malters- reality therapy€¦ · web viewhe introduced choice theory to the world as a ......
TRANSCRIPT
Running Head: REALITY THERAPY A NEO-ADLERIAN APPROACH 1
Reality Therapy a Neo-Adlerian Approach
Michelle Malters
Adler University
REALITY THERAPY A NEO-ADLERIAN APPROACH 2
Introduction
Carlson, Maniacci, and Sackett-Maniacci (in press) discuss Alfred Adler’s work and how
over time there has been a recognition of how many theoretical approaches have significant
similarities with Adler’s Individual Psychology. Neo-Adlerian approaches are theories that are
believed to be heavily influenced by the work of Adler. Within Neo-Adlerian approaches,
theorists have taken major concepts of Individual Psychology and used those concepts to
produce a theory of their own. These Neo-Adlerian approaches may have many similarities
related to core tenants and may have some significant differences. William Glasser’s Reality
Therapy (Glasser, 1965; Glasser, 2000) is the theory that will be explored in this paper. This
paper will explore both similarities and differences of the above named approaches.
This writer proposes that there are many similarities between the Reality Therapy and
Individual Psychology approaches. There are also some strong distinctions between the two
theories. For some, these similarities may bring curiosity to the thought that Reality Therapy may
be a Neo-Adlerian approach.
This paper will primary focus on Reality Therapy and its comparison to Alfred Adler’s
(Adler, 1956) Individual Psychology.
William Glasser and Choice Theory
In the 1950’s and 1960’s William Glasser, a psychiatrist, began to question classical
ideas of therapy during his time working in inpatient psychiatric and correctional settings. As a
classically trained psychiatrist, Glasser witnessed in his work that clients appeared to remain
stuck in their ineffective behaviors regardless of their ability to gain insight and achieve
psychoanalytic therapeutic goals (Wubbolding, 2011). Choice Theory was developed by William
REALITY THERAPY A NEO-ADLERIAN APPROACH 3
Glasser. He introduced choice theory to the world as a way of explaining behaviors and human
motivation. William Glasser believed it was more pertinent to focus on issues of the conscious
rather than unconscious. Like Adler, Glasser believed that the popular analytic approaches kept
individuals stuck in their behaviors, primarily due to a lack of taking responsibility. Glasser held
that progress could be measured not simply through insight but through changes in behaviors
(Glasser, 1965).
Robert Wubblding (2015) outlined the five principles of Choice Theory. All human
behavior is influenced by the five human needs. All humans formulated wants based on their
needs, and these wants are based on their quality world. Behavior is generated when an
individual’s quality world is out of balance because desires are not satisfied. All behavior is
purposeful. All behaviors are attempts to impact the external world in order to meets goals and
needs.
Reality Therapy is based on William Glasser’s choice theory. Reality therapy can be
viewed as the vehicle in which choice theory is practiced and enacted. Choice theory is an
organized system of elucidating perceptions, motivations, and behaviors. The purpose of
working towards this understanding is to shift an individual’s focus from an external to an
internal locus of control. As the name suggests, choice is emphasized within this theory, all
humans have the ability to make choices, and their choices influence their experienced
satisfaction and needs being met. Choice theory is utilized to provide understanding of how the
human mind works and reality therapy provides techniques in working with people on choices.
In developing Choice Theory, William Glasser was influenced by the works of William
Powers, particularly in relation to the ideas of internal control (Peterson, 2005). Choice theory
can be found in many of the early theories of psychology as well as historically in philosophy.
REALITY THERAPY A NEO-ADLERIAN APPROACH 4
William Glasser followed the work of William James and Helmut Kaiser (Glasser, 1965). It does
not appear that William Glasser referenced Alfred Adler in the development of his theory.
However, Glasser and other Reality Therapy theorists had made mention of Adler’s works and
the similarities between Individual Psychology and Reality Therapy (Wubbolding, 2011;
Peterson, 2005).
William Glasser (1965) proposed the idea of the five basic needs that every human must
have met in order to have mental health and be effective in their behaviors. The five basic needs
are survival, love and belonging, power, freedom, and fun. The most significant basic need is
loving and belonging. An individual must be able to show love for another as well as a capacity
to receive love. Part of this need is to feel worthy. This need can never be fully satisfied; the
psychological symptoms will vary in severity for each individual. Survival encapsulates the
essentials that humans need to preserve themselves such as shelter, food, etc. Power can be found
when individuals choose behaviors that provide them with a sense of internal control. When this
need is being met, an individual will feel a sense of accomplishment and self-worth. Freedom is
motivated by a desire for individuals to make effective choices from a variety of options. Human
beings have an innate desire for independence. Fun encompasses the human desire for
satisfaction and partaking in enjoyable activities. Every person experiences fun differently, the
person experiences some sense of pleasure in their choices and behaviors (Wubbolding, 2011).
