurate to state that therapist behaviors and words are perceived by the client as meaning that to some degree the therapist accepts and understands him.






Psychology... A Delve.... From ME towards I ....!!! : Defense Mechanisms

Psychology... A Delve.... From ME towards I ....!!! : Defense Mechanisms: In some areas of psychology (especially in psychodynamic theory), psychologists talk about “defense mechanisms,” or an environment in wh...

Defense Mechanisms



In some areas of psychology (especially in psychodynamic theory), psychologists talk about “defense mechanisms,” or an environment in which we behave or think in definite ways to better protect or “defend” ourselves. Defense mechanisms are one way of looking at how people detach themselves from a full awareness of unpleasant thoughts, feelings and behaviors.
The amazing ability of the sub-conscious mind to protect the conscious mind is the root of many symptoms and problem behaviors encountered in counseling,therapy and personal growth.

In Sigmund Freud's topographical model of personality, the ego is the aspect of personality that deals with reality. While doing this, the ego also has to cope with the conflicting demands of the id and the superego. The id seeks to fulfill all wants, needs and impulses while the superego tries to get the ego to act in an idealistic and moral manner.

What happens when the ego cannot deal with the demands of our desires, the constraints of reality and our own moral standards? According to Freudanxiety is an unpleasant inner state that people seek to avoid. Anxiety acts as a signal to the ego that things are not going right.
Frued identified three types of anxiety:
1.      Neurotic anxiety is the unconscious worry that we will lose control of the id's urges, resulting in punishment for inappropriate behavior.

2.      Reality anxiety is fear of real-world events. The cause of this anxiety is usually easily identified. For example, a person might fear receiving a dog bite when they are near a menacing dog. The most common way of reducing this anxiety is to avoid the threatening object.

3.      Moral anxiety involves a fear of violating our own moral principles.
In order to deal with this anxiety, Freud believed that defense mechanisms helped shield the ego from the conflicts created by the id, superego and reality. Because of anxiety provoking demands of  id,edo and super ego,ego has developed a number of defense mechanisms to deal with anxiety.
Most defense mechanisms are fairly unconscious – that means most of us don’t realize we’re using them in the moment. Some types of psychotherapy can help a person become aware of what defense mechanisms they are using, how effective they are, and how to use less primitive and more effective mechanisms in the future. 
Some of the defense mechanisms are:
1 : Rationalization - unconscious explanations, excuses or reasonings given to make a behavior seem reasonable
       For e.g
:a student might blame a poor exam score on the instructor rather than his or her lack of preparation.

2 :Regression : Regression is the reversion to an earlier stage of development in the face of unacceptable thoughts or impulses. 
       For an example an adolescent who is overwhelmed with fear, anger and growing sexual impulses might become clingy and start exhibiting earlier childhood behaviors he has long since overcome, such as bedwetting. An adult may regress when under a great deal of stress, refusing to leave their bed and engage in normal, everyday activities.
3 :Reaction Formation: 
Reaction formation reduces anxiety by taking up the opposite feeling, impulse or behavior. 
             An example of reaction formation would be treating someone you strongly dislike in an excessively friendly manner in order to hide your true feelings.
4: Projection - Attempts to expel or "disown" unwanted and disliked thoughts, behaviors, and even "parts of self" by projecting or attributing them to someone else.
May be as simple as blaming someone else - "He should have let me off on that ticket but that cop was trying to fill his monthly quota."
Or as complex as seeing and experiencing a repressed or "disowned" part of self in another person –
          e.g., an excessively passive person marries an excessively angry person - both experience their disowned "part" in the other.

5:Introjection - The opposite of projection - subconsciously "takes in" to self an imprint (or recording) of another person including all their attitudes, messages, prejudices, expressions, even the sound of their voice, etc.
This is healthy if the imprinted material is helpful advice, warnings, or other lessons from parents and respected others -- unhealthy if shaming messages from parents, hatred, or aggression is turned inward on self.

6 : Denial : Denial is the refusal to accept reality or fact, acting as if a painful event, thought or feeling did not exist. It is considered one of the most primitive of the defense mechanisms because it is characteristic of early childhood development. Many people use denial in their everyday lives to avoid dealing with painful feelings or areas of their life they don’t wish to admit.
         For example, a person who is a functioning alcoholic will often simply deny they have a drinking problem, pointing to how well they function in their job and relationships.
7 :Repression: Repression is the unconscious blocking of unacceptable thoughts, feelings and impulses. The key to repression is that people do it unconsciously, so they often have very little control over it. “Repressed memories” are memories that have been unconsciously blocked from access or view. But because memory is very malleable and ever-changing, it is not like playing back a DVD of your life. The DVD has been filtered and even altered by your life experiences, even by what you’ve read or viewed.
          Eg. : A child who is abused by a parent later has no recollection of the events, but has trouble forming relationships.
8 : Regression : This is a movement back in psychological time when one is faced with stress. When we are troubled or frightened, our behaviors often become more childish or primitive. 
          For Example : A child may begin to suck their thumb again or wet the bed when they need to spend some time in the hospital. Teenagers may giggle uncontrollably when introduced into a social situation involving the opposite sex.

