Download - Carolyn R. Fallahi, Ph. D. Introduction to Clinical Psychology Humanistic therapy – A case study
Carolyn R. Fallahi, Ph. D.Introduction to Clinical Psychology
Humanistic therapy – A case study
History of Person-centered therapyCarl RogersHistory: Nondirective therapyThen client-centeredThen person-centered (to include
encounter groups and psychoeducation).Assumptions:
All human beings possess a self-directed growth process
Mechanism by which that process is activated…..
VocabularySelf-actualizationThe Self or self-structure/self-concept
Conceptual mapI or mePerceptions of I or me in relation to othersReal or actual selfIdeal selfCongruenceincongruence
TherapyUnconditional positive regardConditions of worthLocus of evaluationGenuineness and empathyEmpathy and empathic listeningAbnormalityAssessment and DiagnosisQ-sortWhat about external evaluations?
TherapyNegotiation of the therapeutic relationshipNecessary and sufficient conditionsTherapist focusWhat does the client have to do?Therapeutic techniquesThe process of therapyResearch in Client-centered therapyCriticisms
Childhood Traumatic GriefNew childhood condition – Childhood
Traumatic Grief (CTG).ConceptualizationSymptomsCoping Mechanism
Other Common Symptomsdepression or anxiety.Issues with internalizing or externalizing
behaviors.Similar to loss of a parent through divorce.Higher incidence of “interpersonal
sensitivity”.
Examples1998 hurricane that killed 4,000 people in
Nicaragua.9/11 examples.Virginia Tech examples.
Client-Centered Treatment – Carl Rogers
The role of the therapistProvides assistance based on certain
beliefs – the person is valuable, worthwhile, and fully equipped to understand her life.
Techniques used.The challenge for the therapist.
Traumagenic ModelThe use of CCT is especially compatible
with Finkelhor & Browne’s traumagenic model.
What is the traumagenic model?What symptoms are common in children &
adolescents?
Case StudyThe case of Shelly – a 15-year-old high
school sophomore at a large public high school.
Development history was unremarkable.No previous history of mental health
problems.
Case StudyHonor student.Small, close group of friends from elementary
school.No hobbies & was not on any sports teams.Shelly told her mother that 6 months after the
death of her father, she needed help.In the pretreatment evaluation, Shelly seemed
to vacillate between attempting to control her feelings & being overwhelmed by them.
She appeared to function well when provided structure, as in school.
Case StudyBoth Shelly & mom felt that they were arguing
more.Adjustment disorder – diagnosis.Shelly also reported a number of symptoms of
PTSD, including 4/5 arousal symptoms, 4/5 reexperiencing symptoms, & depression & anxiety.
Based on Shelly’s symptoms & reported difficulties in various areas of her life, she was seen as having CTG.
Positive long-term outcome was seen because she did not have any pre-event mental health problems & her mother was asymptomatic for PTSD. Both mother & child had strong support networks.