Maniacci et al (in press) discussed 14 constructs of Individual Psychology. Written below
a detailed comparison of those 14 concepts and the similarities and differences with Reality
Therapy concepts.
REALITY THERAPY A NEO-ADLERIAN APPROACH 5
Neo-Adlerian Approach
Egalitarian Relationship
From a reality therapy perspective, the collaborative relationship between the therapist
and client is viewed to be one of the most important aspects of therapy. An egalitarian
relationship is equally as highlighted in the Adlerian approach. The concept of encouragement in
therapy is valued in both Individual Psychology and Reality Therapy approaches (Carlson &
Glasser, 2004).
From a Reality Therapy perspective if a client and counselor are not able to connect, then
there will be no opportunity for the client to make changes (Glasser, 2000). In Reality Therapy,
the counselor works to encourage the client and help the client to find hope. Within the
therapeutic relationship the concepts of empathy, congruence, positive regard, curiosity,
openness, acceptance, and love are stressed. Williams Glasser (1965) explained that there are
tonics and toxins within the therapeutic relationship. Tonics are things that all therapists should
exemplify. The tonics are commitment to therapy, sharing perceptions and wants, having
structure in sessions, the use of reflective listening skills, refrain from judgment, use of
metaphors and stories, allow for silence, focus on the present and future, and redirect the client
when necessary. Toxins are blaming a client, becoming involved in argumentative conversation
with a client, criticizing a client, accepting excuses, and giving up on the client.
Early Life Experiences
Glasser (1965) wrote that within the Reality Therapy approach there is an
acknowledgement of the possible impact of previous experiences (childhood and later).
However, there is a great emphasis on here and now behaviors and motivations. Childhood
REALITY THERAPY A NEO-ADLERIAN APPROACH 6
experiences are not explored within Reality Therapy. There is an understanding that the
environmental and cultural influences have a great impact on human development. Glasser
viewed exploring the past to be useless, nothing could be accomplished by looking into the past
because the work is in the present (Carlson & Glasser, 2004). In Reality Therapy the only time a
counselor and client would explore the past is to discuss previous successes (Wubbolding, 2011).
Adlerians tend to spend a good deal of time exploring one’s past through the use of early
recollections, family constellation analysis, lifestyle assessment, etc. The relationship between
siblings has a strong effect on individual development (Mosak & Maniacci, 1999). Carlson &
Glasser (2004) commented on the fact that within Individual Psychology the past is not
particularly important, but what is important is the individual’s perception of the past.
Even though William Glasser was not interested in the family constellation, he had
interest in family values. He believed that understanding family values could be useful in therapy
(Carlson & Glasser, 2004).
Behaviors
William Glasser (1965) believed that all behaviors are intentional and purposeful.
Behaviors are believed to make an impact upon the individual’s external world in order to have
their needs met or to achieve goals. Humans choose behaviors in an attempt to satisfy needs.
These behaviors may prove to either be effective or ineffective. Alfred Adler held a similar belief
that behaviors are purposeful. Within the Individual Psychology approach, the therapist works to
understand the purpose of behaviors (Carlson, Watts, & Maniacci,.2006).
Both Adler and Glasser rejected the notion of external motivation. Instead, both Adler
and Glasser held the belief that people are capable of making choices and producing change
REALITY THERAPY A NEO-ADLERIAN APPROACH 7
(Peterson, 2005). With this belief of internal control comes the concept of responsibility.
Individuals are responsible for those choices and behaviors in both Individual Psychology and
Reality Therapy. Glasser viewed responsibility as “the ability to fulfill one's needs, and to do so
in a way that does not deprive others of the ability to fulfill their needs" (Glasser, 1965). Adler
acknowledged the lack of choices that one may have based on limited options. Part of Adler’s
views of motivation include ideas related to community feeling and social interest. If individuals
have low social interest, they may attempt to gain superiority in a way that negatively affects
others. Whereas Glasser held a broader perspective of all behaviors being chosen (Peterson,
2005).