9 :Displacement :  
Displacement involves taking out our frustrations, feelings and impulses on people or objects that are less threatening. 
           Displaced aggression is a common example of this defense mechanism. Rather than express our anger in ways that could lead to negative consequences (like arguing with our boss), we instead express our anger towards a person or object that poses no threat (such as our spouse, children or pets).
10 :Sublimation :  This is similar to displacement, but takes place when we manage to displace our emotions into a constructive rather than destructive activity. 
           This might for example be artistic “ many great artists and musicians have had unhappy lives and have used the medium of art of music to express themselves. Sport is another example of putting our emotions (e.g. aggression) into something constructive.

11: Identification with the Aggressor :  A focus on negative or feared traits. I.e. if you are afraid of someone, you can practically conquer that fear by becoming more like them.

            An extreme example of this is the Stockholm Syndrome where hostages identify with the terrorists. E.g. Patty Hearst and the Symbionese Liberation Army. Patty was abused and raped by her captors, yet she joined their movement and even took part in one of their bank robberies. At her trial she was acquitted because she was a victim suffering from Stockholm Syndrome.

12 :  Intellectualization :  Intellectualization is a 'flight into reason', where the person avoids uncomfortable emotions by focusing on facts and logic. The situation is treated as an interesting problem that engages the person on a rational basis, whilst the emotional aspects are completely ignored as being relevant.
        For example, a person who has just been diagnosed with a terminal illness might focus on learning everything about the disease in order to avoid distress and remain distant from the reality of the situation.
13: Isolation - Separation of memory from emotion...can remember and talk about the trauma but feels no emotion -- the Person talks about the incident as if it is someone else's story. Accomplished by talking Third Perceptual Position.
14: Undoing:
Undoing is the attempt to take back an unconscious behavior or thought that is unacceptable or hurtful. 

             For instance, after realizing you just insulted your significant other unintentionally, you might spend then next hour praising their beauty, charm and intellect. By “undoing” the previous action, the person is attempting to counteract the damage done by the original comment, hoping the two will balance one another out.
15 : Conversion - Mental conflict converted to a physical symptom... 
e.g., a soldier on being deployed into battle is conflicted about his desire to serve his country but believes it is wrong to kill for any reason develops paralysis, blindness, or deafness with no medical cause.
16 :Humor : Pointing out the funny and ironic aspects of the situation.



Tuesday 16 October 2012

Psychology... A Delve.... From ME towards I ....!!! : Defence Mechanisms

Psychology... A Delve.... From ME towards I ....!!! : Defence Mechanisms: In some areas of psychology (especially in psychodynamic theory), psychologists talk about “defense mechanisms,” or an environment  in w...

Psychology... A Delve.... From ME towards I ....!!! : Depression

Psychology... A Delve.... From ME towards I ....!!! : Depression: Depression is curable at any age.So if a person is suffering from depression, don't leave them alone,they need yours and our's help....

Psychology... A Delve.... From ME towards I ....!!! : DSM-IV classification

Psychology... A Delve.... From ME towards I ....!!! : DSM-IV classification: The DSM IV is published by the American Psychiatric Association.  Much of the information from the Psychiatric Disorders pages is summari...

DSM-IV classification


The DSM IV is published by the American Psychiatric Association.  Much of the information from the Psychiatric Disorders pages is summarized from the pages of this text.  Should any questions arise concerning incongruencies or inaccurate information, you should always default to the DSM as the ultimate guide to mental disorders.

The DSM uses a multiaxial or multidimensional approach to diagnosing because rarely do other factors in a person's life not impact their mental health.  It assesses five dimensions as described below:

  • This is what we typically think of as the diagnosis (e.g., depression, schizophrenia, social phobia)
  • Developmental disorders include autism and mental retardation, disorders which are typically first evident in childhood 
  • Personality disorders are clinical syndromes which have a more long lasting symptoms and encompass the individual's way of interacting with the world.  They include Paranoid, Antisocial, and Borderline Personality Disorders.
Axis III: Physical Conditions which play a role in the development, continuance, or exacerbation of Axis I and II Disorders
  • Physical conditions such as brain injury or HIV/AIDS that can result in symptoms of mental illness are included here. 
Axis IV: Severity of Psychosocial Stressors
  • Events in a persons life, such as death of a loved one, starting a new job, college, unemployment, and even marriage can impact the disorders listed in Axis I and II.  These events are both listed and rated for this axis.
Axis V: Highest Level of Functioning
  • On the final axis, the clinician rates the person's level of functioning both at the present time and the highest level within the previous year.  This helps the clinician understand how the above four axes are affecting the person and what type of changes could be expected.