While Adler wrote about striving for superiority as motivation, Glasser wrote about
satisfying basic needs as motivation. Glasser highlighted love and belonging as the primary basic
need. Glasser (1965) wrote about the importance of love and belonging and how to have mental
health likely means to have at least one relationship or connection with another person. The
other person in the relationship must be able to meet their own basic needs as well as be in touch
with reality for the relationship to promote health. Without a relationship with another person
and without care for self, one is incapable of fulfilling their needs.
Social Embeddedness
Carlson, Watts, & Maniacci (2006) explained that all people are moving in the social
networks in which they exist. Behaviors are made in an attempt to fit into one’s community. All
people are ultimately attempting to find belonging. Within social embeddedness, is the concept
of community feeling and social interest. Social interest can be seen in cooperative relationships
with others. Social embeddedness is first seen in one’s family.
REALITY THERAPY A NEO-ADLERIAN APPROACH 8
Within Reality therapy, there is a perceived need for a sense of belonging. Individuals
have a desire to fit in and find enjoyment from socially fitting in well with others (Carlson &
Glasser, 2004). It is believed that people need to have at least one stable relationship in which
they care for another and are also cared for. Individuals need to feel worthwhile in their social
context. There is not a comprehensive understanding of community, and connectedness is spoken
about more on an individual level. However, to be responsible means to not deprive others of
their ability to meet their own needs. When individuals take part in a relationship with another
that provides and gives care, the individual is likely to choose effective behaviors and the
symptomology of mental illness will dissipate (Glasser, 1965).
Positive Psychology
Adler believed in not focusing on the weaknesses that clients have but rather viewing
people in a way that appreciates and hones in on a person’s strengths (Mosak & Maniacci, 1999).
Carlson, Watts, & Maniacci (2006) indicate that mental health can be seen in those who exhibit a
high level of social interest. Social interest can be seen when individuals are concerned with
others, and not just themselves, as well as work cooperatively with others. Both Adler and
Glasser believed that symptomology could be worked through to have an individual function on
a more effective or healthier level (Peterson, 2005).
Within the Reality Therapy approach there is a focus on health rather than
psychopathology. This aligns well with positive psychology. Both Adler and Glasser rejected the
notion of mental illness that was highlighted in Freudian theory (Peterson, 2011). Both of these
approaches place an emphasis on client strengths. Glasser (1965) stated that all individuals who
need mental health treatment are expressing their problems because they are unable to meet their
basic needs. The severity of the expressed symptom is based on how much difficulty and how
REALITY THERAPY A NEO-ADLERIAN APPROACH 9
well the need is being fulfilled. Glasser believed that as people chose behaviors that were more
effective in basic needs satisfaction their symptoms would start to dissipate (Peterson, 2005).
Individuals who present as mentally healthy exhibit future oriented thinking, accept the rules of
the society they live in, are adaptive when presented with changes, find fulfillment in their daily
life, and are willing to change their behaviors (Wubbolding, 2011).
Both Adler and Glasser disagreed with the concept of the labeling of clients. Even the
commonly held idea of psychopathology is viewed as beneficial to the client. For example, the
symptoms of depression may allow a person to avoid a situation that is challenging or may even
be useful for an individual to seek help (Peterson, 2005). From a Reality Therapy perspective,
the labeling of clients provides clients with an excuse to continue ineffective behaviors and
relinquish responsibility (Glasser, 1965).
Holism
Alfred Adler (1956) postulated that individuals should be viewed in their entirety rather
than examining parts or the sum of the parts. A person can only be adequately understood in their
totality.
Carlson and Glasser (2004) agreed that holism could be equated with Glasser’s concept
of total behavior. Glasser (1965) explained that total behavior in Reality Therapy accounts for
one’s actions, feelings, thoughts, and physiology. These components are viewed as inseparable.
Humans maintain control by having all of these components working together in a system. One’s
needs and wants are the motivation for four of the components of total behavior. Humans are
believed to have more control over their actions and thoughts and less control over their feelings
and physiology. Due to having less control of feelings and physiology in therapy, there is a focus
REALITY THERAPY A NEO-ADLERIAN APPROACH 10
on the thoughts and actions of a client. To change one of the components of total behavior is to
change all of the components.
Teleology
Unlike other popular theories of the time, Adler did not believe that people were driven
by internal forces. From an individual psychology perspective, people strive to meet their goals.
Every person is moving towards goals, therefore this movement is unique to the individual. The
most common goal is belonging (Adler, 1957). This movement towards goals is seen in the
concept of teleology.
Glasser (1965) indicated that individuals are viewed as working towards meeting their
goals through their behaviors. In Reality Therapy, this is where choice theory comes into play.
Humans are believed to be motivated to satisfy at least one of the basic needs. Every person
makes choices that they believe will satisfy their wants and needs; these choices vary from
person to person.
Creativity
Individual Psychology theory holds that humans are both proactive and reactive in their
environment. People are creative and capable of action in constructing their experience (Mosak
& Maniacci, 1999).
Glasser explained that humans can only control their own behaviors, however, they also
attempt to control various things in their world. Glasser viewed this to be positive because people
can attempt to control negative aspects of their environments (Carlson & Glasser, 2004). Glasser
viewed responsibility as “the ability to fulfill one's needs, and to do so in a way that does not
deprive others of the ability to fulfill their needs" (Glasser, 1965). An individual perceives things
REALITY THERAPY A NEO-ADLERIAN APPROACH 11
from the world around them and acts to impact and receive input from the world (Wubbolding,
2011).
Individuals are responsible for their choices and behaviors in both Individual Psychology
and Reality Therapy (Peterson, 2005). Adler acknowledged the lack of choices that one may
have based on limited options. Part of Adler’s views of motivation include ideas related to
community feelings and social interest. Whereas, Glasser held a broader perspective of all
behaviors being chosen (Peterson, 2005).
Subjective Perception of Phenomenology
Phenomenology is an individual’s perception of one’s self and the world around them.
This can be viewed as one’s subjective reality. Objective reality may be less important to an
individual as compared to how they make meaning of their world (Carlson, Maniacci, and
Sackett-Maniacci, in press).
Glasser’s assumption of one’s quality world is quite similar. Glasser (1965) explains that
as we are growing up we have experiences that we label as pleasant or unpleasant, need fulfilling
or unsatisfying. Individuals develop wants based primarily from family and cultural influences.
Every person’s quality world is unique to them. The quality world is comprised of references of
the things most important to the person. These references may include places, hopes for the
future, important people, etc. One’s quality world includes the future and the present. The quality
world sets standards and expectations for life. During the different stages of development, the
quality world changes. Individuals compare their quality world with their current wants and
needs. Needs are general to all humans whereas wants are specific to the individual
(Wubbolding, 2011).
REALITY THERAPY A NEO-ADLERIAN APPROACH 12
Soft Determinism
Alfred Adler believed in the concept of soft determinism. The concept of soft
determinism suggests that although humans are influenced by their genetics and environment,
they have the ability to make choices and are instrumental in their world. Individuals are not
bound by their heredity or physical environments (Mosak & Maniacci, 1999).
Within Reality Therapy, it is believed that every human has ‘genetic instructions’, every
person’s genes provide innate needs that all humans have during their lifetime. These needs
motivate all behaviors (Glasser, 1965). However, William Glasser believed that even though
humans have past experience, and in ways have been influenced by them, people always have
choices. People will make choices that they perceive to best fit situations based on their need to
satisfy their basic needs (Wubbolding, 2011).
Social Field Theory
All people are exposed to and influenced by the environment in which they live and grow
up in. Because of this, people cannot be separated from their social context. In order to best
understand a client, a therapist must work to understand how the client interacts with others
(Mosak & Maniacci, 1999).
In Reality Therapy, individuals are influenced by their social contexts. However, people
are still viewed to have full control of their choices (Glasser, 1965). Glasser (1965) believed
individuals had to have stable interpersonal relationships with significant figures in their lives to
have mental health.
Motivation as Striving
REALITY THERAPY A NEO-ADLERIAN APPROACH 13
Adler (1956) explained that humans are always moving, and are attempting to move
toward a perceived plus situation from a perceived minus. All people are striving for superiority.
In Reality Therapy, people are not viewed in a static manner. People are always working
towards fulfilling their needs by choosing behaviors. Their behaviors may be effective or
ineffective in meeting a want or need (Glasser, 1965). Choice Theory and quality world seems to
fit in well with the Adlerian assumption of motivation for striving. Glasser stated that he did not
disagree with Adler’s ideas related to motivation for striving, however, he did not have a
framework within his theory that clearly dealt with issues of superiority or compensating for
feelings of inferiority (Carlson & Glasser, 2004). While striving for superiority is not specifically
referenced in any of the resources that this writer utilized in the writing of this paper, a
comparison that may be similar is the use of one’s quality world. An individual will compare
their ideal quality worlds to their current behavior and make behavioral choices that seem to best
fit (Wubbolding, 2011). This idea, in essence, may benefit the individual and others in their
environment.
Ideographic Orientation
In Individual Psychology, all individuals are considered to be unique. There are some
general qualities of humanity but to understand a person we must attend to their unique qualities
and way of being (Mosak & Maniacci, 1999).
In Reality Therapy, an individuals’ quality world is taken into account which is unique to
every person. William Glasser (1965) believed that basic needs and the core tenants of Reality
Therapy are universal to all human beings. However, the way that one meets their needs and
experiences satisfaction in those needs likely looks different from person to person. How one
REALITY THERAPY A NEO-ADLERIAN APPROACH 14
perceives the world is also different from person to person. This can be seen as a grey area in
understanding this as a possible similarity in theories.
Psychology of Use
According to Dreikurs (1967), psychopathology occurs when individuals are not
fulfilling their life tasks, not moving towards their goals, and/or lacking social interest.
Symptoms of psychopathology are chosen by the person based on a perception that the
symptoms will assist in moving the individual toward their selected goals. An individual’s
lifestyle and symptoms provide maintenance of convictions and behaviors (Mosak & Maniacci,
1999).
Glasser (1965) believed that all behavior is purposeful. People choose behaviors for two
reasons. The first reason to choose a behavior is to impact the external world. The impact upon
the external world is made in attempt to meet a need. The second purpose of behavior is to
communicate with the outside world. Behaviors are messages that can communicate needs,
wants, or beliefs of the individual (Wubbolding, 2011). The ultimate goal of behaviors is to get
something from the behaviors. Even if the behaviors or choices seem ineffective the client is
believed to be gaining something. The person would hopefully be getting something that meets a
basic need. Every person compares their wants to what they are receiving from the world around
them. Through behaviors individuals are attempting to gain perceptions that parallel their wants
(Wubbolding, 2011).
In both Reality Therapy and Individual Psychology, even the commonly held idea of
psychopathology is viewed as beneficial to the client. For example, the symptoms of depression
may allow a person to avoid a situation that is challenging or may even be useful for an
REALITY THERAPY A NEO-ADLERIAN APPROACH 15
individual to seek help (Peterson, 2005). Within the Individual Psychology approach, the
therapist works to understand the purpose of behaviors (Carlson, Watts, & Maniacci, 2006).
Acting as if
Mosak and Maniacci (1999) explained that every person has perceptions of themselves
and the world around them. People take these perceptions and create a guide for how they
navigate and behave in their world. People act in a way that is in accordance with this guide with
a belief that is an accurate depiction.
One’s quality world can be viewed in a very similar way. One’s quality world can assist a
person in navigating choices. People hold perceptions of others and the world around them.
People judge their perceptions as to whether or not they are satisfying needs or somehow
troublesome to the person’s quality world. Individuals are navigating their worlds and make
decisions based on their desire to gain input from the external world (Wubbolding, 2011).
Self-fulfilling Prophecy
When people “act as if”, their perceptions are accurate then they start to filter feedback
from the world in a similar matter. With this filter, people tend to find what they expect to see
(Mosak and Maniacci, 1999).
Glasser (1984) discussed the quality world and how people filter information from the
outside world. He stated that there were two different levels of perceptions: the lower and higher
levels. The lower level filters information by labeling information without judging it. The higher
level of perception assigns value to the incoming information. The value placed on information
can be neutral or be assigned positive or negative. Our perceptions create our reality. These
perceptions of one’s reality will affect the thoughts, feelings, and behaviors of the individual.
REALITY THERAPY A NEO-ADLERIAN APPROACH 16
Optimism
Adler believed that people are capable of change and frequently do change. Individuals
are capable of taking responsibility and existing cooperatively with others. While humans are
viewed as capable and responsible, Adler believed that in nature humans are neutral, not good or
bad (Mosak & Maniacci, 1999).
Humans are not believed to neither good or bad, but all humans have the ability to make
decisions about their thoughts and actions (Wubbolding, 2011). From a Reality Therapy
perspective, humans are capable of change through evaluating their total behavior, taking
responsibility, and making effective choices (Glasser, 1965). Within Reality Therapy, it is the
counselor’s duty to support their client in the change process (Glasser, 2000).
Integration
Individual Psychology can be considered an integrative approach. Therapists work to
meet each client’s unique needs. Therapists attempt to be flexible while also being consistent in
their work (Carlson, Watts, & Maniacci, 2006).
Reality Therapy is not considered to be an integrative approach (Peterson, 2005). There is
no scholarly evidence that Reality therapists have used the theory in an integrative way with
other approaches.
Intervention
The Adlerian approach has a host of interventions that are unique to the theory. Some
interventions unique to Individual Psychology include the question, the push button technique,
catching one’s self, spitting in the soup, acting ‘as if’ (Manaster & Corsini, 1982). Reality
REALITY THERAPY A NEO-ADLERIAN APPROACH 17
therapy has a limited number of prescribed interventions within the theory (Peterson, 2005).
Some of the interventions are common among many theoretical approaches.
One of the greatest interventions in Reality Therapy is the WDEP system that was
developed by Robert Wubbolding (Wubbolding, 2011). Wubbloding (2011) explained that the
WDEP system is comprised of Wants, Doing, Self-Evaluation, and Planning. The Wants part of
the WDEP system is where counselor and client explore the client’s current wants, where the
client perceives their locus of control to be, and their current level of commitment. The D stands
for Doing. In this stage, the client explores their behaviors and what they are doing. During this
stage, the client’s total behavior is examined and actions and emotions are explored. In the Self-
Evaluation stage (the E in the WDEP system), the client assesses their behaviors and how these
behaviors are meeting their wants and needs. The P stands for Planning. Plans should include
attainable and measurable behaviors that can be carried out quickly without the reliance of
others. The counselor works collaboratively with the client in order to make plans for meeting
needs and choosing effective behaviors for the future (Wubbolding, 2015).
The WDEP system can be compared to the four stages in the Individual Psychology
approach. Dreikur’s (1967) outlined the four phases of therapy in Individual Psychology which
include the Relationship, Assessment, Insight, and Reorientation stages. The reorientation stage
of Individual Psychology has many similarities to the planning part of the WDEP system. Much
of the Wants, Doing, and Self-Evaluation of the WDEP system can be compared to the
Assessment stage of the Individual Psychology approach. In both approaches, the therapist and
the client work together to discover different factors pertinent to therapy and how the individual
operates (Peterson, 2005). This is also a time for the therapist to better understand the client in
general. In Reality Therapy there is a strong belief that a relationship must be formed with a
REALITY THERAPY A NEO-ADLERIAN APPROACH 18
client before there is a possibility for change (Glasser, 2000). This assumption fits in well with
the Relationship stage of Individual Psychology. Reality Therapists work collaboratively with
clients and challenge them. Reality Therapist do not shy away from providing ideas and thoughts
to their clients, even if they are not certain they are correct (Carlson & Glasser, 2004). The
Reorientation stage of Individual Psychology is very similar to the world that therapists and
clients do in Reality Therapy. Therapists assist clients in making more effective choices that will
ultimately change behaviors and satisfying client needs (Wubbolding, 2011).
Other therapeutic techniques and interventions frequently used in Reality Therapy
include the use of humor, skillful questions used to gain understanding of client, role playing,
confrontation, bibliotherapy, and obtaining commitments (Wubbolding, 2015). Almost all of
these interventions can and are demonstrated by therapists who practice from the Individual
Psychology approach (Carlson & Glasser, 2004).
Therapeutic Goals
The therapeutic goals in Reality Therapy and Individual Psychology are rather similar.
Glasser (1965) indicates that clients will experience success in therapy when they acknowledge
the world around them and realize that they must work to fulfill their needs within the context of
reality. The ultimate goals of Reality Therapy are to assist clients in making more effective
choices and clients meeting their basic needs through more effective behaviors. These goals are
found to be much easier to accomplish when the client has relationships that he/she perceives to
be satisfying (Wubbolding, 2011). These goals can be met after the therapist and client work
collaboratively to identify which basic needs are not being met.
REALITY THERAPY A NEO-ADLERIAN APPROACH 19
Overall goals of Individual Psychology can be viewed as establishing a positive
therapeutic relationship, assisting clients in choosing behaviors that are socially responsible, and
being effective in meeting their goals (Manaster & Corsini, 1982). Adler (1956) identified that
individuals find themselves sad and isolated when they are not prepared to meet different
demands of life; they are discouraged by fear of failure. During exploration of a client’s lifestyle,
a therapist can assist clients in identifying basic mistakes. Along with awareness of basic
mistakes, a client can move toward more effective behaviors. Within Reality Therapy, clients go
through a similar process in which they conduct a self-evaluation about current behaviors and
how those behaviors are promoting basic needs or how behaviors are ineffective in meeting basic
needs. Clients must acknowledge and accept the ineffective nature of their behaviors before they
can work toward effective behaviors (Peterson, 2005). Both theories hold a vested interest in
assisting clients in having positive relationships with others and from those positive relationships
come greater mental health.
Empirical Research/Assessment
One of the biggest criticisms of Reality Therapy and also Individual Psychology is the
lack of empirical research that supports the use of these theories in practice. Both of these
theories have a scholarly journal, The Journal of Individual Psychology and the Journal of
Reality Therapy, however these journals do not typically include articles that include studies with
comparison or control groups that can show their treatment efficacy (Peterson, 2005).
Within Individual Psychology, there are different assessments or methods of assessment
that are commonly used. Therapists assess clients in an effort to better understand the client.
These assessments may include: gathering early recollections, conducting a life style assessment,
Basic Adlerian Scales for Interpersonal Success-Adult Form (BASIS-A), etc. Within Reality
REALITY THERAPY A NEO-ADLERIAN APPROACH 20
Therapy, there are no standard assessments used in practice. Reality therapist instead attempt to
ask skillful questions in order to obtain information and gain understanding (Peterson, 2005).
Conclusion
The strong emphasis of choice in Reality Therapy is one of the strongest connections
with Individual Psychology. Both Reality Therapy and Individual Psychology hold goals of
assisting clients to accepting responsibility, make effective or useful choices, and perhaps most
importantly empowering clients. When clients are empowered and make effective choices they
are likely to find more satisfaction in their lives and meet their needs. Reality Therapy and
Individual Psychology both operate under the theoretical assumptions of humans possessing and
working with an internal locus of control. Both theories propose that all individuals are
motivated by and need to have relationships with others. Both Individual Psychology and Reality
Therapy approaches place emphasis on working with client strengths instead of only attending to
symptoms and areas of weakness. Therapist working from both approaches utilize similar
techniques and interventions in order to assist their clients in meeting therapeutic goals.
In conclusion, it can be surmised that Reality Therapy has many core assumptions that
are similar with Individual Psychology (approximately 85 percent). There are many similarities
and some distinctions between theories and therapeutic practice. The information provided above
may be enough to suggest that Reality Therapy is a Neo-Adlerian approach. Whether William
Glasser was influenced by Adler or just ended up on his own with similar concepts. One way
honors Adler and the other way seems to validate his approach and ideas.
REALITY THERAPY A NEO-ADLERIAN APPROACH 21
References
Adler, A. (1956). The individual psychology of Alfred Adler. New York: Basic Books.
Carlson, J., Glasser, W. (2004). Adler and Glasser: A demonstration and dialogue. Journal of Individual Psychology, 6 0(3), 308-324.
Carlson, J., Watts, R., & Maniacci, M. (2006). Adlerian therapy: Theory & practice. Washington DC: APA Books.
Dreikurs, R. (1967). Psychodynamics, psychotherapy, and counseling. Collected papers. Chicago: Alfred Adler Institute.
Glasser, W. (1965). Reality therapy: A new approach to psychiatry. New York. Harper and Row.
Glasser, W. (1994). Control theory. New York: Harper and Row.
Glasser, W. (2000). Reality therapy in action. NY: Harper Collins.
Glasser, W. (2011). Take charge of your life. Bloomington, IN: iUniverse.
Manaster, G. J., Corsini, R. J. (1982). Individual psychology: Theory and practice. Chicago: Adler School of Professional Psychology
Maniacci, M., Carlson, J., & Sackett-Maniacci, L. (in press). Neo-Adlerian approaches to psychotherapy, Journal of Individual Psychology, In Press.
Mosak, H. H., Maniacci, M. P. (1999). A primer of Adlerian psychology. New York: Routledge.
Peterson, S. (2005). Reality therapy and individual or Adlerian psychology a comparison. International Journal of Reality Therapy, 24(2), 11-14.
Wubbolding, R. E. (2011) Reality therapy. Washington, DC: American Psychological Association.
Wubbolding, R. E. (2015). The voice of William Glasser: Accessing and continuing evolution of reality therapy. Journal of Mental Health Counseling, 37(3), 189-205.